Development and reliability and validity tests of the Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation
10.3760/cma.j.cn115682-20240402-01774
- VernacularTitle:心房颤动患者导管消融术后复发恐惧量表编制与信效度检验
- Author:
Xiaohong LU
1
;
Jizhe WANG
;
Hanxu LANG
;
Shaoting SHI
;
Jing HAN
;
Xiaojie WANG
;
Maojing WANG
;
Xu ZHANG
;
Lili WEI
Author Information
1. 青岛大学附属医院心血管内科，青岛 266000
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Catheter ablation;
Fear of recurrence;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2025;31(2):192-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation and conduct psychometric testing for its reliability and validity.Methods:Based on the common-sense model of self-regulation, the scale was developed through a literature review and semi-structured interviews to construct an item pool. The scale draft was formed through expert consultation and a pre-survey. Using convenience sampling, 361 patients with atrial fibrillation who had undergone catheter ablation and were either hospitalized or attending outpatient follow-up at the Department of Cardiology, Affiliated Hospital of Qingdao University, between January and March 2024, were selected for questionnaire survey. Item analysis and reliability and validity tests were performed on the scale.Results:Exploratory factor analysis identified five common factors, with a cumulative variance contribution rate of 74.375%. Confirmatory factor analysis showed good model fit. The final scale included five dimensions and 24 items: trigger factors, recurrence risk perception, disease uncertainty, psychological burden, and coping strategies. The content validity index at the scale level was 0.864, and the item-level content validity index ranged from 0.684 to 0.947. The Cronbach's α coefficient of the scale was 0.919, the split-half reliability coefficient was 0.834, and the test-retest reliability coefficient was 0.872.Conclusions:The development of the Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation is scientific and standardized, and the scale has good reliability and validity. It can effectively assess the level of recurrence fear in these patients.
