上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

上海市三级医院门诊患者糖尿病管理自我效能量表的信度与效度评估

陈琪1,2,王泽洲1,陈宇红1,周莹霞2,陆骆2,陈旻洁3,李钟仁4,费健2,蔡泳1   

  1. 上海交通大学 1.公共卫生学院，上海 200025；2.医学院附属瑞金医院，上海 200025；3.医学院附属仁济医院，上海 200127；4.医学院附属第九人民医院，上海 200011
  • 出版日期:2016-05-28 发布日期:2016-05-26
  • 作者简介:陈琪（1985—）， 女， 硕士生; 电子信箱: kimdongwan0702@163.com。
  • 基金资助:

    国家自然科学基金面上项目（71273174）；上海市卫生局重点学科建设项目（卫生经济学）（12GWZX0601）；上海市公共卫生重点学科建设（15GWZK1002）

Evaluation of the reliability and validity of the Diabetes Management Self-Efficacy Scale for diabetic outpatients in third level hospitals in Shanghai

CHEN Qi1,2, WANG Ze-zhou1, CHEN Yu-hong2, ZHOU Ying-xia2, LU Luo2, CHEN Min-jie3, LI Zhong-ren4, FEI Jian2, CAI Yong1   

  1. 1.School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China； 2.Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China； 3.Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China； 4.Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2016-05-28 Published:2016-05-26
  • Supported by:

    National Natural Science Foundation of China， 71273174； Key Discipline Construction of Health Ecomomics from Shanghai Health Bureau， 12GWZX0601； Key Discipline Construction of Public Health from Shanghai Health Bureau， 15GWZK1002

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摘要：

目的 汉化糖尿病管理自我效能量表，评价其信度、效度和重测信度等，对上海市三级医院门诊糖尿病患者的自我效能进行评价。方法 2015年6—8月，采用方便抽样的方法，在上海交通大学医学院附属瑞金医院、仁济医院和第九人民医院的糖尿病门诊对确诊的2型糖尿病患者进行问卷调查，共计410份。对其中的32例患者在2周后进行重测，评估量表的重测信度。结果 量表各主要测量指标的Cronbach's α系数取值范围为0.611~0.947，重测信度Spearman相关系数为0.418~0.980。因子分析显示问卷的结构效度较好，4个公因子涵盖了健康饮食、饮食与血糖、健康行为和遵嘱服药，能解释量表全部内容的70.38%。糖尿病患者总体与各方面的自我效能均处于良好水平，自我效能总分与自我管理总分呈正相关（P=0.000）。  结论 中文版糖尿病管理自我效能量表在糖尿病患者健康自我管理相关研究中是可靠和可信的，为探索在上海市开展糖尿病患者健康行为干预奠定了良好的基础。

关键词: 2型糖尿病, 自我效能量表, 信度, 效度

Abstract:

Objective To compile the Chinese version of the Diabetes Management Self-Efficacy Scale, evaluate its reliability, validity, and test-retest reliability, and assess the self-efficacy of diabetic outpatients in third level hospitals in Shanghai. Methods From June to August 2015, a total of 410 patients diagnosed with type-2 diabetes by diabetes clinics in Ruijin Hospital, Renji Hospital, and Shanghai Ninth People's Hospital were surveyed with questionnaires by the use of convenience sampling method. Test-retest reliability of the scale was assessed by re-surveying 32 of them two weeks after the first survey. Results The Cronbachs α coefficients for main indexes of the scale were in the range of 0.611-0.947 and the test-retest Spearman correlation coefficients were in the range of 0.418-0.980. Factor analysis indicated a good construct validity of the questionnaire. Four common factors covering healthy diet, diet and blood sugar, healthy behaviors and drug adherence could explain 70.38% contents of the scale. The overall self-efficacy and self-efficacy of each dimension in diabetic outpatients were satisfactory. The total score of self-efficacy was positively associated with that of self-management (P=0.000). Conclusion The Chinese version of the Diabetes Management Self-Efficacy Scale is reliable and credible in studying health self-management of patients with diabetes and lays a good foundation for exploring health behavior interventions in diabetic patients in Shanghai.

Key words: type-2 diabetes, Self Efficacy Scale, Reliability, Validity