心脏病儿童运动恐惧量表的研制及信效度检验
收稿日期: 2024-12-18
录用日期: 2025-03-07
网络出版日期: 2025-05-09
Revision and reliability and validity testing of the Tampa Scale for Kinesiophobia for children with heart disease
Received date: 2024-12-18
Accepted date: 2025-03-07
Online published: 2025-05-09
目的 研制心脏病儿童运动恐惧量表并开展信效度检验,为评估心脏病儿童的运动恐惧水平提供切实可用的工具。方法 通过心脏病儿童人群调研、专家咨询及预调查,对心脏病患者运动恐惧量表进行修订,以编制适合7~18岁年龄人群使用的儿童版本量表。并于2024年1月至7月在294名适用人群中完成量表填写,完善量表条目,进行信效度分析。结果 本次研制的心脏病儿童运动恐惧量表共包含11个条目,探索性因子分析共提取出2个因子,累计方差贡献率为51.241%,因子命名为“运动恐惧”“回避倾向”。总体Cronbach's α系数为0.820,折半信度为0.782,分维度Cronbach's α系数分别为0.811和0.820,折半信度为0.772、0.830。结论 心脏病儿童运动恐惧量表易于填写且具有良好的信效度,儿童可独立阅读并填写,适宜作为7~18岁心脏病儿童运动恐惧水平的评价工具。
李儇儇 , 杨朕 , 陈琳 , 蔡小满 , 罗雯懿 . 心脏病儿童运动恐惧量表的研制及信效度检验[J]. 临床儿科杂志, 2025 , 43(5) : 356 -362 . DOI: 10.12372/jcp.2025.24e1359
Objective To adapt the Tampa Scale for Kinesiophobia for use in pediatric populations with heart disease and evaluate its reliability and validity as a tool for assessing fear of exercise in this population. Methods The scale was revised based on surveys of children with heart disease, expert consultations, and preliminary surveys. From January to July 2024, the revised scale was administered to 294 children aged 7-18 years with heart disease using a convenience sampling method. Results The final scale comprised 11 items. Exploratory factor analysis extracted two factors, labeled " fear of exercise " and " avoidance tendency," which accounted for a cumulative variance of 51.241%. The overall Cronbach’s α coefficient was 0.820, and the split-half reliability was 0.782. For the subdimensions, Cronbach’s α coefficients were 0.811 and 0.820, with split-half reliabilities of 0.772 and 0.830. Conclusion The Kinesiophobia scale for children with heart disease demonstrates strong psychometric properties and is a reliable and valid tool for evaluating exercise-related fear in children aged 7-18 years with heart disease.
Key words: Kinesiophobia scale; heart disease; reliability; validity; child
[1] | 冯雪, 李四维, 刘红樱, 等. 中西医结合冠状动脉旁路移植术Ⅰ期心脏康复专家共识[J]. 中国循环杂志, 2017, 32(4): 314-317. |
Feng X, Li SW, Liu HY, et al. Expert consensus on phase I cardiac rehabilitation for coronary artery bypass grafting with integrated traditional Chinese and western medicine[J]. Zhongguo Xunhuan Zazhi, 2017, 32(4): 314-317. | |
[2] | Callaghan S., Morrison M. L., Mckeown P. P., et al. Exercise prescription improves exercise tolerance in young children with CHD: a randomised clinical trial[J]. Open Heart, 2021, 8(1): e001599. |
[3] | 王诗瑜, 张宇扬, 陈阳, 等. 运动康复训练对先天性心脏病术后患儿干预效果的meta分析[J]. 护理管理杂志, 2023, 23(7): 551-555. |
Wang SY, Zhang YY, Chen Y, et al. The effect of exercise rehabilitation training on children with congenital heart disease after surgery: a meta-analysis[J]. Huli Guanli Zazhi, 2023, 23(7): 551-555. | |
[4] | Meyer M, Brudy L, Fuertes-Moure A, et al. E-health exercise intervention for pediatric patients with congenital heart disease: a randomized controlled trial[J]. J Pediatr, 2021, 233: 163-168. |
[5] | Voss C, Duncombe SL, Dean PH, et al. Physical activity and sedentary behavior in children with congenital heart disease[J]. J Am Heart Assoc, 2017, 6(3): e004665. |
[6] | Mccrindle BW, Williams RV, Mital S, et al. Physical activity levels in children and adolescents are reduced after the fontan procedure, independent of exercise capacity, and are associated with lower perceived general health[J]. Arch Dis Child, 2007, 92(6): 509-514. |
[7] | Stone N, Obeid J, Dillenburg R., et al. Objectively measured physical activity levels of young children with congenital heart disease[J]. Cardiol Young, 2015, 25(3): 520-525. |
