糖尿病患者电子健康素养自评量表的编制

doi:10.3761/j.issn.1672-9234.2023.01.008

摘要/Abstract

摘要：

目的编制适用于我国糖尿病患者的电子健康素养自评量表，为评估糖尿病患者的电子健康素养水平提供工具。方法在文献分析和对糖尿病患者访谈的基础上形成糖尿病患者电子健康素养自评量表初始条目，选取18名专家进行2轮函询确定量表的条目。结果 2轮专家函询的积极系数分别为100%（18/18）和83%（15/18）；权威系数分别为0.88和0.89；2轮专家函询中，条目的变异系数分别为0~0.52和0.05~0.13。最终形成糖尿病患者电子健康素养自评量表包含功能性电子健康素养、沟通性电子健康素养、评判性电子健康素养、转化性电子健康素养4个维度、27个条目。结论编制的糖尿病患者电子健康素养自评量表可靠性高，可作为评估糖尿病患者电子健康素养水平的工具。

关键词: 糖尿病, 健康素养, 自我评价, 德尔菲技术, 电子健康素养

Abstract:

Objective To develop the eHealth Literacy Self-rating Scale for Patients with Diabetes Mellitus，so as to provide an assessment tool for eHealth literacy assessment in diabetes patients. Methods An initial items of the eHealth Literacy Self-rating Scale were constructed through literature review and qualitative interview with diabetes patients. Then，two rounds expert consultations were conducted among 18 experts using Delphi technique to determine the items of the scale. Results Expert response rate in the first and second round was 100%（18/18） and 83%（15/18），the authority coefficient rate was 0.88 and 0.89. In the two rounds of expert consultation，the coefficients of variation of items were 0~0.52 and 0.05~0.13 respectively. The eHealth Literacy Self-rating Scale for Patients with Diabetes Mellitus consisted of 4 dimensions and 27 items. The 4 dimensions were functional eHealth literacy，communicative eHealth literacy，critical eHealth literacy and transformational eHealth literacy. Conclusion The eHealth Literacy Self-rating Scale for Patients with Diabetes Mellitus developed by Delphi method is highly reliable. It can be served as an assessment tool to evaluate the eHealth literacy level of diabetes patients.

Key words: Diabetes Mellitus, Health Literacy, Self-Assessment, Delphi Technique, eHealth literacy

蒋凤,黄金. 糖尿病患者电子健康素养自评量表的编制[J]. 中华护理教育, 2023, 20(1): 44-48.

JIANG Feng,HUANG Jin. Construction of the eHealth Literacy Self-rating Scale for Patients with Diabetes Mellitus[J]. Chinese Journal of Nursing Education, 2023, 20(1): 44-48.

图/表 1

参考文献 15

[1]	Norman CD, Skinner HA. eHealth literacy:essential skills for consumer health in a networked world[J]. J Med Internet Res, 2006, 8(2):e9. doi: 10.2196/jmir.8.2.e9
[2]	Park H, Cormier E, Gordon G, et al. Identifying health consumers’ eHealth literacy to decrease disparities in accessing eHealth information[J]. Comput Inform Nurs, 2016, 34(2):71-76;quiz99. doi: 10.1097/CIN.0000000000000205
[3]	Hansen AH, Claudi T, Årsand E. Associations between the use of eHealth and out-of-hours services in people with type 1 diabetes:cross-sectional study[J]. J Med Internet Res, 2019, 21(3):e13465.
[4]	Wilson V. Patient use of the Internet for diabetes information[J]. Nurs Times, 2013, 109(23):18-20. pmid: 23888634
[5]	Norman CD, Skinner HA. eHEALS:the eHealth literacy scale[J]. J Med Internet Res, 2006, 8(4):e27. doi: 10.2196/jmir.8.4.e27
[6]	del Giudice P, Bravo G, Poletto M, et al. Correlation between eHealth literacy and health literacy using the eHealth literacy scale and real-life experiences in the health sector as a proxy measure of functional health literacy:cross-sectional web-based survey[J]. J Med Internet Res, 2018, 20(10):e281. doi: 10.2196/jmir.9401
[7]	van der Vaart R, Drossaert CH, de Heus M, et al. Measuring actual eHealth literacy among patients with rheumatic diseases:a qualitative analysis of problems encountered using Health 1.0 and Health 2.0 applications[J]. J Med Internet Res, 2013, 15(2):e27. doi: 10.2196/jmir.2428
[8]	Norman C. eHealth literacy 2.0:problems and opportunities with an evolving concept[J]. J Med Internet Res, 2011, 13(4):e125. doi: 10.2196/jmir.2035
[9]	Paige SR, Stellefson M, Krieger JL, et al. Transactional eHealth literacy:developing and testing a multi-dimensional instrument[J]. J Health Commun, 2019, 24(10):737-748. doi: 10.1080/10810730.2019.1666940
[10]	Silver MP. Patient perspectives on online health information and communication with doctors:a qualitative study of patients 50 years old and over[J]. J Med Internet Res, 2015, 17(1):e19. doi: 10.2196/jmir.3588
[11]	Scantlebury A, Booth A, Hanley B. Experiences,practices and barriers to accessing health information:a qualitative study[J]. Int J Med Inform, 2017, 103:103-108. doi: S1386-5056(17)30106-5 pmid: 28550995
[12]	崔念奇, 甘秀妮, 张传来, 等. 基于德尔菲法构建ICU患者身体约束评估量表[J]. 护理学杂志, 2018, 33(2):62-64.
	Cui NQ, Gan XN, Zhang CL, et al. Construction of physical restraint assessment scale for ICU patients based on Delphi method[J]. J Nurs Sci, 2018, 33(2):62-64.
[13]	何芳, 郭晓琴, 王倩, 等. 基于德尔菲法构建女性盆底功能障碍高发人群一级预防自我护理能力量表[J]. 护理研究, 2021, 35(21):3906-3909.
	He F, Guo XQ, Wang Q, et al. Construction of primary preventive self-care ability assessment scale for women with high incidence of pelvic floor dysfunction:a Delphi method[J]. Chin Nurs Res, 2021, 35(21):3906-3909.
[14]	Becker D, Grapendorf J, Greving H, et al. Perceived threat and Internet use predict intentions to get bowel cancer screening (colonoscopy):longitudinal questionnaire study[J]. J Med Internet Res, 2018, 20(2):e46. doi: 10.2196/jmir.9144
[15]	徐子犊, 张帅, 耿季, 等. 糖尿病高危人群电子健康素养与健康促进生活方式的相关性分析[J]. 中华护理教育, 2020, 17(9):849-853.
	Xu ZD, Zhang S, Geng J, et al. The association between eHealth literacy and health promoting lifestyle in high risk population of type 2 diabetes[J]. Chin J Nurs Educ, 2020, 17(9):849-853.