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慢性阻塞性肺疾病患者运动自我调节效能量表中文版的研制

Development of the Chinese-version of the exercise self-regulatory efficacy scale for patients with chronic obstructive pulmonary disease.

作者信息

Tsai Yu-Han, Chen Jyu-Lin, Davis Amy H T, Yen Wen-Jiuan, Lin Yen-Ju, Chiang Li-Chi, Chen Yu-Ju

机构信息

Department of Nursing, Tri-Service General Hospital, No.325, Sec.2, Chenggong Rd., Neihu District, Taipei 114, Taiwan.

School of Nursing, University of California San Francisco, 2 Koret Way, San Francisco, CA 94143, USA.

出版信息

Heart Lung. 2018 Jan-Feb;47(1):16-23. doi: 10.1016/j.hrtlng.2017.10.007. Epub 2017 Nov 11.

DOI:10.1016/j.hrtlng.2017.10.007
PMID:29132846
Abstract

BACKGROUND

A valid and reliable instrument for assessing exercise self-regulatory efficacy (Ex-SRE) is lacking in Taiwan.

OBJECTIVE

To develop and validate a Chinese-version of the Ex-SRE scale (Ex-SRES-Chinese).

METHODS

Published guidelines were followed for cross-cultural adaptation of Ex-SRES-Chinese. Psychometric testing was conducted in 76 subjects with chronic obstructive pulmonary diseases (COPD).

RESULTS

Ex-SRES-Chinese achieved clarity, culture appropriateness, and functional equivalence for measuring Ex-SRE. The scale-level content validity index of the Ex-SRES-Chinese was 0.99. The internal consistency reliability (Cronbach's α) was 0.925. Factor analysis identified a single factor with a high eigenvalue of 7.6 accounting for 47.5% of the total variance. The construct validity of Ex-SRES-Chinese was supported by higher Ex-SRE in subjects who exercise regularly in the past than those who did not (p = 0.033). In addition, Ex-SRE was positively associated with weekly exercise time (r = 0.58; p < 0.0001).

CONCLUSIONS

Ex-SRES-Chinese is a useful cross-culturally adapted instrument with good psychometric properties for measuring Ex-SRE in COPD patients in Taiwan.

摘要

背景

台湾缺乏一种有效且可靠的评估运动自我调节效能(Ex-SRE)的工具。

目的

开发并验证中文版运动自我调节效能量表(Ex-SRES-Chinese)。

方法

遵循已发表的指南对Ex-SRES-Chinese进行跨文化调适。对76例慢性阻塞性肺疾病(COPD)患者进行心理测量测试。

结果

Ex-SRES-Chinese在测量Ex-SRE方面实现了清晰度、文化适宜性和功能等效性。Ex-SRES-Chinese的量表水平内容效度指数为0.99。内部一致性信度(Cronbach's α)为0.925。因子分析确定了一个单一因子,其特征值较高,为7.6,占总方差的47.5%。过去经常锻炼的受试者的Ex-SRE高于未经常锻炼的受试者,这支持了Ex-SRES-Chinese的结构效度(p = 0.033)。此外,Ex-SRE与每周运动时间呈正相关(r = 0.58;p < 0.0001)。

结论

Ex-SRES-Chinese是一种经过跨文化调适的有用工具,具有良好的心理测量特性,可用于测量台湾COPD患者的Ex-SRE。

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