脑卒中患者健康信念简表的信效度检验

发布时间：2018-03-29 20:09

本文选题：卒中　切入点：健康态度　出处：《中华疾病控制杂志》2017年03期

【摘要】：目的为了更简便地测量脑卒中患者的健康信念水平,将Champion健康信念量表(the champion health belief model scale,CHBMS)中文版进行简化。方法对88例患者的CHBMS健康信念量表的完整中文版问卷进行条目分析,并采用专家咨询法进行修订并简化为健康信念简表(short form fealth belief model scale,SFHBMS),并对235例脑卒中患者问卷调查,采用SPSS 17.0及Mplus 7.0软件检验简表的信度和效度。结果简化后的量表的条目水平内容效度指数(item-level content validity index,I-CVI)平均为0.97,量表水平的全体一致内容效度指数(sale-content validity index/universal agreement,S-CVI/UA)和平均内容效度指数(sale-content validity index/average,S-CVI/Ave)分别为0.85、0.97;总量表的同质性信度、分半信度、重测信度分别为0.835、0.779、0.811;验证性因子分析模型的常态化卡方值(χ~2/df)为1.642,比较拟合指数(comparative fit index,CFI)为0.939,Tucker-Lewis指数(tucker-lewis index,TLI)为0.926,标准化残差均方根(standardized root mean square residual,SRMR)为0.062,近似误差平方根(root mean square error of approximation,RMSEA)为0.052,P=0.361,说明模型精确拟合数据。简表与完整版量表的效标效度为0.956。SF-HBMS能区分不同文化程度患者的健康信念水平(t=-2.282,P=0.023),区分效度较好。结论 SF-HBMS具有较好的信度和效度,可用于测量脑卒中患者的健康信念水平。
[Abstract]:Objective in order to measure the health belief level of stroke patients more simply, the Chinese version of the champion health belief model scale was simplified. Methods the complete Chinese version of the CHBMS Health belief scale was analyzed in 88 patients. The method of expert consultation was used to revise and simplify it into a short form fealth belief model scaleSBS, and a questionnaire survey was conducted in 235 patients with cerebral apoplexy. SPSS 17.0 and Mplus 7.0 software were used to test the reliability and validity of the summary table. Results the average value of item level content validity index I-CVIwas 0.97, and the uniform content validity index of the scale level was sale-content validity index/universal agreement-S-CVI / UAA. The volume index of sale-content validity index / average / S CVI / Avewas 0.850.97, respectively. Split-half reliability, The reliability of retest is 0.835 / 0.779 / 0.811, the normalized chi-square value of confirmatory factor analysis model is 1.642, the comparative fit index CFI is 0.939 Tucker-Lewis index and the standardized residual root mean square residualness MRs is 0.062, and the approximate square root mean square error is 0. 062, and the relative fitting index is 0. 939% Tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index tucker-Lewis index is 0.926. The validity of the summary table and the complete scale is that 0.956.SF-HBMS can distinguish the level of health belief of patients with different education level and the distinguishing validity is good. Conclusion SF-HBMS has better reliability and validity, and the validity of RMSEAA is 0.052 / 0.361.Conclusion SF-HBMS has better reliability and validity, and the validity of RMSEA is better than that of RMSEA.Conclusion SF-HBMS has better reliability and validity, and the validity of RMSEA is better than that of RMSEA.Conclusion SF-HBMS has good reliability and validity. It can be used to measure the level of health belief in stroke patients.
【作者单位】：中山大学护理学院基础护理教研室;广东省中医院神经内科;中山大学心理学系;中山大学附属第三医院神经内科;中山大学附属第二医院神经内科;中山大学公共卫生学院卫生管理学系;
【基金】：广东省医学科学技术研究基金(A2014211) 广东省科技计划社会发展领域课题(2016A020215039)
【分类号】：R473.74

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