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系统性红斑狼疮女性角色压力量表的编制及信效度检验

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目的 编制系统性红斑狼疮女性角色压力量表,并进行信效度检验,为此类患者角色压力测评提供测量工具.方法 在角色压力理论指导下,通过文献分析、质性访谈和专家函询形成量表初稿.于2023年1-3月选取镇江市2所三级医院的210例系统性红斑狼疮女性患者进行问卷调查,评价量表的信度及结构效度;2023年4-6月选取苏州市2所三级医院的238例系统性红斑狼疮女性患者进行调查,用于验证性因子分析.结果 系统性红斑狼疮女性角色压力量表包含角色冲突、角色愧疚、角色超载、角色模糊4个维度共16个条目,4个维度累计方差贡献率为72.901%;验证性因子分析结果显示模型拟合良好(x2/df=2.332,RMSEA=0.075,CFI=0.933,GFI=0.892,TLI=0.918);量表总的 Cronbach's α 系数为 0.898,分半信度为 0.792,重测信度为0.886.结论 系统性红斑狼疮女性角色压力量表具有良好的信效度,可以作为系统性红斑狼疮女性角色压力的测评工具.
Development and validation of the Female Role Stress Scale for Systemic Lupus Ery-thematosus
Objective To develop the Female Role Stress Scale for Systemic Lupus Erythematosus,and to test its reliability and va-lidity,so as to provide a tool for measuring role stress of this population.Methods Under the guidance of the role pressure theory,a preliminary draft scale was formed through literature analysis,qualitative interviews and expert consultation.From January to March 2023,210 female patients with systemic lupus erythematosus from two tertiary hospitals in Zhenjiang were surveyed by using the preliminary draft scale to evaluate its reliability and structural validity;and from April to June 2023,other 238 female patients with systemic lupus erythematosus from two tertiary hospitals in Suzhou were investigated to conduct confirmatory factor analysis.Results The final Female Role Stress Scale for Systemic Lupus Erythematosus included 16 items in 4 dimensions(role conflict,role guilt,role overload and role ambiguity),the cumulative contribution rate of which was 72.901%.The confir-matory factor analysis results showed that the model fitted well(X2/df=2.332,RMSEA=0.075,CFI=0.933,GFI=0.892,TLI=0.918).The Cronbach's α coefficient of the scale was 0.898,the split half reliability was 0.792,and the retest reliability was 0.886.Conclusion The Female Role Stress Scale for Systemic Lupus Erythematosus has good reliability and validity,and it can be used to measure role stress for women with systemic lupus erythematosus.

systemic lupus erythematosusrole stressrole conflictrole guiltyrole overloadrole ambiguityreliabili-tyvalidity

张许婷、芮金兵、吕妃、孙炜怡、罗彩凤

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江苏大学医学院护理系(江苏镇江,212000)

江苏大学附属医院风湿免疫科

江苏大学京江学院护理系

系统性红斑狼疮 角色压力 角色冲突 角色愧疚 角色超载 角色模糊 信度 效度

2023年江苏省研究生科研与实践创新计划项目

SJCX232097

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(2)
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