Han Chunjie, Zhang Lingli, Liu Jihong
Department of Rehabilitation Medicine, Beijing Luhe Hospital of China Capital Medical University, Beijing, 101149, People's Republic of China.
Department of Neurology, Beijing Luhe Hospital of China Capital Medical University, Beijing, 101149, People's Republic of China.
Neuropsychiatr Dis Treat. 2022 Jul 4;18:1341-1349. doi: 10.2147/NDT.S353111. eCollection 2022.
A scale for evaluating the protective motivation of patients who had suffered a stroke was developed to preliminarily verify the reliability of the scale and provide scientific measurement tools for clinical professionals.
A descriptive research design method was adopted. First, an initial draft of the questionnaire was formed by conducting a literature review supplemented by semi-structured interviews and modified using the Delphi method. A total of 287 patients who had suffered a stroke were selected for the formal survey using the convenience sampling method. Further item screening was performed using an item analysis and an exploratory factor analysis, and reliability testing was also performed.
The scale consisted of 34 entries in the following 6 dimensions: severity, susceptibility, internal and external rewards, response efficacy, response cost and self-efficacy. The overall Cronbach's alpha coefficient was 0.935, with correlation coefficients between dimensions and total scale scores ranging from 0.604 to 0.805 ( < 0.05) and correlation coefficients between dimensions ranging from 0.154 to 0.537 ( < 0.05).
The protective motivation scale prepared in this study was tested and had good reliability, so this scale can be used as a scientific tool to evaluate the implementation of secondary prevention strategies for protective motivation of patients who have suffered a stroke.
编制脑卒中患者保护动机评估量表，初步验证量表的信度，为临床工作者提供科学的测评工具。
采用描述性研究设计方法。首先，通过文献回顾并辅以半结构式访谈形成问卷初稿，采用德尔菲法进行修改。采用便利抽样法选取287例脑卒中患者进行正式调查。采用项目分析和探索性因素分析进行进一步的项目筛选，并进行信度检验。
该量表由34个条目组成，分为严重程度、易感性、内外在回报、反应效能、反应代价和自我效能6个维度。总量表的Cronbach's α系数为0.935，各维度与总量表得分的相关系数在0.604至0.805之间（P<0.05），各维度之间的相关系数在0.154至0.537之间（P<0.05）。
本研究编制的保护动机量表经检验具有良好的信度，可作为评估脑卒中患者保护动机二级预防策略实施情况的科学工具。
