精神分裂症患者自我管理量表的编制

发布时间：2018-07-23 13:19

【摘要】：目的:编制一套适用于精神分裂症患者的自我管理量表,并对其进行条目筛选。方法:基于前期定性研究中有关患者自我管理的经历以及文献中自我管理量表中的条目,形成了75个条目的精神分裂症患者自我管理量表(Schizophrenia Self-Management Instrument Scale,SSMIS)草本。经专家及患者审核,保留48个条目,形成了精神分裂症患者自我管理量表初稿。选取在北京市海淀区4所社区卫生服务中心辖区内随访的精神分裂症患者200名,采用离散程度法、t检验法、相关系数法及因子分析法进行条目筛选。结果:经4种客观条目分析方法以及咨询相关领域专家,并结合专业意义进行综合分析,最终共删除15个条目,保留33个条目。将保留的33个条目进行探索性因子分析,结果显示量表分为6个因子,累计方差贡献率为61.70%。将6个因子分别命名为:服药依从、药物的管理、精神症状的管理、维持日常生活及社会功能、利用资源及支持以及自我效能。将6因子模型进行验证性因素分析,结果显示模型与数据拟合程度较好(χ2/df=4.35,GFI=0.81,RM SEA=0.10)。结论:经过严格的条目筛选后,保留的条目符合代表性好、独立性强、敏感性高、区分性好的原则,达到了编制的要求。
[Abstract]:Objective: to develop a self-management scale for schizophrenic patients and to screen its items. Methods: based on the experience of patient self-management in the previous qualitative study and the items in the self-management scale in the literature, 75 items of the Schizophrenia Self-Management Instrument scale for self management (SSMIS) were formed. After expert and patient review, 48 items were retained to form the first draft of the schizophrenia self-management scale. Two hundred schizophrenic patients who were followed up in 4 community health service centers in Haidian District of Beijing were selected. The items were screened by the method of t test, correlation coefficient method and factor analysis method. Results: 15 items were deleted and 33 items were retained after 4 methods of objective item analysis and consulting experts in related fields and combined with professional significance. The 33 items retained were analyzed by exploratory factor analysis. The results showed that the scale was divided into 6 factors and the cumulative contribution rate of variance was 61.70. The six factors were named as: drug compliance, drug management, management of mental symptoms, maintenance of daily life and social function, utilization of resources and support, and self-efficacy. The confirmatory factor analysis of the 6-factor model showed that the fitting degree between the model and the data was good (蠂 ~ 2 / dfg ~ (4.35) GFI ~ (0.81) SEA=0.10). Conclusion: after strict item selection, the items retained meet the requirements of good representativeness, strong independence, high sensitivity and good distinction.
【作者单位】：北京协和医学院护理学院;首都医科大学附属北京安定医院;北京市海淀区田村路社区卫生服务中心;
【分类号】：R749.3

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