CAJ | 학술논문

目的：考察高血压治疗依从性量表（ therapeutic adherence scale for hypertensive patients ， TASHP）应用于老年高血压患者的信度和效度。方法应用TASHP量表对190例居住在农村地区的老年高血压患者进行面对面访谈调查。结果信度检验显示量表总的内部一致性信度Cronbach α系数为0．782，各因子的Cronbach α系数为0．642～0．798，效度检验结果显示量表总分与各因子分之间的相关系数为0．401～0．833（P＜0．05），探索性因素分析各条目的负荷值为0．464～0．828，4个公因子累计方差贡献率63．568％。用结构方程进行验证，其拟合指数分别为χ2／df ＝1．314， GFI ＝0．874， CFI ＝0．919， RMSEA＝0．041。结论 TASHP具有较好的信效度，可用于评估农村地区老年高血压患者的治疗依从性。
목적：고찰고혈압치료의종성량표（ therapeutic adherence scale for hypertensive patients ， TASHP）응용우노년고혈압환자적신도화효도。방법응용TASHP량표대190례거주재농촌지구적노년고혈압환자진행면대면방담조사。결과신도검험현시량표총적내부일치성신도Cronbach α계수위0．782，각인자적Cronbach α계수위0．642～0．798，효도검험결과현시량표총분여각인자분지간적상관계수위0．401～0．833（P＜0．05），탐색성인소분석각조목적부하치위0．464～0．828，4개공인자루계방차공헌솔63．568％。용결구방정진행험증，기의합지수분별위χ2／df ＝1．314， GFI ＝0．874， CFI ＝0．919， RMSEA＝0．041。결론 TASHP구유교호적신효도，가용우평고농촌지구노년고혈압환자적치료의종성。
Objective To evaluate the reliability and validity of the therapeutic adherence scale for hypertensive patients (TASHP) in the rural elderly.Methods We used TASHP to collected data through face to face interview in the 190 elderly hypertensive patients .Results The total Cronbach αcoefficient of TASHP was 0.782 and the Cronbach αcoefficient of each factor was 0.642~0.798.The coefficient correlation between total score and each factor was 0.401~0.833(P<0.05);exploratory factor analysis showed that the loading value of each item in the common factor was 0.401 ~0.833,four factors explained 63.568%.The confirmatory factor analysis of the TASHP showed that χ? /df,GFI,CFI,and RMSEA were 1.314, 0.874, 0.919 and 0.041, respectively .Conclusions It suggests that TASHP is a reliable and valid instrument for assessing the treatment adherence in the elderly hypertensive patients in the countryside .