CAJ | 학술논문

目的构建整体健康风险模型并评价模型的平行效度和信度.方法采用国人健康风险评估问卷V 1.0(CHRAQ V 1.0)采集某事业单位230名工作人员的健康体检数据,按照主流计分方法,选取CHRAQ V 1.0中34个项目,构建国人整体健康风险模型；Kolmogorov-Smirnov检验其正态分布,计算Pearson相关系数及Spearman相关系数评价模型的平行效度,通过克兰巴赫α系数、Spearman-Brown系数及重测信度评价模型的信度.结果本研究收回有效问卷212份,回收率92.17％,整体健康风险模型得分为(41.96±9.69)分,峰度系数为2.105、偏度系数为0.862,经Kolmogorov-Smirnov正态性检验,模型得分满足正态分布(Z=1.073,P=0.199).全部客观检查阳性率与模型得分相关系数r为0.774(P＜0.05).整体健康风险模型的克兰巴赫α系数、Spearman-Brown系数、重复测量信度分别为0.652、0.784、0.841(P＜0.05).结论借鉴健康风险模型主流计分方法和平行效度、信度评价方法,构建了整体健康风险模型.所构建的整体健康风险模型效度、信度较好,在健康管理领域具有一定的应用前景.
목적 구건정체건강풍험모형병평개모형적평행효도화신도.방법 채용국인건강풍험평고문권V 1.0(CHRAQ V 1.0)채집모사업단위230명공작인원적건강체검수거,안조주류계분방법,선취CHRAQ V 1.0중34개항목,구건국인정체건강풍험모형；Kolmogorov-Smirnov검험기정태분포,계산Pearson상관계수급Spearman상관계수평개모형적평행효도,통과극란파혁α계수、Spearman-Brown계수급중측신도평개모형적신도.결과 본연구수회유효문권212빈,회수솔92.17％,정체건강풍험모형득분위(41.96±9.69)분,봉도계수위2.105、편도계수위0.862,경Kolmogorov-Smirnov정태성검험,모형득분만족정태분포(Z=1.073,P=0.199).전부객관검사양성솔여모형득분상관계수r위0.774(P＜0.05).정체건강풍험모형적극란파혁α계수、Spearman-Brown계수、중복측량신도분별위0.652、0.784、0.841(P＜0.05).결론 차감건강풍험모형주류계분방법화평행효도、신도평개방법,구건료정체건강풍험모형.소구건적정체건강풍험모형효도、신도교호,재건강관리영역구유일정적응용전경.
Objective To develop an overall health risk model and to evaluate its convergent validity and reliability.Methods Health examination results of 230 adults from a public institution were collected by using Chinese Health Risk Appraisal Questionnaire V1.0 (CHRAQ V1.0).An CHRAQ V1.0-based overall health risk model was then developed,which included 34 items.Kolmogorov-Smirnov was used to test normal distribution of the data.Pearson correlation coefficient and Spearman correlation coefficient were used to evaluate parallel validity of the model.Crane Bach coefficient,Spearman-Brown coefficient and test-retest reliability were calculated to evaluated the reliability of the model.Results In this study,212 valid questionnaires (92.17％) were received.The average score of the newly developed overall health risk model was 41.96 ± 9.69,and its kurtosis coefficient and coefficient of skewness were 2.105 and 0.862,respectively.In Kolmogorov-Smirnov,the data were normally distributed (Z =1.073,P =0.199).The correlation coefficient of positive rate of all objective examinations with model scores was 0.774 (P ＜ 0.05).The Cronbach's alpha coefficient,Spearman-Brown coefficient and test-retest reliability of the model were 0.652,0.784 and 0.841,respectively (P ＜ 0.05).Conclusion In this investigation,our newly developed overall health risk model shows good validity and reliability and application prospect in the field of health management.