社区老年人运动自我效能量表的研究

[目的]修订适合我国老年人群的运动自我效能量表,并进行信效度检验,为健康教育提供评估工具。[方法]翻译国外运动自我效能量表,并进行两轮专家评议,随机抽取4个社区185名老年人并进行“一对一”访谈式调查。[结果]通过条目通俗性、鉴别指数分析及条目与总量表相关性分析,确定了15个条目量表,且具有良好的信度;通过结构效度分析,量表具有4个公因子,且具有较好的辨别效度。[结论]运动自我效能量表可为老年人规律锻炼、健康教育提供评估工具。     

中文版骨质疏松症自我效能量表应用于社区中老年人的信效度分析

目的：评价中文版21条目骨质疏松症自我效能（ OSE）量表的效度及信度。方法由专业英语教师及社区医护专家共同对量表条目进行翻译形成中文版OSE量表（21条）,对297名社区中老年人进行调查,评价其效度及信度。结果中文版OSE总量表及分量表的Cronbach ’ s α系数分别为0．885,0．927及0．929,均大于0．7;折半信度（ Split-half reliability ）系数分别为0．812,0．875及0．719。结论中文版OSE量表具有较高的效度及信度,可应用于中国社区中老年人预防骨质疏松症的方法研究。     

冠心病饮食自我效能量表在老年人群中的测试研究

[目的]修订台湾中文繁体版冠心病饮食自我效能量表（CDSE）,初步分析其信效度,探讨其在大陆老年人群中的适用性。[方法]将中文繁体版CDSE量表转化为中文简体,经讨论修改后利用简体中文版CDSE量表对152名社区老年人进行调查,选取其中10名在1周后重测,采用Cronbach’sα系数、折半系数、重测相关系数和因子分析等评定中文简体版CDSE的信效度。[结果]中文简体版CDSE量表形成了4个因子,分别为社会情境下的饮食、健康饮食技能、饮食行为控制和体重控制,能解释总变异量的68.489%,且各条目在其相应因子上均有较高的因子负荷;各因子的Cronbach’sα系数为0.720～0.894,量表总的Cronbach’sα系数、折半系数和重测信度分别为0.915、0.837、0.842。[结论]中文简体版CDSE量表在老年人群中信度较好,因子分析得到的结构效度具有一定的合理性,但与原量表存在差异,仍需在更大样本中进行对照研究。     

冠心病饮食自我效能量表在老年人群中的测试研究

[目的]修订台湾中文繁体版冠心病饮食自我效能量表(CDSE),初步分析其信效度,探讨其在大陆老年人群中的适用性.[方法]将中文繁体版CDSE量表转化为中文简体,经讨论修改后利用简体中文版CDSE量表对152名社区老年人进行调查,选取其中10名在1周后重测,采用Cronbach’sα系数、折半系数、重测相关系数和因子分析等评定中文简体版 CDSE的信效度.[结果]中文简体版CDSE量表形成了4个因子,分别为社会情境下的饮食、健康饮食技能、饮食行为控制和体重控制,能解释总变异量的68.489％,且各条目在其相应因子上均有较高的因子负荷;各因子的Cronbach's α系数为0.720～0.894,量表总的Cronbach'sα系数、折半系数和重测信度分别为0.915、0.837、0.842.[结论]中文简体版CDSE量表在老年人群中信度较好,因子分析得到的结构效度具有一定的合理性,但与原量表存在差异,仍需在更大样本中进行对照研究.     

尿失禁自我效能量表中文版的信效度研究

[目的]检验中文版尿失禁自我效能量表(GSE-UI)的信度和效度.[方法]引进并将尿失禁自我效能量表翻译为中文版,使用该中文版GSE-UI量表对100例老年女性尿失禁病人进行评估,分析GSE-UI的信效度.[结果-]GSE-UI量表总的克朗巴赫α信度系数为0.92,4个潜在因子的克朗巴赫α信度系数均>0.70;量表的4个潜在因子的构想基本符合数据的实际情况,x<'2>/df=2.25.[结论]中文版GSE-UI具有良好的信度和效度,可行性高,可作为未来研究以及测量尿失禁病人症状改善的测评工具.     

