脊髓损伤清洁间歇导尿患者自我管理量表的编制及信度和效度检验

关键词：脊髓损伤  清洁间歇导尿  自我管理  量表  信度  效度

Keywords:spinal cord injury  clean intermittent catheterization  self-management  scale  reliability  validity

摘要：

      摘要 目的：编制脊髓损伤清洁间歇导尿患者自我管理量表并检验其信度和效度。 方法：第一阶段：通过文献研究、半结构式访谈和Delphi法，初步拟定脊髓损伤清洁间歇导尿患者自我管理量表，并招募10例患者进行预调查。第二阶段：选取266例患者进行问卷调查，并进行信效度检验。 结果：最终形成的量表包括4个维度、37个条目。总量表的内容效度指数为0.939，探索性因子分析提取出4个公因子，4个维度的方差贡献率分别为60.887%、61.291%、64.181%、66.764%。总量表Cronbach α系数为0.969，各维度Cronbach α系数为0.755—0.937，总量表的折半信度为0.912，各维度2周后重测信度为0.733—0.933。 结论：编制的脊髓损伤清洁间歇导尿患者自我管理量表具有较好的信效度，可用于评价脊髓损伤清洁间歇导尿患者的自我管理水平。

Abstract:

      Abstract Objective： To develop and validate a self-management scale for clean intermittent catheterization users with spinal cord injury，and to optimize its long-term care. Method： This study was divided into 2 phases. The first phase focused on the development of the scale using literature review and semi-structured interview， along with Delphi expert consultation and 10 patients preliminary investigation. In the second phase， the scale was administered online and a questionnaire survey was carried out for 266 individuals with spinal cord injury who performed clean intermittent catheterization. Item reduction， reliability and validity testing were performed to determine the psychometric properties of the scale. Result： The final scale consisted of 4 dimensions and 37 items. Four common factors were extracted from the exploratory factor analysis， and the cumulative variance contribution rate of each dimension was 60.887%，61.291%，64.181% and 66.764%. The Cronbach’s α coefficient of the total score was 0.969， the Cronbach’s α coefficient of each dimension was 0.755—0.937，half reliability was 0.912 and 2-week retest reliability of each dimension was 0.733—0.933. Conclusion： The findings show that this scale is a valid and reliable outcome measure that evaluates aspects of self-management ability for clean intermittent catheterization users with spinal cord injury.