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目的建立尘肺患者自我管理量表,并进行信度和效度检验。方法采用文献法、半定式访谈确定量表条目基本框架,通过专家咨询修订条目池。60位专家应用德尔菲法对条目进行评价,根据各个条目的平均分、满分比、变异系数联合筛选条目,最后评价量表的信度和效度。结果专家的积极系数为91.6%,权威系数均值为0.81,筛选后形成7个维度包含44个条目,其中症状管理维度6个,疾病知识管理维度3个,不良嗜好管理维度3个,依从性管理维度6个,日常生活管理维度10个,情绪管理维度5个,自我管理效能维度11个。整个量表的Cronbachα系数为0.945,分半信度为0.901,条目间的相关系数为0.265~0.916(P<0.05)。结论建立的尘肺患者自我管理量表具有较好的信度和效度,可在实践中应用。
Objective To establish a pneumoconiosis patient self-management scale, and to test reliability and validity. Methods The documentary method and semi-interviews were used to determine the basic framework of the scale entry, and the entry pool was revised through expert consultation. Sixty experts evaluated the items by Delphi method. According to the average score, full score, and coefficient of variation of each item, the items were screened, and finally the reliability and validity of the questionnaire were evaluated. Results The positive coefficient of experts was 91.6%, and the mean of authority coefficient was 0.81. After filtering, seven dimensions comprised 44 items, of which 6 symptom management dimensions, 3 disease knowledge management dimensions, 3 bad habits management dimensions, 3 compliance management 6 dimensions, 10 daily management dimensions, 5 emotional management dimensions and 11 self-management efficacy dimensions. The Cronbach’s coefficient of the whole scale was 0.945, the half-reliability was 0.901, and the correlation coefficient was 0.265-0.916 (P <0.05). Conclusion The self-management scale of pneumoconiosis patients established has good reliability and validity and can be applied in practice.