Construction of health management need assessment scale for elderly patients with chronic disease and its reliability and validity
Objective:To construct the health management need assessment scale for elderly patients with chronic diseases and test its reliability and validity.Methods:Based on the Omaha system,the first draft of the health management need scale for elderly patients with chronic diseases was formed through literature analysis,expert correspondence and pre-investigation.A questionnaire survey was conducted in elderly patients with chronic diseases in a Class A tertiary hospital in Tianjin from March to September 2022 to test the reliability and validity of the scale.Results:A total of 330 questionnaires were distributed and 320 valid questionnaires were recovered.The final scale consisted of 27 items in 4 dimensions including physical health need,psychosocial health need,environmental health need and health behavior related needs.Exploratory factor analysis showed that the four common factors explained 58.646%of the total variance.Cronbach's α were 0.803~0.886 for subscales,and Cronbach's α for the total scale was 0.917.Split-half reliability coefficients were 0.801~0.914 for subscales,and 0.815 for the total scale.Test-retest reliability coefficients were 0.498~0.647 for subscales,and 0.911 for the total scale.Conclusion:The health management need assessment scale for elderly patients with chronic diseases is scientific,reasonable,reliable and valid,which can be used to evaluate the health management needs of elderly patients with chronic diseases.