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中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (9): 1329-1334.doi: 10.3969/j.issn.1672-1756.2020.09.010

• 论 著 • 上一篇    下一篇

中老年人膝关节不适自我管理行为自评量表的编制及信度效度检验

赵沛沛 周启迪 李金秀 曹吉日 周阳   

  1. 中南大学湘雅护理学院，410013 长沙市（赵沛沛，曹吉日）；吉首大学医学院（周启迪，李金秀）；中南大学湘雅医院护理部（周阳）
  • 出版日期:2020-09-15 发布日期:2020-09-15
  • 通讯作者: 李金秀，硕士，讲师，E-mail:2407677958@qq.com
  • 作者简介:赵沛沛，硕士在读
  • 基金资助:
    湖南省科技创新计划项目（2017TP1004）；国家级大学生创新训练项目（201810531012）

Development and psychometric test of self-management behavior scale for knee joint discomfort in middle-aged and elderly people

ZHAO Peipei, ZHOU Qidi, LI Jinxiu, CAO Jiri, ZHOU Yang   

  1. Xiang Ya Nursing school of Central South University, Changsha, 410013, China
  • Online:2020-09-15 Published:2020-09-15
  • Contact: E-mail:2407677958@qq.com

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摘要： 目的：编制能够客观评估我国中老年人膝关节不适自我管理行为的自评量表并检验其信度和效度。方法：回顾相关文献，确定自我管理行为定义，通过半结构化访谈、专家函询等方法，形成中老年人膝关节不适自我管理行为量表初稿；便利选取528名≥45岁的中老年人对预试量表进行项目分析和信度、效度检验。结果：量表包括症状管理、日常生活管理、情绪管理及信息管理4个维度、27个条目；各条目内容效度指数为0.833～1.000，量表总体内容效度为0.964；探索性因子分析提取4个公因子，累计方差贡献率为58.583%；验证性因子分析显示拟合指数χ2、df、χ2/df、RMSEA、CFI、GFI、AGFI、NFI、IFI、TLI分别为1?077.693、318、3.388、0.094、0.817、0.731、0.680、0.761、0.819、0.798；量表总的Cronbach’s?α系数为0.946，分半信度为0.894，重测信度为0.876。结论：中老年人膝关节不适自我管理行为自评量表具有较好的信度和效度，可作为评估我国中老年人人群的膝关节不适自我管理行为的工具。

关键词: 膝关节；自我管理；信度；效度

Abstract: Objective: To develop a self-management behavior scale for knee joint discomfort in middle-aged and elderly people and test its reliability and validity. Methods: The definition of self-management behavior was determined based on literature review. Semi-structured interview and expert consultation were used to identify draft of the scale. A total of 528 middle-aged and elderly people over 45 years old were investigated by the scale, and the reliability and validity were tested. Results: The final scale includes 27 items and 4 dimensions, namely symptom management, daily life management, mood management, and information management. The I-CVI ranged from 0.833 to 1.000, S-CVI/Ave was 0.964. Exploratory factor analysis extracted 4 common factors, the cumulative contribution of variance was 58.583%. Confirmatory factor analysis showed that the fit index χ2, df?, χ2/df?, RMSEA, CFI, GFI, AGFI, NFI, IFI, TLI were 1077.693, 318, 3.388, 0.094, 0.817, 0.731, 0.680, 0.761, 0.819, 0.798 respectively. The Cronbach's α coefficient was 0.946, the split-half reliability was 0.894 and the test-retest reliability was 0.876. Conclusion: The scale was proved to be reliable and valid. It can be used to assess the self-management behavior of knee joint discomfort in middle-aged and elderly people.

Key words: knee joint; self-management; reliability; validity

中图分类号:  R47
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