Development and psychometric testing of a Home-based Self-management Efficacy Questionnaire for Stable Chronic Obstructive Pulmonary Disease Patients
10.3760/cma.j.cn115682-20240312-01301
- VernacularTitle:稳定期慢性阻塞性肺疾病患者居家自我管理效能问卷的编制及信效度检验
- Author:
Fang LIU
1
;
Yimei MA
;
Xuemei LI
;
Yumei LI
Author Information
1. 上海交通大学医学院附属上海儿童医学中心烧伤整复外科，上海 200127
- Publication Type:Journal Article
- Keywords:
Pulmonary disease, chronic obstructive;
Self-management;
Questionnaire development;
Reliability;
Validity;
Home care
- From:
Chinese Journal of Modern Nursing
2025;31(3):333-339
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop the Home-based Self-management Efficacy Questionnaire for Stable Chronic Obstructive Pulmonary Disease (COPD) Patients and test its reliability and validity.Methods:Guided by the individual and family self-management theory and self-management efficacy theory, a preliminary questionnaire was developed through literature analysis, semi-structured interviews, and expert inquiries. From September to November 2022, convenience sampling was used to select stable COPD patients of the Respiratory Department of Tongji University Shanghai Pulmonary Hospital as participants for investigation for project analysis and exploratory factor analysis of the questionnaire. From December 2022 to January 2023, a survey was conducted on stable COPD patients who visited the Respiratory Department of Tongji University Shanghai Pulmonary Hospital and Yancheng Third People's Hospital to conduct confirmatory factor analysis and reliability testing on the questionnaire.Results:A total of 220 and 290 questionnaires were distributed respectively, and 214 and 280 valid questionnaires were collected, with effective response rates of 97.27% (214/220) and 96.55% (280/290), respectively. The Home-based Self-management Efficacy Questionnaire for COPD Patients included six dimensions and 28 items. The questionnaire's total Cronbach's α coefficient was 0.910, and the half-confidence coefficient was 0.806. The content validity index at the questionnaire level was 0.928, and the content validity index at the item level was 0.800 to 1.000. The exploratory factor analysis showed that a total of six common factors were extracted, with a cumulative variance contribution rate of 63.943%. Confirmatory factor analysis showed that the model fitted well and the questionnaire factor structure was stable.Conclusions:The the Home-based Self-management Efficacy Questionnaire for Stable COPD has been developed with good reliability and validity, providing a reference for medical and nursing staff to evaluate the home self-management efficacy of stable COPD patients.
