CAJ | 학술논문

目的：以健康信念模式为概念框架编制女性排尿行为信念量表，并检验量表的信度、效度。方法参照Lynn提出的编制认知领域量表的步骤，在文献回顾的基础上编制女性排尿行为信念量表。本研究采用多阶段抽样法。首先方便抽样抽取济南市3所三级甲等医院245名女性护士进行问卷调查，2周后再从中随机抽取25名护士进行重测。采用SPSS 13.0进行描述性统计分析、Pearson相关分析、Cronbach’sα系数和探索性因素分析以精简条目、确立量表维度，并检验量表的内容效度、结构效度、效标效度、内部一致性信度、分半信度以和重测信度。结果各条目内容效度指标（I-CVI）为0.83～1，量表内容效度指标（S-CVI）为0.96。量表包含24个条目，归属于5个维度：下尿道症状易感性的感知、下尿道症状严重性的感知、健康排尿行为益处的感知、健康排尿行为阻碍的感知和健康排尿行为的自我效能；各条目在其对应维度上的因素负荷为0.58～0.87，方差累计贡献率为61.34%。5个维度的Cronbach’sα系数（除维度“坚持健康排尿行为的自我效能”为0.60外）、校正分半信度、重测信度均大于0.70。结论本量表的信效度良好，可以在护士群体初步试用并进行验证性因素分析。
목적：이건강신념모식위개념광가편제녀성배뇨행위신념량표，병검험량표적신도、효도。방법삼조Lynn제출적편제인지영역량표적보취，재문헌회고적기출상편제녀성배뇨행위신념량표。본연구채용다계단추양법。수선방편추양추취제남시3소삼급갑등의원245명녀성호사진행문권조사，2주후재종중수궤추취25명호사진행중측。채용SPSS 13.0진행묘술성통계분석、Pearson상관분석、Cronbach’sα계수화탐색성인소분석이정간조목、학립량표유도，병검험량표적내용효도、결구효도、효표효도、내부일치성신도、분반신도이화중측신도。결과각조목내용효도지표（I-CVI）위0.83～1，량표내용효도지표（S-CVI）위0.96。량표포함24개조목，귀속우5개유도：하뇨도증상역감성적감지、하뇨도증상엄중성적감지、건강배뇨행위익처적감지、건강배뇨행위조애적감지화건강배뇨행위적자아효능；각조목재기대응유도상적인소부하위0.58～0.87，방차루계공헌솔위61.34%。5개유도적Cronbach’sα계수（제유도“견지건강배뇨행위적자아효능”위0.60외）、교정분반신도、중측신도균대우0.70。결론본량표적신효도량호，가이재호사군체초보시용병진행험증성인소분석。
Objective To develop and validate Women’s Belief of Toileting Behavior Scale based on conceptual framework of the Health Belief Model (HBM) and literature review. Methods Women’s Belief of Toileting Behavior Scale was developed through the steps of developing cognitive scales postulated by Lynn. With multistage sampling, totally 245 female nurses in 3 Clsaa ⅢGrade I hospitals in Jinan were surveyed and 25 of them were resurveyed randomly after 2 weeks. Data from participants for trial test were analyzed to simplify the items and establish the dimensions with item analysis and exploratory factor analysis by SPSS13.0. Three reliability indexes (internal consistency, split-half reliability and test-retested reliability) and two validity indexes (content validity, construct validity) of the scale were presented. Results Items content validity index(I-CVI) ranged from 0.83 to 1 and scale content validity (S-CVI) index valued 0.96; item analysis and exploratory factor analysis showed that the scale was composed of 24 items, belonging to 5 dimensions: perceived susceptibility of lower urine tract symptoms, perceived severity of lower urine tract symptoms, benefit from persistent normal voiding behavior, factors impeding normal toileting style and self-efficacy of persisting normal toileting style; Principal Component Analysis with varimax rotation revealed that item factor loadings of corresponding dimension were within 0.58~0.87 and 5 dimensions explained 61.34% of the variance. Conclusion The scale indicates good validity and reliability which can be used for a further study in nurses.