慢性病赋能量表的汉化修订及在社区中老年患者中的信效度研究

发布时间：2018-06-26 09:06

本文选题：社区 + 赋能　；参考：《南方医科大学》2017年硕士论文

【摘要】：研究目的1.引进和翻译慢性病赋能量表,并进行信度、效度评价。2.评估国内社区中老年慢性病患者的赋能水平,并探索赋能与自我效能与心理一致感的相关性。研究方法在取得原作者授权后,采用Brislin翻译模型完成量表汉化,采用便利抽样法收集广州市4个社区共273名老年慢性病患者的资料,运用SPSS19.0软件录入资料、进行量表信效度分析与相关性分析,并评价慢性病患者的赋能、自我效能及心理一致感情况。研究结果中文版慢性病患者赋能量表总Cronbach' s α系数为0.95,各维度Cronbach's α系数范围0.694～0.877;量表分半信度为0.93,重测信度0.921,平均内容效度0.950,各维度得分与总分相关系数范围0.875～0.959,以自我效能感量表作为效标的效标效度为0.678;主轴因子分解法提取6个公因子,删除三个不归类任何因子的条目后,累积方差贡献率54.50%。社区慢性病患者自我效能感总分分布为22.04±6.17分,按评分标准属中等偏上水平。社区慢性病患者赋能总分的分布为122.83±27.20分,其中“知识获取与理解”维度和“自我认知”维度得分最高。不同文化程度、职业、最长病程、婚姻状况下的慢性病患者在赋能总分及各维度得分间的差别均有显著性差异(P0.05):社区慢性病患者自我效能总分与赋能总分及各个维度呈正相关,相关系数0.514-0.690,差异有统计学意义。结论1.汉化修订后的中文版慢性病赋能量表共44个条目,6个维度:生活态度,自我认知,知识获取,自我管理,自主决策,赋能他人。2.中文版慢性病赋能量表在信度上具有良好的量表内部一致性与重测信度;量表的效度分析结果表明:中文版慢性病赋能量表具有较好的内容效度、内部相关性、效标关联效度与结构效度。3.中文版慢性病赋能量表从编制过程和测评维度方面更强调评价社区慢性病患者在疾病管理过程中的主观能动性,同时也更适合我国社区慢性病人群赋能水平的评估。4.我国社区中老年慢性病患者赋能水平居中,在表达疾病感受、与其他病友分享疾病管理经验方面有待提高,我国针对慢性病人群制定的医疗保险政策在社区慢性病人群中知晓率较低,提示医护人员在社区慢性病患者护理过程中应针对性宣教,以提高患者赋能水平。
[Abstract]:Objective 1. Introduce and translate the chronic disease empowerment scale, and evaluate the reliability and validity of the scale. 2. To assess the empowerment level of the elderly and chronic patients in Chinese community, and to explore the correlation between empowerment and self-efficacy and psychological congruence. Methods after obtaining the authorizations of the original author, the Brislin translation model was used to complete the Sinicization of the scale. The data of 273 elderly patients with chronic diseases in 4 communities in Guangzhou were collected by convenient sampling method, and the data were recorded by SPSS 19.0 software. To analyze the reliability and validity of the scale and to evaluate the status of empowerment, self-efficacy and psychological identity in patients with chronic diseases. Results the total Cronbachs 伪 coefficient of the Chinese version of chronic disease empowerment scale was 0.95, the Cronbachs 伪 coefficient range of each dimension was 0.6940.87, the split-half reliability of the scale was 0.93, the test-retest reliability was 0.921, the average content validity was 0.950, and the correlation coefficient between the scores of each dimension and the total score was 0.950. The validity of self-efficacy scale was 0.678. The main axis factor decomposition method was used to extract 6 common factors. After deleting three items that do not classify any factors, the cumulative variance contribution rate is 54.50. The total score of self-efficacy of chronic patients in community was 22.04 卤6.17. The total score of empowerment of chronic patients in community was 122.83 卤27.20, in which the dimensions of "knowledge acquisition and understanding" and "self-cognition" had the highest scores. There were significant differences in the total score of empowerment and the score of each dimension between the patients with chronic diseases under different education level, occupation, longest course of disease and marital status (P0.05): the total score of self-efficacy of chronic patients in community was positively correlated with the total score of empowerment and each dimension. The correlation coefficient was 0.514-0.690, the difference was statistically significant. Conclusion 1. The Chinese version of chronic disease empowerment scale has 44 items, 6 dimensions: life attitude, self-cognition, knowledge acquisition, self-management, autonomous decision-making, empowering others. 2. The Chinese version of chronic disease empowerment scale has good internal consistency and test-retest reliability in terms of reliability, and the validity analysis results show that the Chinese version of chronic disease empowerment scale has good content validity and internal correlation. Correlation validity and structural validity. 3. The Chinese version of chronic disease empowerment scale emphasizes the evaluation of the subjective initiative of chronic disease patients in the process of disease management and is more suitable for the evaluation of the empowerment level of chronic disease population in Chinese community. The empowerment level of middle-aged and elderly patients with chronic diseases in our community is in the middle. It needs to be improved to express the feeling of disease and share the experience of disease management with other patients. The low awareness rate of the medical insurance policy for the chronically ill population in our country suggests that the health care workers should be educated in the process of nursing the patients with chronic diseases in community in order to improve the level of empowerment of the patients.
【学位授予单位】：南方医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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