目的：编制冠心病患者健康信息素养问卷,并对其信度、效度进行检验。方法：使用文献检索、头脑风暴和德尔菲法专家函询构建冠心病患者健康信息素养问卷的内容体系,预调查后,采用便利抽样法,于2022年8月―9月在岳阳市某三甲医院门诊及病房选取224名符合纳入、排除标准的冠心病患者进行问卷信效度检验。结果：两轮德尔菲法形成27个项目的预试问卷,经项目分析剔除不符合要求的5个项目,再进行探索性因子分析,问卷的KMO值为0.898,P<0.001。提取出5个因子,累积方差贡献率为61.778%,问卷效度良好。问卷整体Cronbach＇s α系数为0.888,各维度Cronbach's α系数为0.688~0.867,重测信度为0.865,问卷信度较好。结论：形成的冠心病患者健康信息素养问卷具有5个维度、22个项目,可用于评估冠心病患者健康信息素养,为医护人员及健康教育者开展健康教育工作提供有效依据。
Abstract
Objective To compile a health information literacy questionnaire for patients with coronary heart disease, and to test its reliability and validity. Methods The content system of health information literacy questionnaire for patients with coronary heart disease was constructed by literature retrieval, brainstorming and expert correspondence consultation with Delphi method. After the preliminary survey, 224 patients with coronary heart disease who met the inclusion and exclusion criteria were selected from the outpatient department and ward of a third-grade Grade A hospital in Yueyang City from August to September 2022 by convenience sampling method to test the reliability and validity of the questionnaire. Results Two rounds of Delphi method formed 27 items of pre-test questionnaire. After item analysis, 5 items did not meet the requirements were eliminated, and then exploratory factor analysis was conducted. The KMO value of questionnaire was 0.898, P<0.001. Five factors were extracted, and the cumulative variance contribution rate was 61.778%, indicating good questionnaire validity. The overall Cronbach's α coefficient of the questionnaire was 0.888, the Cronbach's α coefficient of each dimension was 0.688~0.867, and the retest reliability was 0.865, indicating good reliability of the questionnaire. Conclusion The health information literacy questionnaire of patients with coronary heart disease has 5 dimensions and 22 items, which can be used to evaluate the health information literacy of patients with coronary heart disease, and provide an effective basis for medical staff and health educators to carry out health education.
关键词
冠心病 /
健康信息素养 /
问卷编制 /
信度 /
效度
Key words
coronary heart disease /
health information literacy /
questionnaire preparation /
reliability /
validity
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Francula-Zaninovic S, Nola IA.Management of Measurable Variable Cardiovascular Disease' Risk Factors[J]. Curr Cardiol Rev, 2018, 14(3): 153-163.
[2] 国家卫生健康委员会. 中国卫生健康统计年鉴2019[M]. 北京: 中国协和医科大学出版社, 2019.
[3] 张京. 综合护理对老年冠心病患者心律失常生活质量的影响评价[J]. 中国药物与临床, 2021, 21(3): 520-522.
[4] 姚志珍, 周兰姝. 健康信息素养测评工具的研究进展[J]. 中国全科医学, 2018, 21(4): 491-496.
[5] 黄艳玲, 顾则娟, 孙国珍, 等. 慢性心力衰竭患者健康信息素养与自我管理行为及生活质量的相关性[J]. 实用临床医药杂志, 2022, 26(10): 105-110+119.
[6] 赵鑫, 刘雨欣, 段棣飞, 等. 慢性肾脏病患者健康信息素养与服药依从性的相关性[J]. 中国临床研究, 2022, 35(6): 875-879.
[7] 王晓春, 王小燕, 朱艳霞. 中青年冠心病患者的健康信息素养及其对网络健康知识搜索行为的影响[J]. 临床与病理杂志, 2018, 38(2): 355-362.
[8] 柴云花, 杨辉, 李变娥. 应用德尔菲法编制国内COPD患者护理结局评定量表[J]. 中国医学创新, 2015, 12(20): 94-97.
[9] 国家卫生健康委员会. 中国卫生健康统计年鉴2020[M]. 北京: 中国协和医科大学出版社, 2020.
[10] 孙振球. 医学统计学 (第五版) [M]. 北京: 人民卫生出版社, 2020.
[11] 吴明隆. 问卷统计分析实务: SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
[12] 刘环宇, 唐芳, 王怡琨, 等. 慢性肾脏病健康信息素养问卷的编制及信效度检验[J]. 护理研究, 2020, 34(24): 4362-4367.
[13] 邬雪梅, 周建伟, 夏钰婷, 等. 心脏健康自我效能和自我管理量表的汉化及其在冠心病患者中的信度效度检验[J]. 中国护理管理, 2022, 22(06): 852-857.
[14] 王晓春, 王小燕, 朱艳霞. 中青年冠心病患者的健康信息素养及其对网络健康知识搜索行为的影响[J]. 临床与病理杂志, 2018, 38(2): 355-362.
[15] 张睿, 费超晴, 夏浩志. 中医养生健康信息素养量表编制及其信效度检验[J]. 中国全科医学, 2019, 22(12): 1461-1467.
基金
湖南省卫生健康委科研计划课题（D202314018843）
PDF(2016 KB)
