Abstract:

Objective To develop a self-management scale for patients with bipolar disorder and to test the reliability and validity of the scale. Methods This study uesd Lorig and Holman’s self-management theory and Bandura’s social cognition theory as theoretical framework,combined with the results of semi-structured interviews with 20 patients,carers and medical personnel. The pretest scale was formed through literature research method and 2 rounds of expert evaluations. A convenience sample of 397 patients with bipolar disorder was selected for item analysis,the pretest scale of the reliability and validity. Results The self-management scale for patients with bipolar disorder includes 3 dimensions and 18 items. The overall Cronbach’s α coefficient of the scale was 0.906;the split-half reliability was 0.853;the retest reliability coefficient of the scale was 0.658. There were 3 factors being extracted from exploratory factor analysis,explaining 54.814% of the total variances. The correlation coefficient between the self-management scale and the Brief version of Quality of Life in Bipolar Disorder was 0.535（P<0.001）. Conclusion The self-management scale for patients with bipolar disorder has good reliability and validity,and it can effectively assess the status of self-management.

Key words: Bipolar Disorder, Self-Management, Scale, Reliability, Validity, Psychiatric Nursing

摘要：

目的 编制适合我国双相障碍患者自我管理的评估量表,并验证其信效度。 方法 以Lorig和Holman的自我管理理论及Bandura的社会认知理论为理论框架,结合对20例（名）患者、家属及医务人员的访谈结果,通过文献研究法和两轮专家评定形成预试量表。便利选取397例双相障碍患者进行调查,对预试量表进行项目分析和信效度检验。 结果 双相障碍患者自我管理量表包含3个维度、18个条目,量表总的Cronbach’s α系数为0.906,折半系数为0.853,两周后的重测信度是0.658。探索性因子分析共提取3个公因子,累计方差贡献率为54.814%;与双相障碍生活质量量表的相关系数为0.535（P<0.001）。 结论 该研究编制的双相障碍患者自我管理量表具有良好的信效度,可有效评估双相障碍患者的自我管理水平。

关键词: 双相障碍, 自我管理, 量表, 信度, 效度, 精神病护理学