实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (12): 1241-1245.doi: 10.3969/j.issn.1003-9198.2021.12.008

• 临床研究 • 上一篇    下一篇

中文版HB-HBP量表评价老年高血压病人治疗依从性的信度与效度研究

韩丹, 聂力, 王美华, 孙婧, 蔡俊, 李伏超   

  1. 210008 江苏省南京市,南京大学医学院附属鼓楼医院药学部,南京临床药学中心(韩丹,聂力,王美华,蔡俊);老年医学科(孙静,李伏超)
  • 收稿日期:2021-01-28 出版日期:2021-12-20 发布日期:2021-12-28
  • 通讯作者: 李伏超,Email:fuchaolee@126.com
  • 基金资助:
    南京药学会-常州四药医院药学科研基金资助项目(2020YX008)

Evaluation of reliability and validity of the Chinese version of HB-HBP scale in assessing the compliance of elderly patients with hypertension

HAN Dan, NIE Li, WANG Mei-hua, SUN Jing, CAI Jun, LI Fu-chao   

  1. HAN Dan, NIE Li, WANG Mei-hua, CAI Jun. Depart-ment of Pharmacy, Nanjing Medical Center for Clinical Pharmacy; SUN Jing, LI Fu-chao. Department ofGeriatric Medicine, Drum Tower Hospital, the Affiliated Hospital of Nanjing University Mdical School,Nanjing 210008, China
  • Received:2021-01-28 Online:2021-12-20 Published:2021-12-28

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摘要： 目的 对HB-HBP量表(Hill-Bone Compliance to High Blood Pressure Therapy Scale)进行汉化,并评价其应用于老年高血压病人治疗依从性评价的信度、效度。 方法 汉化HB-HBP量表,并对242例老年高血压病人进行问卷调查,评价量表的信度及效度。 结果 中文版HB-HBP量表的Cronbach’s α系数为0.744,重测信度为0.811。各条目内容效度指数(I-CVI)为0.833～1.000,总量表的内容效度指数(S-CVI)为0.944。探索性因子分析结果显示,KMO值为0.976,累计方差解释率为69.31%;验证性因子分析结果显示,各维度平均方差萃取值均＞0.5,组合信度值均＞0.7,所有条目标准载荷系数均＞0.7,且P<0.001,意味着条目与所属维度存在强相关性。 结论 中文版HB-HBP量表用于评价老年高血压病人治疗依从性具有良好的信度和效度。

关键词: 高血压, 老年人, 中文版HB-HBP量表, 依从性, 信度, 效度

Abstract: Objective To translate the English version of Hill-Bone Compliance to High Blood Pressure Therapy (HB-HBP) Scale into Chinese, and then assess the reliability and validity of HB-HBP scale in evaluating the compliance in the elderly patients with hypertension. Methods HB-HBP scale was translated into Chinese with the cultural modification. A total of 242 elderly patients with hypertension were recruited for the assessment of reliability and validity. Results Cronbach’s α coefficient of HB-HBP scale was 0.744 and the test-retest reliability was 0.811. The item-content validity index(I-CVI)value of each item was 0.833-1.000, and scale-content validity index(S-CVI)value was 0.944. The exploratory factor analysis revealed that KMO factor was 0.976 and the cumulative variance contribution rate was 69.31%. The confirmatory factor analysis showed that the average variance extracted (AVE) values were higher than 0.5, composite reliability (CR) values were higher than 0.7, and all the standardized loading coefficients were higher than 0.7 in the three dimensions of HB-HBP scale(P<0.001). Conclusions HB-HBP scale is suitable to assess the treatment compliance of the elderly patients with hypertension in China with high reliability and validity.

Key words: hypertension, aged, Chinese HB-HBP Scale, compliance, reliability, validity

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