ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (11): 1357-1364.doi: 10.3761/j.issn.2096-7446.2026.11.014

• 质量与安全 • 上一篇    下一篇

四肢烧伤伴关节功能障碍患者康复锻炼依从性量表的编制及信效度检验

刘宇星1(), 赵晨1, 陈华清2, 卢福长2, 都勇2, 张建芬3, 蒋静4, 缪爱梅5, 王慧琴6, 李唐佳7, 王丽竹1,*()   

  1. 1 浙江大学医学院附属第二医院护理部 杭州市 310000
    2 浙江大学医学院附属第二医院烧伤与创面修复科 杭州市 310000
    3 浙江省医疗健康集团衢化医院烧伤整形科 浙江省衢州市 324000
    4 宁波市第二医院烧伤科 宁波市 315000
    5 温州医科大学附属第一医院烧伤·伤口中心 温州市 325000
    6 绍兴第二医院烧伤整形与创面修复科 浙江省绍兴市 312000
    7 永康市第一人民医院全科创伤外科 浙江省永康市 321300
  • 收稿日期:2026-03-19 出版日期:2026-11-10 发布日期:2026-11-06
  • 通讯作者: *王丽竹，E-mail：zrwlz@zju.edu.cn
  • 作者简介:刘宇星：女，本科（硕士在读），护士，E-mail：22418512@zju.edu.cn
    作者贡献声明

    刘宇星：文献回顾、资料收集、分析数据及撰写论文；赵晨、陈华清、卢福长、都勇：文献回顾、半结构访谈的实施与转录、德尔菲专家函询的组织、统计分析；张建芬、蒋静、缪爱梅、王慧琴、李唐佳：预调查的实施、数据收集与整理；王丽竹：研究总体指导与设计、质量控制、修改论文

Development and psychometric testing of a rehabilitation exercise compliance scale for patients with extremity burns related joint dysfunction

LIU Yuxing1(), ZHAO Chen1, CHEN Huaqing2, LU Fuchang2, DU Yong2, ZHANG Jianfen3, JIANG Jing4, MIAO Aimei5, WANG Huiqin6, LI Tangjia7, WANG Lizhu1,*()   

  1. 1 Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
    2 Department of Burn and Wound Repair， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
    3 Department of Burn and Plastic Surgery， Quhua Hospital，Zhejiang Medical Health Group，Quzhou， Zhejiang Province 324000， China
    4 Burn Department， the Second Hospital of Ningbo， Ningbo 315000， China
    5 Burn & Wound Center， the First Affiliated Hospital of Wenzhou Medical University， Wenzhou 325000， China
    6 Burn， Plastic and Wound Repair Department，Shaoxing Second Hospital，Shaoxing， Zhejiang Province 312000， China
    7 General Trauma Surgery， Yongkang First People’s Hospital，Yongkang， Zhejiang Province 321300， China.
  • Received:2026-03-19 Online:2026-11-10 Published:2026-11-06
  • Contact: *WANG Lizhu，E-mail：zrwlz@zju.edu.cn

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摘要：

目的 编制四肢烧伤伴关节功能障碍患者康复锻炼依从性量表并评价其信效度，为评估四肢烧伤伴关节功能障碍患者康复锻炼依从性水平提供有效工具。 方法 以依从性概念为框架，通过文献检索、半结构式访谈及小组讨论形成量表条目池；通过2轮专家函询形成量表初稿；采取便利抽样法，于2025年12月—2026年2月，选取浙江省6所三级甲等医院的387例四肢烧伤伴关节功能障碍患者进行问卷调查，检验量表的信效度。 结果 编制的四肢烧伤伴关节功能障碍患者康复锻炼依从性量表由3个维度（身体锻炼依从、锻炼效果监测依从、主动寻求建议依从）组成，总计15个条目。探索性因子分析提取出3个公因子，累计方差贡献率为59.051%。验证性因子分析结果表明，各主要评价指标均在判断标准可接受范围内。量表水平的内容效度指数为0.978，条目水平的内容效度指数为0.890~1.000，量表总的Cronbach’s α系数、分半信度系数分别为0.836、0.885。 结论 构建的四肢烧伤伴关节功能障碍患者康复锻炼依从性量表信效度良好，可作为评估四肢烧伤伴关节功能障碍患者康复锻炼依从性的有效工具。

关键词: 四肢烧伤, 关节, 功能障碍, 锻炼, 依从性, 量表, 信效度

Abstract:

Objective To develop a rehabilitation exercise adherence scale for patients with extremity burns-related joint dysfunction and to evaluate its reliability and validity，providing an effective tool for assessing the adherence level of such patients. Methods Based on the concept of adherence，a pool of scale items was formed through literature review，semi-structured interviews，and group discussions. A draft was created after two rounds of expert consultation. Using convenience sampling，from December 2025 to February 2026，387 patients with extremity burns-related joint dysfunction from six tertiary hospitals in Zhejiang Province were selected to complete the questionnaire，and the reliability and validity of the scale were tested. Results The developed rehabilitation exercise adherence scale for patients with extremity burns-related joint dysfunction is composed of three dimensions（adherence to physical exercise，adherence to exercise effect monitoring，and adherence to actively seeking advice），with a total of 15 items. Exploratory factor analysis extracted three common factors accounting for a cumulative variance contribution rate of 59.051%. Confirmatory factor analysis indicated that all major evaluation indices were within acceptable ranges. As for content validity，the indices reached 0.978 at the scale level and fell between 0.890 and 1.000 at the item level. The total Cronbach’s α coefficient was 0.836 and split-half reliability was 0.885. Conclusion The constructed rehabilitation exercise adherence scale for patients with extremity burns-related joint dysfunction demonstrates good reliability and validity，positioning it as a valuable instrument for assessing rehabilitation exercise adherence in these patients.

Key words: Extremity Burns, Joints, Dysfunction, Exercise, Compliance, Scale, Reliability and Validity