中国全科医学2011，Vol.14Issue(28)：3219-3223,5.
慢性阻塞性肺疾病患者自我管理量表的编制与考评
Development and Evaluation of Self-Management Scale for Chinese Patients with Chronic Obstructive Pulmonary Disease
摘要
Abstract
Objective To develop self - management scale ( SMS ) for Chinese patients with chronic obstructive pulmonary disease ( COPD ) . Methods The development of SMS was based on the framework of Social - Cognitive Theory , Self -Efficacy Theory , Self - Determination Theory by Bandura via the combination of theories and experience. A total of 443 patients with COPD were interviewed and suggestions from experts had been considered before the initial questionnaire was formed. A preliminary scale consisting of 5 factors was developed. The reliability and validity of the scale were examined in 413 COPD patients. Results A SMS of 51 items involving 5 demensions ( symptom management, daily life management, emotion management , information management and self - efficacy ) for patients with COPD were developed and showed good reliability and validity. The test - retest correlation coefficient Cronbach's α coefficient and split - half reliability coefficient of SMS for patients with COPD were 0.87, 0.92 and 0.90 , respectively. The generalizability analysis showed that generalizability coefficient Ep2 and reliability index were 0.92 and 0.90, respectively. The scale's correlations with Chronic Disease Self - management Behavior Scale and Chronic Disease Self - efficacy Scale and FEV, percent of predicted normal were 0.610, 0.663, - 0.549 ( P＜0.05 ) .Conclusion SMS for patients with COPD is reliable, valid and sensitive, and can be used to evaluate the self - management levels of patients with COPD.关键词
肺疾病,慢性阻塞性/自我管理/信度/效度Key words
Pulmonary disease, chronic obstructive/ Self - management/ Validity/ Reliability分类
医药卫生引用本文复制引用
张彩虹,何国平,李继平,蔡小霞,张华,王海花..慢性阻塞性肺疾病患者自我管理量表的编制与考评[J].中国全科医学,2011,14(28):3219-3223,5.基金项目
海南省卫生厅立项课题(琼卫2009-40) （琼卫2009-40）
