【摘要】 目的编制适合评价我国女大学生原发性痛经自我管理行为的量表。方法以格林健康教育模式为理论基础,通过查阅国内外文献和对10名痛经女大学生进行半结构化访谈,形成包含40个条目的条目池;结合5名专家意见,并经过预测试,形成包含20个条目的女大学生原发性痛经原始量表;通过对100名痛经女大学生进行调查,采用条目分析法对原始量表的条目进行筛选,最终形成含有19个条目的暂定量表;选取500名痛经女大学生进行调查,采用因子分析、相关分析等方法对量表的信度和效度进行检验,形成量表。结果女大学生原发性痛经量表确立为4个维度,19个条目。量表的内部一致性Cronbach’sα系数为0.91,其中日常行为、获取知识、遵医行为和寻求帮助4个维度Cronbach’sα系数分别为0.77,0.88,0.86,0.84;量表重测信度为0.92,各维度分别为0.76,0.84,0.83,0.77;量表总内容效度指数(scale content validity index,S-CVI)为0.93,各维度的条目内容效度指数I-CVI(item content validity index,I-CVI)分别为0.93,0.92,0.92,0.94;采用探索性因子分析法和碎石图,抽取4个因子,累计贡献率达62.90%;各维度的相关系数为0.12~0.35,各维度与量表总分的相关系数为0.49~0.78,均具有统计学意义(均P<0.05)。结论女大学生原发性痛经自我管理行为量表具有较好的信度和效度,可以作为评价我国女大学生自我管理行为的参考工具。更多还原

【Abstract】 Objective To prepare a primary dysmenorrhea self-management behavior scale used for female college students in China. Methods Based on Green health education model, a pool of 40 items was made through literature review as well as semi-structured interviews on primary dysmenorrhea in female college sudent. In the following, a primary dysmenorrhea scale for female university students with 20 items was made by considering the advice from five obstetrists and gynecologists and employing a pre-test.Then the primary scale was used for an investigation among 100 female college students with dysmenorrheal and the items were screened by using by item analysis, and a scale with 19 items was decided. The revised scale was finalized by using it among 500 female students with dysmenorrheal in a college in Dalian for a formal investigation, with the reliability and validity tested by factor analysis and correlation analysis. Results The finalized scale was established containing four dimensions of 19 items. The scale internal consistency Cronbach ’s α coefficient was 0.91, the index on behaviour, gaining knowledge, treatment compliance and asking for help0.77, 0.88, 0.86 and 0.84 respectively. The retest reliability was 0.92 and the index on each dimension was 0.76, 0.84, 0.83 and 0.77,respectively. The total content validity index of scale content validity index(S-CVI) was 0.93. The content validity index of each dimension, the item cotent validity(I-CVI)was 0.93, 0.92, 0.92 and 0.94, respectively. By exploratory factor analysis and screen plot, four factors were extracted, with a cumulative contribution rate of 62.90%. The correlation coefficients between the various dimensions were 0.12 to 0.35 and the correlation coefficients between the dimensions and total score were 0.49 to 0.78(all P <0.05). Conclusions Primary dysmenorrhea self-management behavior scales for female college students has a good reliability and validity. It can be used as a tool to evaluate the self management behaviors of female college students in our country.更多还原