《希尔-博恩高血压治疗依从性量表波兰语改编版的心理测量学评估》
Psychometric evaluation of the Polish adaptation of the Hill-Bone Compliance to High Blood Pressure Therapy Scale.
作者信息
Uchmanowicz Izabella, Jankowska-Polańska Beata, Chudiak Anna, Szymańska-Chabowska Anna, Mazur Grzegorz
机构信息
Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 5 Bartla Street, 51-618, Wroclaw, Poland.
Department of Internal Medicine, Occupational Diseases and Hypertension, Wroclaw Medical University, 213 Borowska Street, 50-556, Wroclaw, Poland.
出版信息
BMC Cardiovasc Disord. 2016 May 10;16:87. doi: 10.1186/s12872-016-0270-y.
BACKGROUND
Development of simple instruments for the determination of the level of adherence in patients with high blood pressure is the subject of ongoing research. One such instrument, gaining growing popularity worldwide, is the Hill-Bone Compliance to High Blood Pressure Therapy. The aim of this study was to adapt and to test the reliability of the Polish version of Hill-Bone Compliance to High Blood Pressure Therapy Scale.
METHODS
A standard guideline was used for the translation and cultural adaptation of the English version of the Hill-Bone Compliance to High Blood Pressure Therapy Scale into Polish. The study included 117 Polish patients with hypertension aged between 27 and 90 years, among them 53 men and 64 women. Cronbach's alpha was used for analysing the internal consistency of the scale.
RESULTS
The mean score in the reduced sodium intake subscale was M = 5.7 points (standard deviation SD = 1.6 points). The mean score in the appointment-keeping subscale was M = 3.4 points (standard deviation SD = 1.4 points). The mean score in the medication-taking subscale was M = 11.6 points (standard deviation SD = 3.3 points). In the principal component analysis, the three-factor system (1 - medication-taking, 2 - appointment-keeping, 3 - reduced sodium intake) accounted for 53 % of total variance. All questions had factor loadings > 0.4. The medication-taking subscale: most questions (6 out of 9) had the highest loadings with Factor 1. The appointment-keeping subscale: all questions (2 out of 2) had the highest loadings with Factor 2. The reduced sodium intake subscale: most questions (2 out of 3) had the highest loadings with Factor 3. Goodness of fit was tested at chi(2) = 248.87; p < 0.001. The Cronbach's alpha score for the entire questionnaire was 0.851.
CONCLUSION
The Hill-Bone Compliance to High Blood Pressure Therapy Scale proved to be suitable for use in the Polish population. Use of this screening tool for the assessment of adherence to BP treatment is recommended.
背景
开发用于测定高血压患者依从性水平的简易工具是当前研究的课题。其中一种在全球范围内越来越受欢迎的工具是希尔 - 博恩高血压治疗依从性量表。本研究的目的是对希尔 - 博恩高血压治疗依从性量表的波兰语版本进行改编并测试其可靠性。
方法
采用标准指南将希尔 - 博恩高血压治疗依从性量表的英文版翻译成波兰语并进行文化调适。该研究纳入了117名年龄在27至90岁之间的波兰高血压患者，其中男性53名，女性64名。使用克朗巴哈系数分析量表的内部一致性。
结果
减少钠摄入子量表的平均得分为M = 5.7分（标准差SD = 1.6分）。按时就诊子量表的平均得分为M = 3.4分（标准差SD = 1.4分）。服药子量表的平均得分为M = 11.6分（标准差SD = 3.3分）。在主成分分析中，三因素系统（1 - 服药，2 - 按时就诊，3 - 减少钠摄入）占总方差的53%。所有问题的因子载荷均> 0.4。服药子量表：大多数问题（9个中的6个）在因子1上的载荷最高。按时就诊子量表：所有问题（2个中的2个）在因子2上的载荷最高。减少钠摄入子量表：大多数问题（3个中的2个）在因子3上的载荷最高。拟合优度经检验χ(2) = 248.87；p < 0.001。整个问卷的克朗巴哈系数得分为0.851。
结论
希尔 - 博恩高血压治疗依从性量表被证明适用于波兰人群。建议使用此筛查工具评估血压治疗的依从性。
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