CAJ | 학술논문

目的编制多维度健康自测量表,为评价国人健康状况提供工具.方法采用Delphi法筛选健康评价指标,参照国内外成熟馈表及临床资料建立问卷条目库,专家对题目进行评审后形成中国成人健康自测量表试用版,并在北京、河北、天津、山西等地的体检中心随机抽取了 1858名被试者进行了现场预测试.采用专家评分、独立样本的t检验、因素分析和逻辑分析相结合的方法对健康自测量表进行了项目分析并进行了信效度分析.结果研制出含有90个条目的健康自测量表.健康自测量表的Cmnbach a系数在0.669-0.917之间,分半信度在0.572-0.877之间,重测信度在0.693～0.896之间.探索性因素分析得到的6个因素可解释总变异的71.732%,且因子共同度均大于0.4,验证性因素分析的结果显示各拟合指数均比较理想,量表有较好的结构效度.结论通过项目分析和初步的因素分析,确定量表由六个维度(健康史、躯体症状、心理健康、社会适应能力、生活方式、保健意识)与90个条目组成,多维健康自测量表结构较为合理,信效度良好.
목적 편제다유도건강자측량표,위평개국인건강상황제공공구.방법 채용Delphi법사선건강평개지표,삼조국내외성숙궤표급림상자료건립문권조목고,전가대제목진행평심후형성중국성인건강자측량표시용판,병재북경、하북、천진、산서등지적체검중심수궤추취료 1858명피시자진행료현장예측시.채용전가평분、독립양본적t검험、인소분석화라집분석상결합적방법대건강자측량표진행료항목분석병진행료신효도분석.결과 연제출함유90개조목적 건강자측량표.건강자측량표적Cmnbach a계수재0.669-0.917지간,분반신도재0.572-0.877지간,중측신도재0.693～0.896지간.탐색성인소분석득도적6개인소가해석총변이적71.732%,차인자공동도균대우0.4,험증성인소분석적결과현시각의합지수균비교이상,량표유교호적결구효도.결론 통과항목분석화초보적인소분석,학정량표유륙개유도(건강사、구체증상、심리건강、사회괄응능력、생활방식、보건의식)여90개조목조성,다유건강자측량표결구교위합리,신효도량호.
Objective To develop a multidimensional self-report health measurement scale for accurate evaluation of health status in Chinese adults. Methods Delphi method was used to select health measurements. Item database was set up based on available questionnaires. A total of 1858 individuals from Beijing, Hebei ,Tianjin, Shanxi and other provinces of China received field pretest. Results A self-report health assessment tool with 90 items was developed, Cronbach a coefficient of which was 0. 669 to 0. 917,split-half reliability 0. 572 to 0. 877, and test-retest reliability 0. 693 to 0. 896. Six factors from exploratory factor analysis accounted for 71.732% total variance,with the common factor＞0.4. Confirmatory factor analysis showed good fit index and construct validity. Conclusion The newly developed self-rated health measurement scale ,which involves six dimensions and 90 items ,shows good reliability and validity.