摘要
目的：考察高血压治疗依从性量表（ therapeutic adherence scale for hypertensive patients ， TASHP）应用于老年高血压患者的信度和效度。方法应用TASHP量表对190例居住在农村地区的老年高血压患者进行面对面访谈调查。结果信度检验显示量表总的内部一致性信度Cronbach α系数为0．782，各因子的Cronbach α系数为0．642～0．798，效度检验结果显示量表总分与各因子分之间的相关系数为0．401～0．833（P＜0．05），探索性因素分析各条目的负荷值为0．464～0．828，4个公因子累计方差贡献率63．568％。用结构方程进行验证，其拟合指数分别为χ2／df ＝1．314， GFI ＝0．874， CFI ＝0．919， RMSEA＝0．041。结论 TASHP具有较好的信效度，可用于评估农村地区老年高血压患者的治疗依从性。
Objective To evaluate the reliability and validity of the therapeutic adherence scale for hypertensive patients （TASHP） in the rural elderly.Methods We used TASHP to collected data through face to face interview in the 190 elderly hypertensive patients .Results The total Cronbach αcoefficient of TASHP was 0.782 and the Cronbach αcoefficient of each factor was 0.642~0.798.The coefficient correlation between total score and each factor was 0.401~0.833（P〈0.05）;exploratory factor analysis showed that the loading value of each item in the common factor was 0.401 ~0.833,four factors explained 63.568%.The confirmatory factor analysis of the TASHP showed that χ？ /df,GFI,CFI,and RMSEA were 1.314, 0.874, 0.919 and 0.041, respectively .Conclusions It suggests that TASHP is a reliable and valid instrument for assessing the treatment adherence in the elderly hypertensive patients in the countryside .
出处
《齐齐哈尔医学院学报》
2015年第4期548-550,共3页
Journal of Qiqihar Medical University
基金
2012年蚌埠市重点医药卫生科技指导性项目(ZD0401)
关键词
高血压
治疗依从性
老年患者
信度
效度
Hypertension
Treatment adherence
The elderly patients
Reliability
Validity
