CAJ | 학술논문

目的：编制用于评价女性压力性尿失禁患者的健康信念量表，并检验其信效度。方法以健康信念模式为理论框架，通过文献回顾和专家咨询设计初始量表。经专家内容效度评定、预调查和统计学分析等过程对量表条目进行修订和筛选，形成正式量表，然后对量表的信度和效度进行评价。结果正式量表包括4个维度：罹患性认知（3个条目）、严重性认知（12个条目）、障碍性认知（8个条目）和利益性认知（7个条目），共30个条目。量表中每个条目均具有较好的鉴别度，量表的内部一致性信度Cronbach蒺s α系数为0.97，重测信度为0.95。量表的内容效度为0.97，其4个维度用主成分分析均抽取了特征值大于1的公因子1个，每个公因子的贡献率均大于50%，每个条目在各自公因子上的载荷值均大于0.4。结论编制的女性压力性尿失禁患者健康信念量表具有良好的信度和效度，可用于评价女性压力性尿失禁患者的健康信念水平。
목적：편제용우평개녀성압력성뇨실금환자적건강신념량표，병검험기신효도。방법이건강신념모식위이론광가，통과문헌회고화전가자순설계초시량표。경전가내용효도평정、예조사화통계학분석등과정대량표조목진행수정화사선，형성정식량표，연후대량표적신도화효도진행평개。결과정식량표포괄4개유도：리환성인지（3개조목）、엄중성인지（12개조목）、장애성인지（8개조목）화이익성인지（7개조목），공30개조목。량표중매개조목균구유교호적감별도，량표적내부일치성신도Cronbach질s α계수위0.97，중측신도위0.95。량표적내용효도위0.97，기4개유도용주성분분석균추취료특정치대우1적공인자1개，매개공인자적공헌솔균대우50%，매개조목재각자공인자상적재하치균대우0.4。결론편제적녀성압력성뇨실금환자건강신념량표구유량호적신도화효도，가용우평개녀성압력성뇨실금환자적건강신념수평。
Objective To develop an instrument to assess the health belief of female patients with stress urinary incontinence,and to test its reliability and validity. Methods Based on the health belief model,literature review and expert consultation,a draft scale was developed. The items were revised and selected by expert counseling,pilot investigation and statistical methods. Then,the reliability and validity were tested among 192 female patients with stress urinary incontinence. Results The final scale consisted of 30 items in 4 dimensions,including perceived susceptibility(3 items),perceived seriousness(12 items),perceived barriers(8 items) and perceived benefits(7 items). Each item in the scale had good discrimination. The Cronbach's α coefficient of the scale was 0.97 and the test-retest reliability was 0.95. The content validity index of the scale was 0.92. The factor load of each item was over 0.4 and the contribution rate of factors was over 50%. Conclusion The Health Belief Scale for female patients with stress urinary incontinence has good reliability and validity. It can be used to assess the health belief of fe-male patients with stress urinary incontinence.