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1、高血压治疗依从性量表的编制及信效度研究唐红英，朱京慈，何海燕，钱春荣，杨燕妮(400038垂庆，第三军医人学护理学院基础护理学教研室)［摘要］目的研制高血压治疗依从性量表，检验量表的信度和效度。方法根据文献研究及访谈法发展条1=1池，经研究小组讨论及专家评定后形成预试量表，通过冃的抽样方法选取重庆市三所教学医院、3家社区卫生服务中心404例高血压患者进行测试，采用探索性因素分析和相关分析等检验量表的信度和效度。结果探索性因素分析提取的4个公因子符合量表编制的理论结构，各条目在其公因子的负荷值为0.494
2、〜0.890。量表总分与4个因子的相关系数为0.681、0.647、0.736、0.421(PV0.01)。量表总分与血压控制之间有良好相关性(PV0.01)。量表总的Cronbacha系数为0.862,4个因子的Cronbacha系数为0.894、0.866、0.827、0.874。总量表的重测信度系数为0.958,各因子重测信度系数为0.791〜0.939。结论初步建立的高血压治疗依从性量表具冇良好的信度和效度，可作为高血压治疗依从性评估的测量工具。［关键词］髙血压；依从性；量表；信度；效度Deve
3、lopmentandevaluationofanewtherapeuticadherencescaleforhypertensivepatientsTangHongying,ZhuJingci,HeHaiyan,QianChunrong,YangYanni(DepartmentofFundamentalNursing,SchoolofNursing,ThirdMilitaryMedicalUniversity,Chongqing,40003&China)[Abstract]ObjectiveTodeve
4、lopatherapeuticadherencescaleforhypertensivepatientsandevaluatereliabilityandvalidityofthescale.MethodsTheoriginalitempoolwasformulatedthroughliteraturereviewandin-depthinterview.Afterresearchgroupdiscussionandexpertevaluation,apre-scalewasdeveloped.Atot
5、alof404hypertensivepatientsfrom3communityhealthservicecentersand3grade-Ateachinghospitalswereselectedbypurposivesamplingweresubjectedandfinishedthescaletest.Exploratoryfactoranalysisandcorrelationanalysiswasusedtoexaminethereliabilityandvalidityofthissca
6、le・ResultsFourcommonfactorsextractedbyexploratoryfactoranalysishadwellcorrespondencebetweenthescaleconstmctionandthetheoreticalconstruction・Factorloadingwasrangedfrom0.494to0.890foreachitem.Thecorrelationcoefficientsoftotalscoresandeachfactorwere0.681,0.
7、647,0.736,and0.421,respectively(P<0.01)•Thetotalscoresofthescalewassignificantlyassociatedwithbloodpressurecontrol(PV0.01).TheCronbachaofthetotalscalewas0.862,andthatofsubscaleswere0.894,0.866,0.827,and0.874,respectively.Retest-reliabilitycoefficientofto
8、talscalewas0.958,andthatofsubscalesrangedfrom0.791to0.939・ConclusionThenewlydevelopedtherapeuticadherencescalehasgoodreliabilityandvalidity,andcanbeusedasadherencemeasuringtoolforhypertensivepatientsinfutureresearch.[Keywo
