PDF(Pubmed)
Abstract：
OBJECTIVE: To develop a comprehensive compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts and to assess its reliability and validity.
METHODS: Drawing on the Interactive Model of Health Behavior, we conducted a literature review and semi-structured interviews to create a pool of 36 items. The items underwent rigorous evaluation through the Delphi method, face validity checks, and item analysis, leading to a reduction to 18 items. To assess the scale\'s reliability and validity, we collected data from 225 parents of children with congenital cataracts. We employed SPSS version 25.0 for data analysis and evaluated construct validity using exploratory factor analysis, content validity, internal consistency reliability, and test-retest reliability.
RESULTS: The compliance scale for postoperative visual function rehabilitation in children with congenital cataracts comprises 5 dimensions and 18 items. Exploratory factor analysis extracted 5 common factors, with a cumulative variance contribution rate of 68.178%. Item-level content validity index ranged from 0.730 to 1.000, and the content validity index of the scale was 0.963. The total Cronbach\'s alpha coefficient, split-half reliability, and test-retest reliability of the scale were 0.855, 0.778, and 0.859, respectively.
CONCLUSIONS: The compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts demonstrates acceptable reliability and validity. It serves as a valuable reference for developing standardized nursing programs for these children in clinical practice.
METHODS: Drawing on the Interactive Model of Health Behavior, we conducted a literature review and semi-structured interviews to create a pool of 36 items. The items underwent rigorous evaluation through the Delphi method, face validity checks, and item analysis, leading to a reduction to 18 items. To assess the scale\'s reliability and validity, we collected data from 225 parents of children with congenital cataracts. We employed SPSS version 25.0 for data analysis and evaluated construct validity using exploratory factor analysis, content validity, internal consistency reliability, and test-retest reliability.
RESULTS: The compliance scale for postoperative visual function rehabilitation in children with congenital cataracts comprises 5 dimensions and 18 items. Exploratory factor analysis extracted 5 common factors, with a cumulative variance contribution rate of 68.178%. Item-level content validity index ranged from 0.730 to 1.000, and the content validity index of the scale was 0.963. The total Cronbach\'s alpha coefficient, split-half reliability, and test-retest reliability of the scale were 0.855, 0.778, and 0.859, respectively.
CONCLUSIONS: The compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts demonstrates acceptable reliability and validity. It serves as a valuable reference for developing standardized nursing programs for these children in clinical practice.
摘要：
目的：编制先天性白内障患儿术后视功能康复综合依从性评定量表，并进行信效度评定。
方法：利用健康行为的交互模型，我们进行了文献综述和半结构化访谈,创建了一个包含36个项目的集合.通过德尔菲法对项目进行了严格的评估，面部有效性检查，和项目分析，导致减少到18个项目。为了评估量表的信度和效度，我们收集了225名先天性白内障患儿父母的数据.我们采用SPSS25.0版进行数据分析，并使用探索性因子分析评估结构效度，内容有效性，内部一致性可靠性，和重测可靠性。
结果：先天性白内障患儿术后视功能康复依从性量表由5个维度18项组成。探索性因子分析提取了5个共同因素，累积方差贡献率为68.178%。项目级内容效度指数为0.730~1.000,量表的内容效度指数为0.963。总的克朗巴赫α系数，半分割可靠性，量表的重测信度分别为0.855、0.778和0.859。
结论：先天性白内障患儿术后视功能康复依从性评估量表具有可接受的信度和效度。它为临床实践中针对这些儿童制定标准化护理计划提供了有价值的参考。
方法：利用健康行为的交互模型，我们进行了文献综述和半结构化访谈,创建了一个包含36个项目的集合.通过德尔菲法对项目进行了严格的评估，面部有效性检查，和项目分析，导致减少到18个项目。为了评估量表的信度和效度，我们收集了225名先天性白内障患儿父母的数据.我们采用SPSS25.0版进行数据分析，并使用探索性因子分析评估结构效度，内容有效性，内部一致性可靠性，和重测可靠性。
结果：先天性白内障患儿术后视功能康复依从性量表由5个维度18项组成。探索性因子分析提取了5个共同因素，累积方差贡献率为68.178%。项目级内容效度指数为0.730~1.000,量表的内容效度指数为0.963。总的克朗巴赫α系数，半分割可靠性，量表的重测信度分别为0.855、0.778和0.859。
结论：先天性白内障患儿术后视功能康复依从性评估量表具有可接受的信度和效度。它为临床实践中针对这些儿童制定标准化护理计划提供了有价值的参考。