尿失禁自我效能量表中文版的信效度研究

[目的]检验中文版尿失禁自我效能量表（GSE-UI）的信度和效度。[方法]引进并将尿失禁自我效能量表翻译为中文版,使用该中文版GSE-UI量表对100例老年女性尿失禁病人进行评估,分析GSE-UI的信效度。[结果]GSE-UI量表总的克朗巴赫α信度系数为0.92,4个潜在因子的克朗巴赫α信度系数均〉0.70;量表的4个潜在因子的构想基本符合数据的实际情况,χ2/df=2.25。[结论]中文版GSE-UI具有良好的信度和效度,可行性高,可作为未来研究以及测量尿失禁病人症状改善的测评工具。     

糖尿病自我效能量表的信度及效度研究

[目的]研究糖尿病自我效能量表在国内2型糖尿病病人中应用的信度、效度。[方法]选择符合条件的2型糖尿病病人80例进行问卷调查,并于2周后选择其中10例病人进行再次调查。[结果]量表整体的Cronbach’salpha为0．91,重测信度为0．85（P〈0．01）;采用主成分分析法、方差最大正交旋转后,共提取因子5个。累计贡献率为0．73,各因子负荷系数为0．60～0．85。[结论]糖尿病自我效能量表具有较好的信度、效度．适宜作为国内2型糖尿病病人自我效能的评估工具。     

糖尿病自我效能量表的信度及效度研究

[目的]研究糖尿病自我效能量表在国内2型糖尿病病人中应用的信度、效度.[方法]选择符合条件的2型糖尿病病人80例进行问卷调查,并于2周后选择其中10例病人进行再次调查.[结果]量表整体的Cronbaeh's alpha为0.91,重测信度为0.85(P<0.01)采用主成分分析法、方差最大正交旋转后.共提取因子5个.累计贡献率为0.73,各因子负荷系数为0.60～O.85.[结论]糖尿痛自我效能量表具有较好的信度、效度.适宜作为国内2型糖尿病病人自我效能的评估工具.     

汉化版关节炎患者自我效能量表信度效度的测试研究

目的探讨分析汉化版关节炎患者自我效能量表的信度与效度。方法专家小组翻译关节炎自我效能量表,并对其进行文化调适和对量表的内容效度进行评价,然后进行预试验并修订;回收有效问卷90份,并随机抽取其中40例研究对象于2周后进行重测。采用相关分析法、因子分析法等对结果进行统计学分析。结果关节炎患者自我效能量表的内部一致性信度Cronbaeh’s仅系数为0．920,各维度的Cronbach’sα系数为0．807～0．831,重测信度系数为0．800～0．921;各维度之间以及各维度与总分之间的相关系数r值分别为0．705～0．799、0．875～0．921;3个维度整体解释的累积变异量是56．47％。结论汉化版关节炎患者自我效能量表具有良好的信度和效度,适合关节炎患者自我效能的评价。     

骨质疏松症自我效能量表的信度与效度测定

守的分析翻译和修订的骨质疏松症自我效能量表的信度和效度。方法用翻译和修订的骨质疏松症自我效能量表调查29l例社区中老年人,并按年龄和学历分层随机抽取其中65例进行重测。结果内部一致性信度α系数0．90～0．94,重测Pearson。相关系数0.63～0.82（P〈0.001）,配对￡检验P〉0．05。结论骨质疏松症自我效能量表的信度与效度良好,项目设置适用于骨质疏松症目我效能的评价。     

University of Washington self-efficacy scale: a new self-efficacy scale for people with disabilities

Amtmann D, Bamer AM, Cook KF, Askew RL, Noonan VK, Brockway JA. University of Washington Self-Efficacy Scale: a new self-efficacy scale for people with disabilities.ObjectiveTo develop a self-efficacy scale for people living with multiple sclerosis (MS) and spinal cord injury (SCI) that can be used across diagnostic conditions.DesignThe scale was developed using modern psychometric methods including item response theory. Items were administered at 3 time-points of a longitudinal survey of individuals with MS and SCI.SettingSurvey participants with MS were recruited from the National MS Society, and participants with SCI were recruited from the Northwest Regional Spinal Cord Injury Model System and the Shepherd Center at the Virginia Crawford Research Institute in Atlanta, GA.ParticipantsAdults aged 18 years and older reporting a definitive diagnosis of MS (N=473) or SCI (N=253).InterventionsNone.Main Outcome MeasuresEvaluation of the new self-efficacy measure called the University of Washington Self-Efficacy Scale (UW-SES) included comparisons with the Chronic Disease Self-Efficacy Scale and other patient-reported outcome measures.ResultsUW-SES has excellent psychometric properties including well-functioning response categories, no floor effects, and low ceiling effects. A long form (17 items) and a short form (6 items) are available. The correlation between the score on the newly developed scale and the Chronic Disease Self-Efficacy Scale was high (.83), providing support for convergent validity. Higher self-efficacy scores were statistically significantly associated with better mental health, better physical health, less fatigue, less stress, less pain interference, less pain, fewer sleep problems, and lower depressive symptoms.ConclusionsThe UW-SES is a psychometrically sound instrument for measuring self-efficacy, validated in MS and SCI, and can be used across both conditions. Both the long form and the short form are available free of charge.     

