中国全科医学2024，Vol.27Issue(25)：3150-3158,9.DOI:10.12114/j.issn.1007-9572.2022.0081
慢性心力衰竭患者运动康复依从性量表的编制及信效度检验
Development of Exercise Rehabilitation Adherence Scale for Patients with Chronic Heart Failure and Test on Its Reliability and Validity
摘要
Abstract
Background The maintenance of exercise rehabilitation effect in patients with chronic heart failure depends on good adherence to exercise rehabilitation.It is of great practical significance to evaluate the adherence to exercise rehabilitation effectively and scientifically,however,there is still a lack of accepted tools to evaluate the adherence to exercise rehabilitation in patients with chronic heart failure at home and abroad.Objective To develop an exercise rehabilitation adherence scale for patients with chronic heart failure,and provide a scientific and appropriate tool for the rapid and convenient evaluation of adherence to exercise rehabilitation in patients with chronic heart failure.Methods Based on the previous summary of the best evidence and qualitative research on exercise rehabilitation of patients with chronic heart failure,the initial pool of entries was formed through literature review,combining the opinions of the research group;the clinical test version of the scale was formed based on a small sample pre-survey and Delphi expert correspondence.Patients with stable chronic heart failure who were treated in the cardiovascular department from three tertiary-level hospitals in Jiangsu Province from November 2020 to January 2021 were selected as the study subjects using a convenience sampling method.In the first phase,274 valid scales were recovered,aiming to screen the items of the scale and conduct exploratory factor analysis by combining item response theory and classical test theory to form the official version of the scale;in the second phase,282 valid scales were recovered,aiming to perform confirmatory factor analysis and test on reliability and validity of the official version of the scale to form the final version of the scale.Results The formal scale consisted of 11 items in 2 dimensions.The difficulty of each item was reasonable without no inverse threshold,and the item differentiation,item information content,and item characteristic curve were all superior.The total Cronbach's α coefficient of the exercise rehabilitation adherence scale for patients with chronic heart failure was 0.905,of which the dimension of"prescription adherence"was 0.895,the dimension of"monitoring adherence"was 0.910.The total Spearman-Brown split reliability coefficient of the scale was 0.724,and the retest reliability was 0.902.The results of exploratory factor analysis showed that the two factors could explain 70.231%of the total variation.The results of further confirmatory factor analysis showed that the model was better fitted with each parameter.Conclusion The exercise rehabilitation adherence scale for patients with chronic heart failure developed in the study is reasonable in terms of item difficulty,differentiation,the information content of the items is good with high reliability and validity,which can be used as an evaluation tool for adherence to exercise rehabilitation in patients with chronic heart failure.关键词
心力衰竭/运动康复/运动依从性/经典测量理论/项目反应理论/信度/效度Key words
Heart failure/Exercise rehabilitation/Exercise adherence/Classical test theory/Item response theory/Reliability/Validity分类
医药卫生引用本文复制引用
高敏,孙国珍,王倩怡,王洁,黄杨曦,于甜栖,刘沈馨雨,温高芹..慢性心力衰竭患者运动康复依从性量表的编制及信效度检验[J].中国全科医学,2024,27(25):3150-3158,9.基金项目
国家自然科学基金面上项目(72074124) （72074124）
