目的 编制脑卒中患者主动健康行为量表并检验其信效度，为提高患者健康行为主动性提供研究基础。方法 通过文献回顾、质性访谈、小组研究讨论构建条目池，经过2轮德尔菲专家函询及与调查形成初始量表；采用便利抽样法选取郑州市、安阳市2所三级综合医院内就诊的脑卒中患者316例为调查对象进行调查，筛选量表条目并检验量表的信效度。结果 量表包括健康责任、心理调适、生活方式、疾病管理、卫生服务利用5个维度，共30个条目，累计方差贡献率为65.105%，验证性因子分析显示模型适配良好。条目内容效度指数为0.813~1.000，量表内容效度指数为0.967。总量表Cronbach’s α系数为0.933。结论 脑卒中患者主动健康行为量表信效度水平较好，可科学有效评估脑卒中患者的主动健康行为水平。

Objective To develop the proactive health behavior scale for stroke patients and test its reliability and validity，and to provide a research basis for enhancing patients’ proactive degree in healthy behaviors.Methods An initial scale was formed through literature review，qualitative interview，group discussion and 2 rounds of Delphi expert consultation and investigation.A total of 316 stroke patients were selected from two tertiary general hospitals in Zhengzhou and Anyang by the convenience sampling method as the research subjects.The items of the scale were screened and the reliability and validity of the scale were tested.Results The scale consists of 5 dimensions with 30 items，including health responsibility，psychological adjustment，lifestyle，disease management and health service utilization.The cumulative variance contribution rate is 65.105%，and confirmatory factor analysis shows that the model is well adapted.The validity index of the item content ranged from 0.813 to 1.000，and the validity index of the scale content was 0.967.The Cronbach’s α coefficient of the total scale is 0.933.Conclusions The reliability and validity of the proactive health behavior scale for stroke patients are good，and it can scientifically and effectively evaluate the active health behavior level of stroke patients.

R473.74

中国博士后科学基金面上项目（2023M743197）；河南省高等学校青年教师骨干培养计划（2024GGJS013）