2型糖尿病患者自我管理认知量表的编制及信效度检验
Development and validation of Self-Management Cognition Scale for Patients with Type 2 Diabetes
顾淑燕 1王孝勇 2张宁 3顾海 1王小玲4
作者信息
- 1. 南京大学政府管理学院(江苏南京,210023)
- 2. 山东第一医科大学附属省立医院医疗保险办公室
- 3. 南京大学医学院附属鼓楼医院内分泌科
- 4. 上海交通大学医学院附属新华医院内分泌科
- 折叠
摘要
目的 编制2型糖尿病患者自我管理认知量表并检验其信效度,为科学动态测量患者自我管理认知水平提供有效工具.方法 基于保护动机理论,结合专家咨询及预调查形成2型糖尿病患者 自我管理认知初始量表,在南京、济南和上海分2批次调查739例患者,评价量表的信效度.结果 形成的正式量表包括严重性、易感性、反应效能、自我效能和反应代价5个维度共29个条目.探索性因子分析提取5个公因子,累计方差贡献率为70.017％;验证性因子分析显示x2/df=2.763,RMSEA=0.070,NFI=0.905,IFI=0.938,TLI=0.930,CFI=0.937;量表 AVE=0.557～0.924,Cronbach's α 系数为 0.826.结论 量表信效度良好,可用于测量2型糖尿病自我管理认知水平.
Abstract
Objective To develop a self-management cognition scale for type 2 diabetes patients and to test its reliability and validity.Methods Following the scale development paradigm,an initial version of the Self-Management Cognition Scale for Patients with Type 2 Diabetes was developed based on protection motivation theory.Then a test version was formed after Delphi consultation and pilot survey.Two surveys on type 2 diabetes patients(n=739)were conducted in Nanjing,Jinan,and Shanghai,in order to evaluate there liability and validity of the scale.Results Exploratory factor analysis extracted 5 common factors(severity,vulnera-bility,response efficacy,self-efficacy,and response costs)from 29 items with a cumulative variance contribution rate of 70.017％.Confirmatory factor analysis showed that the model fitted well(x2/df=2.763,RMSEA=0.070,NFI=0.905,IFI=0.938,TLI=0.930,CFI=0.937).The Cronbach's α coefficient of the scale was 0.826,AVE=0.557～0.924.Conclusion The scale has good reliability and validity,which can be used for mea-suring self-management cognition level of type 2 diabetes patients.
关键词
2型糖尿病/自我管理/认知/保护动机理论/信度/效度/评估量表Key words
type 2 diabetes/self-management/cognition/protection motivation theory/reliability/validity/assessment scale引用本文复制引用
基金项目
国家自然科学基金青年科学基金(72104102)
江苏省社会科学基金基地项目(20JD001)
上海交通大学医学院附属新华医院护理骨干人才项目(HLXKRC2021004)
出版年
2024
NETL
NSTL
万方数据