目的 编制脑卒中高危人群主动健康行为量表，并进行信效度检验。方法 基于前期构建的脑卒中高危人群主动健康行为概念框架，通过文献回顾、质性研究、专家函询和认知性访谈形成量表初稿。采用便利抽样法选取上海市3所三级甲等医院的575例脑卒中高危人群进行问卷调查，对量表进行项目分析和信效度检验。结果 量表包含日常习惯、症状警觉、疾病预防、健康责任、跨越障碍、信息甄别6个维度，共31个条目；验证性因子分析显示，模型拟合指数均在可接受的范围内；量表的内容效度指数为0.965；量表的Cronbach’s α系数为0.956；效标关联效度为0.792；重测信度为0.756；折半信度为0.866。结论 脑卒中高危人群主动健康行为量表信效度较好，可用于评估脑卒中高危人群的主动健康行为水平。

Objective To develop a proactive health behavior scale of high-risk population for stroke and test its reliability and validity.Methods Based on the previously established conceptual framework,the preliminary scale was developed through literature review,qualitative research,expert consultation,and cognitive interviews.With convenience sampling,575 high-risk individuals for stroke from 3 tertiary A hospitals in Shanghai were surveyed for item analysis and psychometric testing.Results The final scale comprised 31 items across 6 dimensions(daily habits, symptom awareness, disease prevention, health responsibility, overcoming barriers, and information screening).Confirmatory factor analysis showed acceptable model fit indices.The scale demonstrated its content validity index at 0.965,Cronbach’s α at 0.956,criterion-related validity at 0.792,test-retest reliability at 0.756,and split-half reliability at 0.866.Conclusions The scale shows good reliability and validity,and can be used to assess proactive health behaviors in high-risk population for stroke.

R473.54

海军军医大学深蓝护理科研项目（2022KYP04）