Kartal Asiye, Ozsoy Süheyla Altuğ
Pamukkale University School of Health, Denizli, Turkey.
Int J Nurs Stud. 2007 Nov;44(8):1447-58. doi: 10.1016/j.ijnurstu.2007.06.004. Epub 2007 Jul 25.
Diabetes mellitus (DM) is an important health problem that leads to severe complications, is the cause of early death, and is showing an increase in frequency. The development of positive health behaviors is extremely important in the treatment of diabetic patients. There are various models that examine the health behaviors of individuals. One of these is the Health Belief Model. This model is very beneficial in explaining factors that affect patients' compliance with their disease.
This research was planned to measure the validity and reliability of the Health Belief Model Scale in diabetic patients in the Turkish population.
Questionnaire Survey.
The research population was all of the diabetic patients (4,125) registered with the Turkish Diabetes Society, Denizli Province, Turkey.
A convenience sample was composed of 352 patients with Type 2 DM.
The research data were collected with three tools, a "sociodemographic data form" related to the diabetic patients, the "Health Belief Model Scale in Diabetic Patients," and the "Diabetes Management Self-Efficacy Scale."For validity studies: language validity, content validity, concurrent validity and construct validity were examined. For reliability studies: the tool's internal consistency reliability, Cronbach alpha reliability coefficient, test-retest reliability were examined.
The tool's internal consistency reliability subscales' Cronbach alpha coefficient values ranged from 0.73 to 0.86. For the total tool a Cronbach alpha value of 0.89 was found. In the tool's internal consistency reliability total item correlation the three items that were below 0.30 were removed and the 36 items were reduced to 33 items. The tool's test-retest reliability was 0.90. According to factor analysis the tool contains five subscales of perceived susceptibility, perceived severity, perceived benefits, perceived barriers and recommended healthy behaviors.
The Health Belief Model Scale in diabetic patients was determined to be valid and reliable for use in the Turkish population.
糖尿病（DM）是一个重要的健康问题，会导致严重并发症，是早死的原因，且发病率呈上升趋势。积极健康行为的养成在糖尿病患者的治疗中极其重要。有多种模型用于研究个体的健康行为。其中之一是健康信念模型。该模型在解释影响患者疾病依从性的因素方面非常有益。
本研究旨在测量健康信念模型量表在土耳其人群糖尿病患者中的有效性和可靠性。
问卷调查。
研究人群为土耳其代尼兹利省土耳其糖尿病协会登记的所有糖尿病患者（4125人）。
便利样本由352例2型糖尿病患者组成。
研究数据通过三种工具收集，即与糖尿病患者相关的“社会人口统计学数据表”、“糖尿病患者健康信念模型量表”和“糖尿病管理自我效能量表”。对于效度研究：检查语言效度、内容效度、同时效度和结构效度。对于信度研究：检查工具的内部一致性信度、克朗巴赫α信度系数、重测信度。
该工具内部一致性信度分量表的克朗巴赫α系数值在0.73至0.86之间。整个工具的克朗巴赫α值为0.89。在该工具内部一致性信度的总项目相关性中，剔除了三项低于0.30的项目，36项减少到33项。该工具的重测信度为0.90。根据因子分析，该工具包含感知易感性、感知严重性、感知益处、感知障碍和推荐健康行为五个分量表。
糖尿病患者健康信念模型量表被确定在土耳其人群中使用是有效且可靠的。
