【摘要】 目的 编制2型糖尿病患者自我管理认知量表并检验其信效度，为科学动态测量患者自我管理认知水平提供有效工具。方法 基于保护动机理论，结合专家咨询及预调查形成2型糖尿病患者自我管理认知初始量表，在南京、济南和上海分2批次调查739例患者，评价量表的信效度。结果 形成的正式量表包括严重性、易感性、反应效能、自我效能和反应代价5个维度共29个条目。探索性因子分析提取5个公因子，累计方差贡献率为70.017%;验证性因子分析显示χ~2/df=2.763,RMSEA=0.070,NFI=0.905,IFI=0.938,TLI=0.930,CFI=0.937;量表AVE=0.557～0.924,Cronbach′s α系数为0.826。结论 量表信效度良好，可用于测量2型糖尿病自我管理认知水平。更多还原

【Abstract】 Objective To develop a self-management cognition scale for type 2 diabetes patients and to test its reliability and validity. Methods Following the scale development paradigm, an initial version of the Self-Management Cognition Scale for Patients with Type 2 Diabetes was developed based on protection motivation theory. Then a test version was formed after Delphi consultation and pilot survey. Two surveys on type 2 diabetes patients(n=739) were conducted in Nanjing, Jinan, and Shanghai, in order to evaluate there liability and validity of the scale. Results Exploratory factor analysis extracted 5 common factors(severity, vulnerability, response efficacy, self-efficacy, and response costs) from 29 items with a cumulative variance contribution rate of 70.017%. Confirmatory factor analysis showed that the model fitted well(χ~2/df=2.763,RMSEA=0.070,NFI=0.905,IFI=0.938,TLI=0.930,CFI=0.937). The Cronbach′s α coefficient of the scale was 0.826,AVE=0.557～0.924. Conclusion The scale has good reliability and validity, which can be used for mea-suring self-management cognition level of type 2 diabetes patients.更多还原