看護学生の自己健康管理モニタリング測定尺度の開発と信頼性・妥当性の検証

Development of a Seif-monitoring Health Management Evaluation Scale for Nursing Students and Assessment of its Reliability and Validity

要旨

　【目的】本研究は、看護学生の自己健康管理モニタリング測定尺度を開発し、その信頼性・妥当性を検討する。

　【対象・方法】看護学生1,056名を対象として、121項目5段階のリッカート法質問紙調査を行った。

　【結果】主因子法プロマックス回転にて因子分析を行った結果、7因子30項目の因子解が抽出され、「就学態度の自律力」、「対人関係の健全力」、「思考の健全力」、「食生活の健全力」、「対処行動能力」、「身体変調の注意力」、「予防行動力」と命名した。全体のCronbach α係数は.914、各因子は.705〜.875であり、G-P分析・I-T分析、基準関連妥当性も検討し、信頼性・妥当性は確認できた。

　【結論】本尺度は簡便に測定でき、繰り返し評価することで健康管理の指標として活用できる。今後は、看護以外の学生にも使用できる尺度を検討し、青年期における自己健康管理能力を向上させる一助としていく必要がある。

　The aims of the study were to develop a personal health management and monitoring evaluation scale for nursing students and to assess its reliability and validity. A questionnaire survey was conducted with 1,056 nursing students who responded to 121 items using a 5-point Likert scale.

　The results of factor analysis (principal factor method with a promax rotation) extracted a factor solution of 7 factors and 30 items. The 7 factors were labeled as follows: “autonomous ability of schooling attitude,” “healthy ability of interpersonal relationships,” “healthy ability of thinking,” “healthy ability of diet,” “coping capacity,” “physical mindfulness,” and “preventive action ability.” The Cronbach's α-coefficient for the 30 items overall was .914, with each factor being between .705 and .875. G-P analysis, I-T analysis, and criterion-related validity were all investigated, and reliability and validity were confirmed.

　This scale is user-friendly and can be used as a health management indicator through repeated use and evaluation. The next step will be to improve the scale so that it can also be used for nonnursing students and assist in improving personal health management skills among youth.