[8] | Shen XY, Chen L, Yuan L, et al. Analysis of prescription compliance and influencing factors in cardiac rehabilitation after surgery in children with congenital heart disease based on generalized trust theory[J]. Eur J Cardiovasc Nurs, 2024, 23(6): 627-634. |
[9] | Chen CW, Chen YC, Gau BS, et al. Exercise behavior in adolescents with mild congenital heart disease[J]. J Cardiovasc Nurs, 2012, 27(4): 317-324. |
[10] | Van Deutekom AW, Lewandowski AJ. Physical activity modification in youth with congenital heart disease: a comprehensive narrative review[J]. Pediatr Res, 2021, 89(7): 1650-1658. |
[11] | Kori S. Kinesiophobia:a new view of chronic pain behaviour[J]. Pain Manag, 1990, 3(1): 35-43. |
[12] | B?ck M, Jansson B, Cider A, et al. Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J]. J Rehabil Med, 2012, 44(4): 363-369. |
[13] | 雷梦杰, 刘婷婷, 熊司琦, 等. 心脏病患者运动恐惧量表的汉化及信度效度检验[J]. 中国护理管理, 2019, 19(11): 1637-1642. |
Lei MJ, Liu TT, Xiong SQ, et al. Reliability and validity test of Chinese version of the Tampa Scale for Kinesiophobia Heart[J]. Zhongguo Huli Guanli, 2019, 19(11): 1637-1642. | |
[14] | 袁曦临. 认知发展视域下儿童阅读分级指导策略研究[J]. 图书馆杂志, 2023, 42(7): 62-69. |
Yuan XL. Study on the guidance strategies of children's leveled reading in Chinese from the perspective of cognitive development[J]. Tushuguan Zazhi, 2023, 42(7): 62-69. | |
[15] | 蔡小满, 邓娟, 李萌, 等. 儿童及青少年先天性心脏病康复中国专家共识[J]. 中国循环杂志, 2024, 39(12): 1156-1169. |
Cai XM, Deng J, Li M, et al. Chinese expert consensus on rehabilitation of congenital heart disease in children and adolescents[J]. Zhongguo Xunhuan Zazhi, 2024, 39(12): 1156-1169. | |
[16] | 蔡小满, 徐卓明, 徐毅超, 等. 先天性心脏病患儿心脏矫正术后心肺运动功能评估的初步实践[J]. 中华心血管病杂志, 2022, 50(5): 471-479. |
Cai XM, Xu ZM, Xu YC, et al. Preliminary practice in the postoperative cardiopulmonary exercise testing for children with congenital heart disease[J]. Zhonghua Xinxueguan Zazhi, 2022, 50(5): 471-479. | |
[17] | 张丽娟, 孙建云, 尹志勇. 心外科高流量氧疗患者运动恐惧水平及影响因素[J]. 中国临床护理, 2024, 16(3): 188-192. |
Zhang LJ, Sun JY, Yin ZY. The level of Kinesiophobia and its influencing factors in cardiac surgery patients receiving high-flow oxygen therapy[J]. Zhongguo Linchuang Huli, 2024, 16(3): 188-192. | |
[18] | 贾钰, 郭慧芳, 李双双, 等. 心脏起搏器植入患者运动恐惧的评估与干预研究进展[J]. 中国护理管理, 2023, 23(11): 1692-1697. |
Jia Y, Guo HF, Li SS, et al. Research progress on the assessment and intervention of Kinesiophobia in patients with pacemaker implantation[J]. Zhongguo Huli Guanli, 2023, 23(11): 1692-1697. | |
[19] | 白井双, 蔡立柏, 白中乐, 等. 心脏起搏器植入术后恐动症患者早期功能锻炼体验的质性研究[J]. 中华现代护理杂志, 2021, 27(27): 3648-3653. |
Bai JS, Cai LB, Bai ZL, et al. A qualitative study on the early functional exercise experience of patients with Kinesiophobia after pacemaker implantation[J]. Zhong hua xian da hu li za zhi, 2021, 27(27): 3648-3653. | |
[20] | 徐蔼婷. 德尔菲法的应用及其难点[J]. 中国统计, 2006(9): 57-59. |
Xu AT. The application of the Delphi method and its challenges[J]. Zhongguo Tongji, 2006(9): 57-59. | |
[21] | 李灿, 辛玲. 调查问卷的信度与效度的评价方法研究[J]. 中国卫生统计, 2008, 25(5): 541-544. |
Li C, Xin L. Research on the evaluation methods of reliability and validity of questionnaires[J]. Zhongguo Weisheng Tongji, 2008, 25(5): 541-544. | |
[22] | 王之惠, 任永霞, 史宇红, 等. 弱视儿童视功能相关生活质量量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(20): 2507-2514. |
Wang ZH, Ren YX, Shi YH, et al. Development and psychometric validation of a vision-related quality of life scale for children with amblyopia[J]. Zhonghua Huli Zazhi, 2022, 57(20): 2507-2514. | |
[23] | 方积乾. 生存质量测定方法及应用[M]. 北京: 北京医科大学出版社, 2000. |
Fang JQ. Measurement methods and applications of quality of life[M]. Beijing: Beijing Medical University Press, 2000. | |
[24] | Lethem J, Slade PD, Troup JD, et al. Outline of a fear-avoidance model of exaggerated pain perception--I[J]. Behav Res Ther, 1983, 21(4): 401-408. |
/
〈 |
|
〉 |