糖尿病高危足患者就医意向问卷的开发与验证

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2024-09-12 DOI:10.2147/ppa.s479644

Honglin Wang, Na Li, Ying Ye, Nan Zhao, Meizi Liu, Min Xu, Qiuhong Zhou

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引用次数: 0

摘要

目的：及时筛查和干预可以预防糖尿病足的发生。然而，糖尿病足患者普遍存在延迟就诊的现象。本研究旨在开发并验证一份问卷，以评估糖尿病足高危患者的就医行为：糖尿病足高危患者就医意向问卷的编制分为两个阶段：（1）编制问卷：1）通过文献查阅、小组讨论、半定性访谈等方法制定问卷题项；2）采用两轮修正德尔菲法检验问卷题项的内容效度和一致性；3）进行预调查，修订问卷题项。(结果：最终问卷包括五大主题和 28 个项目，采用五点评分法。五个维度的 Cronbach's alpha 系数分别为 0.937（糖尿病足相关知识）、0.669（求医态度）、0.896（求医的社会支持）、0.621（应对足部症状的效能）和 0.871（求医意向）。五个部分的量表级内容效度指数分别为 1.00、0.80、1.00、1.00 和 1.00。各维度的 Kaiser-Meyer-Olkin 值均大于 0.7，Bartlett 球形度检验的 p 值小于 0.05：该问卷具有良好的效度、内部一致性和信度。关键词：就医意向；问卷编制；高危足；患者

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Development and Validation of the Healthcare-Seeking Intention Questionnaire in Patients with Diabetic High-Risk Foot

Objective: Timely screening and intervention can prevent the development of the diabetic foot. However, delayed visits to the clinic are common among diabetic foot patients. The study aimed to develop and validate a questionnaire to assess healthcare-seeking behavior among patients with diabetic high-risk foot.
Methods: The questionnaire of healthcare-seeking intention for patients with diabetic high-risk foot was developed in two phases: (1) Developing the questionnaire: 1) questionnaire items were formulated after literature review, group discussion and semi-qualitative interview; 2) a two-round modified Delphi method was to examine the content validity and the degree of consistency in questionnaire items; 3) conducting pre-survey to revise the questionnaire items. (2) Assessing the internal reliability and construct validity.
Results: The final questionnaire consisted of five main themes and 28 items with a five-point rating. Cronbach’s alpha coefficients for the five dimensions were respectively 0.937 (relevant knowledge of diabetic foot), 0.669 (attitudes toward seeking care), 0.896 (social support for seeking care), 0.621 (efficacy in coping with foot symptoms), 0.871 (intention to seek care). The Scale-level Content Validity Index of the five parts was 1.00, 0.80, 1.00, 1.00, and 1.00, respectively. The Kaiser-Meyer-Olkin values for each dimension was greater than 0.7, and the p-value for Bartlett’s test of sphericity was less than 0.05.
Conclusion: This questionnaire showed good validity, internal consistency, and reliability. It provided a potentially useful instrument to evaluate healthcare-seeking intention among patients with diabetic high-risk foot.

Keywords: healthcare-seeking intention, questionnaire development, high-risk foot, patients

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.