首页> 中文期刊> 《护理学报》 >排尿行为量表在男性糖尿病患者中的信效度检验

排尿行为量表在男性糖尿病患者中的信效度检验

         

摘要

Objective To test the reliability and validity of the Toileting Behavior Scale in male with diabetes mellitus. Methods Totally 545 male patients with type 2 diabetes mellitus completed the survey. Item analysis and exploratory factor analysis were conducted in 272 of them and confirmatory factor analysis and reliability analysis in another 273 patients. Results The Toileting Behavior Scale retained 13 items after item analysis. Place preference for voiding, premature voiding, delayed voiding and straining voiding were extracted by exploratory factor analysis, which could explain 66.63% of the total variance, and most of the items had higher load in their corresponding factors, ranging from 0.501 to 0.877. The results of confirmatory factor analysis indicating excellent fitness were as follows: GFI (goodness of fit index)=0.962, AGFI (adjusted goodness of fit index)=0.938, NFI (normed fit index)=0.940, IFI (incremental fit index)=0.987, GFI (comparative fit index)=0.987 and RMSEA (root mean square error of approximation)=0.031. The Cronbach’sαcoefficient of the scale was 0.709 and the Cronbach’sαcoefficients of each factor were 0.708, 0.667, 0.559 and 0.863 respectively. Conclusion The Toileting Behavior Scale has good reliability and validity to assess the toileting behavior of male patients with diabetes mellitus.%目的:检验排尿行为量表在男性糖尿病患者中应用的信度、效度。方法使用排尿行为量表对545例男性2型糖尿病患者进行调查,按奇偶编号将其分成2组,1组272例研究对象用作项目分析及探索性因素分析,另1组273例研究对象用作验证性因素分析及信度分析。结果排尿行为量表经项目分析后保留13个条目;经探索性因素分析,提取出排尿地点选择倾向、无尿意排尿、憋尿、用力排尿4个因子,可解释方差的66.63%,且各条目在其相应的维度上均有较高的负荷:0.501~0.877;验证性因素分析:拟合优度指数GFI=0.962,调和拟合优度指数AGFI=0.938,规范拟合指数NFI=0.940,增值拟合指数IFI=0.987,比较拟合指数GFI=0.987,近似误差的均方根RMSEA=0.031,模型拟合较好;量表的总体Cronbach’sα系数为0.709,4个因子Cronbach’sα系数分别是0.708、0.667、0.559、0.863。结论排尿行为量表在男型糖尿病患者中具有较好的信、效度,可以将其应用于评估我国男性糖尿病患者的排尿行为状况。

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