National Institute of Public Health, Slovenia.
Department of Psychology, University of Ljubljana, Slovenia.
Patient Educ Couns. 2017 Jul;100(7):1304-1313. doi: 10.1016/j.pec.2017.02.005. Epub 2017 Feb 6.
The aim of this study was to review and evaluate the evidence related to psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS) that was developed and tested to measure health maintenance behaviours of heart failure (HF) patients and translated into several languages.
PRISMA guidelines were used to search major health databases (PubMed, Scopus and ScienceDirect), to identify relevant studies. A literature search was undertaken in November 2015. An integrative review, aiming to bring together all evidence relating to the psychometric properties (validity, reliability) of the EHFScBS was conducted.
13 eligible studies were included. The results showed content, discriminant and convergent validity of the 9- and 12-item scale across the samples, while the factor structure of both versions of the scale was inconsistent. Most commonly used reliability estimates (Cronbach's alpha) of the total scale were satisfactory.
Overall, published data demonstrate satisfactory psychometric properties of the EHFScBS, indicating that the scale is a reliable and valid tool for measuring health maintenance behaviours of HF patients.
Taking the findings regarding the factorial structure of the scale into account, we recommend the use of the total EHFScBS score or scores on specific items.
本研究旨在回顾和评估欧洲心力衰竭自我护理行为量表（EHFScBS）的心理测量学特性的证据，该量表是为测量心力衰竭（HF）患者的健康维护行为而开发和测试的，并已被翻译成多种语言。
使用 PRISMA 指南搜索主要的健康数据库（PubMed、Scopus 和 ScienceDirect），以确定相关研究。文献检索于 2015 年 11 月进行。进行了综合评价，旨在汇集与 EHFScBS 的心理测量学特性（有效性、可靠性）相关的所有证据。
纳入了 13 项符合条件的研究。结果表明，9 项和 12 项量表在样本中具有内容、区分和收敛效度，而两个版本的量表的因子结构不一致。最常用的总量表可靠性估计值（Cronbach's alpha）是令人满意的。
总的来说，已发表的数据表明 EHFScBS 具有令人满意的心理测量学特性，表明该量表是测量 HF 患者健康维护行为的可靠和有效的工具。
考虑到量表的因子结构的发现，我们建议使用 EHFScBS 的总评分或特定项目的评分。
