慢性腰背痛患者康复锻炼保护动机问卷的编制及信效度检验
Development and reliability and validity test of protective motivation questionnaire for rehabilitation exercise in patients with chronic low back pain
马琳 1高彩香 1张晶莹 1陈珺 1黄雪燕2
作者信息
- 1. 310007 浙江杭州,浙江中医药大学附属杭州市中医院推拿科
- 2. 310007 浙江杭州,浙江中医药大学附属杭州市中医院护理部
- 折叠
摘要
目的 编制慢性腰背痛患者康复锻炼保护动机问卷,并检验其信效度.方法 基于保护动机理论界定维度,通过文献回顾、半结构访谈和专家德尔菲法构建问卷初稿,采取便利抽样法选取220 例慢性腰背痛患者进行问卷调查,检验问卷的信效度.结果 慢性腰背痛患者康复锻炼保护动机问卷包含6 个维度30 个条目,探索性因子析出严重性、易感性、内外部奖励、康复价值、自我效能和反应代价6 个公因子,累计方差贡献率67.62%;问卷整体Cronbach's α系数为0.93;问卷整体折半信度为0.86,各维度为0.76～0.92;问卷整体的重测信度为0.91,各维度为0.88～0.93;问卷整体内容效度为0.93,各维度为0.84～1.00;患者康复锻炼保护动机问卷总得分为(89.74±10.28)分.结论 构建的慢性腰背痛患者康复锻炼保护动机问卷信效度良好,可用于该类患者康复锻炼保护动机的评估和康复锻炼依从性的预测.
Abstract
Objective To develop a questionnaire on protective motivation for rehabilitation exercise in patients with chronic low back pain(CLBP)and to test its reliability and validity.Methods Based on the protection motivation theo-ry to define the dimensions,the first draft of the questionnaire was constructed through literature review,semi-structured interviews and expert Delphi,and 220 patients with chronic low back pain attending our hospital were selected by conve-nience sampling method to test the reliability of the questionnaire.Results The final questionnaire contains 30 entries in 6 dimensions,with 6 metrics analyzed by exploratory factor analysis,and 6 metrics retained,namely,severity,suscepti-bility,internal and external rewards,recovery value,self-efficacy,and response costs,with a cumulative variance contribu-tion rate of 67.62%.The Cronbach's α coefficients for the questionnaire as a whole were 0.93.The folded half reliabilities for the questionnaire as a whole were 0.86,and 0.76 to 0.92 for each dimension.The re-test reliabilities for the question-naire as a whole were 0.91,and 0.88 to 0.93 for each dimension.The overall content validity of the questionnaire was 0.93,and the content validity of each dimension was 0.84 to 1.00.The total score of the patients on the questionnaire was 89.74±10.28.Conclusion The protective motivation questionnaire for rehabilitation exercise of CLBP patients has good reliability and validity,and can be used to evaluate the protective motivation for rehabilitation exercise and predict adher-ence to rehabilitation exercise in CLBP patients.
关键词
慢性腰背痛/康复锻炼/保护动机理论/信度/效度Key words
chronic low back pain/rehabilitation exercise/protection motivation theory/reliablity/validity引用本文复制引用
基金项目
杭州市医药卫生科技计划项目(A20200531)
出版年
2024
NETL
NSTL
万方数据