维持性血液透析病人运动依从性量表的编制及信效度检验

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AbstractObjective：Todevelopan exercise adherence scaleformaintenance hemodialysis（MHD）patients basedon behavioralchange theoryandtestitseliabiltyndvalidityimingtoprovideatoolformeasuringexerciseaderenceinMDpatints.Methos：Gided bytheCapabityOpportunity-MotivationBehavio（COM-B）modelandtheTheoreticalDomainsFramework（TDF），anitialitepool wasconstructedthroughliteraturereviewandsemistructuredinterviews.Theintialversionofthescaleaseterindaftertworounds of Delphi expert consultations（ n=20 ）.Item selection was conducted based on survey results from 293 MHD patients，followed by validity andreliabiltytestinginanothersampleofMDpatients.Results：Thedevelopedexerciseadherencescaleformaintenanceemodialysis patientsconsistedoftwoparts：Part1istheexerciseaderenceprocessubscaleforMHD，includingthreedimensioscapability opportunity，motivation）with35items;Part2istheexerciseaderenceoutcomesubscaleforMHD，asingledimensionwithitems. Exploratory factor analysis extracted three common factors，with a cumulative variance contribution rate of 57.706% ; confirmatory factor analysishowedgodmodelft;teCobach'soeficentforteproesssubscaleas.95，splialfeliabiltysOdtest retestreliabilityasOO7;tetestetesteliabilityfortheoutcomesubscaleasO.932.Conlusios：Thedveloedexercisedrece scaleformaintenancehemodialysis patientsdemonstrates goodreliabilityandvalidityandcan beusedtoasess exerciseadherence in MHD patients.

Keywordsmaintenance hemodialysis;exercise;adherence;scale;reliability;validity

维持性血液透析（maintenancehemodialysis，MHD）是终末期肾脏病病人最常用的肾脏替代治疗方式之一[]。（剩余13154字）