老年认知功能障碍病人疼痛行为评估量表研究

疼痛是一种主观感受,认知功能障碍老年人报告疼痛的能力下降或缺如.为探讨认知障碍老年人疼痛评估方法,对国外有关评估量表进行了介绍.     

老年认知功能障碍病人疼痛行为评估量表研究

疼痛是一种主观感受,认知功能障碍老年人报告疼痛的能力下降或缺如。为探讨认知障碍老年人疼痛评估方法,对国外有关评估量表进行了介绍。     

社区老年人用药管理的调查分析

目的 评估老年人群用药情况，药物管理的状况，影响社区老年人用药管理的因素等，以期为社区老年人用药管理提供依据。方法 采用问卷调查与访谈相结合的方法。对243例社区老年人进行调查。结果 社区老年人药物使用频率高，品种多，药品管理知识水平低，自备药的储存，管理较差。结论 加强社区老年人用药管理至关重要。     

Factors associated with exercise self-efficacy among people with chronic diseases

AimThe aim of this study is to assess the level of exercise self-efficacy in a population with chronic diseases and identify the factors that could influence exercise self-efficacy.BackgroundPerforming physical exercise is an important part of self-care in chronic diseases. It is highly influenced by individual's self- efficacy. However, little attention has been given to the identification of the factors that could affect the exercise self-efficacy among people with chronic diseases.MethodsThis cross-sectional study was conducted to assess the exercise self-efficacy among people with chronic diseases using the Exercise Self-Efficacy Scale (ESE). Demographic and exercise profiles were also collected.ResultsA total of eighty-five people with chronic diseases from outpatients' clinics participated in this study. The mean age of the participants was 52 ± 13.92 and more than half of them were females (58.8%). The mean score of exercise self-efficacy was 39 ± 21.55. Education level was the main factor that correlated with lower levels of exercise self-efficacy.ConclusionsThis study is first to provide preliminary evidence about levels of exercise self-efficacy and its associated factors among people with chronic diseases in Saudi Arabia. The level of exercise self-efficacy is low in people with chronic diseases and this mainly associated with educational factor. Nurses have an important role to promoting exercise self-efficacy through implementing a comprehensive plan that is patient's centered approach. However, further research is needed to assess perception, detect barriers and conduct intervention that aims to improve exercise Self-efficacy.     

Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting

Background

Despite the established benefits of cardiac rehabilitation (CR) in improving health outcomes for people with cardiovascular disease, adherence to regular physical activity at recommended levels remains suboptimal. Self-efficacy has been shown to be an important mediator of health behaviour, including exercise.

Objectives

To assess the psychometric properties of Bandura's exercise self-efficacy (ESE) scale in an Australian CR setting.

Design

Validation study.

Setting

Cardiac rehabilitation.

Participants

One hundred and ten patients (Mean: 60.11, S.D.: 10.57 years).

Methods

Participants completed a six-minute walk test (6MWT) and Bandura's exercise self-efficacy scale at enrolment and on completion of a 6-week CR program.

Results

Bandura's ESE scale had a single factor structure with high internal consistency (0.95), and demonstrated no floor or ceiling effects. A comparison of ESE scores by distance walked on 6MWT indicated those who recorded more than 500 m at baseline had significantly higher ESE scores (Mean: 116.26, S.D.: 32.02 m) than those patients who only achieved up to 400 m on the 6MWT at baseline (Mean: 89.94, S.D.: 29.47 m) (p = 0.044). A positive and significant correlation between the change in scores on the ESE scale and the change in the 6MWT distance (r = 0.28, p = 0.035) was seen.

Conclusions

The ESE scale was a robust measure of exercise self-efficacy over the range of patients attending this outpatient cardiac rehabilitation program. Interventions to improve self-efficacy may increase CR patient's efficacy for regular physical activity.     

社区中老年人健康行为调查分析

[目的]研究社区中老年人健康行为现状及其相关因素,促进健康教育工作的开展。[方法]对437名社区中老年人进行健康行为问卷调查。[结果]健康行为评分26.26分±4.40分,最高37分,最低13分。健康行为得分与文化程度、夫妻关系、家庭收入、年龄、性别有关（P〈0.01或P〈0.05）。[结论]全社会都要为健康行为的形成与实施提供必要的条件和环境,以提高全民族的健康水平。