护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
13期
1578-1582
,共5页
老年人%糖尿病%运动锻炼%评估量表%信度%效度
老年人%糖尿病%運動鍛煉%評估量錶%信度%效度
노년인%당뇨병%운동단련%평고량표%신도%효도
the elderly%diabetes%exercise%assessment scale%reliability%validity
[目的]编制适合我国老年糖尿病病人的运动锻炼评估量表,分析量表的信效度。[方法]采用文献回顾法、专家咨询法及病人深度访谈法形成老年糖尿病运动锻炼评估初版量表,采用便利抽样法选取上海市2家三级甲等医院内分泌病房及门诊符合纳入标准的老年糖尿病病人进行问卷调查,通过统计学检验,筛选、归类、合并和调整条目,形成量表终版。应用该量表对320例老年糖尿病病人进行调查,评价量表的信度和效度。[结果]老年糖尿病运动锻炼评估量表包含运动知识、运动意愿、运动行为、专业支持、社会支持5个维度共35个条目；探索性因子分析提取了 5个公因子,累积方差贡献率为78.21%,各条目在所提取的相应公因子上的载荷值均大于0.746；验证性因子分析得到二阶七因子模型,该模型的χ2/df 为1.310,拟合优度指数(GFI)、调 整 拟合优度指数(AGFI)均>0.90；量表总的内容效度指数(S CVI)为0.915,条目水平内容效度指数(I CVI)为1.00；量表总的 Cronbach’sα系数为0.851,重测信度为0.867,项目等长下的 Spearman Brown 折半信度系数为0.857,Guttman 折半信度系数为0.852。[结论]本研究编制的老年糖尿病病人运动锻炼评估量表具有较好的信度和效度,可作为老年糖尿病病人运动锻炼的评估工具应用于疾病健康教育及干预效果的评价。
[目的]編製適閤我國老年糖尿病病人的運動鍛煉評估量錶,分析量錶的信效度。[方法]採用文獻迴顧法、專傢咨詢法及病人深度訪談法形成老年糖尿病運動鍛煉評估初版量錶,採用便利抽樣法選取上海市2傢三級甲等醫院內分泌病房及門診符閤納入標準的老年糖尿病病人進行問捲調查,通過統計學檢驗,篩選、歸類、閤併和調整條目,形成量錶終版。應用該量錶對320例老年糖尿病病人進行調查,評價量錶的信度和效度。[結果]老年糖尿病運動鍛煉評估量錶包含運動知識、運動意願、運動行為、專業支持、社會支持5箇維度共35箇條目；探索性因子分析提取瞭 5箇公因子,纍積方差貢獻率為78.21%,各條目在所提取的相應公因子上的載荷值均大于0.746；驗證性因子分析得到二階七因子模型,該模型的χ2/df 為1.310,擬閤優度指數(GFI)、調 整 擬閤優度指數(AGFI)均>0.90；量錶總的內容效度指數(S CVI)為0.915,條目水平內容效度指數(I CVI)為1.00；量錶總的 Cronbach’sα繫數為0.851,重測信度為0.867,項目等長下的 Spearman Brown 摺半信度繫數為0.857,Guttman 摺半信度繫數為0.852。[結論]本研究編製的老年糖尿病病人運動鍛煉評估量錶具有較好的信度和效度,可作為老年糖尿病病人運動鍛煉的評估工具應用于疾病健康教育及榦預效果的評價。
[목적]편제괄합아국노년당뇨병병인적운동단련평고량표,분석량표적신효도。[방법]채용문헌회고법、전가자순법급병인심도방담법형성노년당뇨병운동단련평고초판량표,채용편리추양법선취상해시2가삼급갑등의원내분비병방급문진부합납입표준적노년당뇨병병인진행문권조사,통과통계학검험,사선、귀류、합병화조정조목,형성량표종판。응용해량표대320례노년당뇨병병인진행조사,평개량표적신도화효도。[결과]노년당뇨병운동단련평고량표포함운동지식、운동의원、운동행위、전업지지、사회지지5개유도공35개조목；탐색성인자분석제취료 5개공인자,루적방차공헌솔위78.21%,각조목재소제취적상응공인자상적재하치균대우0.746；험증성인자분석득도이계칠인자모형,해모형적χ2/df 위1.310,의합우도지수(GFI)、조 정 의합우도지수(AGFI)균>0.90；량표총적내용효도지수(S CVI)위0.915,조목수평내용효도지수(I CVI)위1.00；량표총적 Cronbach’sα계수위0.851,중측신도위0.867,항목등장하적 Spearman Brown 절반신도계수위0.857,Guttman 절반신도계수위0.852。[결론]본연구편제적노년당뇨병병인운동단련평고량표구유교호적신도화효도,가작위노년당뇨병병인운동단련적평고공구응용우질병건강교육급간예효과적평개。
Objective:To prepare the exercise assessment scale suitable for elderly patients with diabetes in Chi-na,and to analyze its reliability and validity.Methods:The literature review,expert consultation and patient depth interview were used for preparing the first edition of elderly diabetes exercise assessment scale.The con-venience sampling method was used to select the senile diabetes patients in endocrinology wards and outpatient in two third grade class A hospital from Shanghai city.And they were investigated with questionnaire survey. Through a variety of statistical tests,screening,classification,combination and adjusting entries,the final ver-sion of the scale was formed.The scale was used to investigate 320 elderly diabetic patients,and to evaluate the reliability and validity of the scale.Results:The exercise assessment scale for elderly patients with diabetes in-cluded exercise knowledge,exercise intention,exercise behavior,professional support and social support 5 di-mensions and 35 items.The exploratory factor analysis of scale extracted 5 common factors,and the cumulative variance contribution rate was 78.21%.The load value of the corresponding common factors extracted from en-tries were greater than 0.746.Two order seven factor model was got through the confirmatory factor analy-sis.χ2/df was 1.310.The goodness of fit index (GFI)>0.90.Adjusted goodness of fit index (AGFI)>0.90. The general content validity index of the scale(S CVI)was 0.915.The entry level of content validity index (I CVI) was 1.00.Total Cronbach’s alpha coefficient of the scale was 0.85 1.Test retest reliability was 0.867. Spearman Brown split half reliability coefficient in project length was 0.857.Guttman split half reliability coef-ficient was 0.852.Conclusion:The prepared elderly diabetes patients exercise assessment scale in this research has good reliability and validity.And it can be used as the elderly diabetes patients exercise assessment tool ap-plied in evaluation on health education and intervention effect.
