Journal of Peking University (Health Sciences) ›› 2022, Vol. 54 ›› Issue (4): 699-704. doi: 10.19723/j.issn.1671-167X.2022.04.019

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Development and clinical application of the health education knowledge assessment questionnaire for gout

Xiao-wei XIE1,2,Fen LI1,Guang-hui LING1,Xi XIE1,Su-qing XU1,2,Yi-yue CHEN1,2,*()   

  1. 1. Department of Rheumatology and Immunology, The Second Xiangya Hospital of Central South University, Changsha 410011, China
    2. Department of Clinical Nursing, The Second Xiangya Hospital of Central South University, Changsha 410011, China
  • Received:2021-08-14 Online:2022-08-18 Published:2022-08-11
  • Contact: Yi-yue CHEN E-mail:chenyiyue01@csu.edu.cn
  • Supported by:
    the Medical Health and Family Planning Project of Hunan Provincial Department of Finance(湘财社指[2018]95号)

Abstract:

Objective: To develop and test the health education knowledge assessment questionnaire for gout and to investigate the understanding degree of health education knowledge in patients with gout. Methods: From June 2019 to June 2019, 150 cases of gout patients were enrolled.According to the literature review and the healthy education requirements of gout patients, the framework of education knowledge system was preliminarily formed.The pre-test questionnaire was obtained through two rounds of he Delphi technique.A survey of 150 patients with gout was carried out.The analysis and selection of the questionnaire were based on the coefficient of variation, the analysis of determination value, the correlation coefficient of the items and the total scores, and the exploratory factor analysis.In this study, we evaluated the reliability of internal consistency, semi-reliability.Validity test mainly included content validity and construct validity.In addition, a total of 150 patients with gout in our hospital and outpatient gout were selected to investigate the understanding degree of health education knowledge from June 2019 to December 2019. Results: The significance of the first level index of the questionnaire was 3.83-5.00, the secondary index was 3.00-4.83, and the variation coefficient of each item was 0.31-1.23, and the critical ratio(CR) value of each item in this questionnaire was 3.168-8.333.The Pearson correlation coefficient of each item and the total score of this study was 0.319-0.544.After exploratory factor analysis, some topics were deleted in four dimensions, and there were 16 entries in the final questionnaire.Cronbach' s α coefficient of this questionnaire was 0.715, split-half reliability Spearman-Brown coefficient was 0.785, and retest reliability coefficient was 0.729. The correlation coefficient between each factor of this questionnaire and the total questionnaire was 0.300-0.701, and the correlation coefficient between each item of the questionnaire and each factor was 0.402-0.732, all P < 0.05. The results were statistically significant. By questionnaire investigation, the total score of questionnaire was (6.85±3.22), the score of disease-related knowledge was (2.03±1.24), the score of dietary guidance was (1.53± 1.06), the score of exercise guidance was (2.19±1.24), the score of medication guide was (1.24±1.22). Conclusion: The Health Education Knowledge Assessment Questionnaire For Gout has a good reliability and validity for measuring related content, the compilation process is scientific and the content is comprehensive, which can be further applied in clinic.The understanding degree of health education knowledge is low in Chinese patients with gout, and knowledge of gout medicine is lacking especially.

Key words: Gout, Health education, Questionnaire, Reliability, Validity

CLC Number: 

  • R169.1

Table 1

Factor load matrix between items and factors of the questionnaire"

Items Disease-related knowledge Items Dietary guidance Items Exercise guidance Items Medication guide
3 0.513# 12 0.402# 18 0.599# 22 0.571#
5 0.608# 15 0.651# 19 0.729# 25 0.605#
7 0.732# 16 0.677# 20 0.692# 26 0.624#
8 0.655# 17 0.611# 21 0.632# 27 0.606#

Table 2

Correlation coefficient matrix between the factors of the questionnaire and the total questionnaire"

Factors Disease-related knowledge Dietary guidance Exercise guidance Medication guide Total questionnaire
Disease-related knowledge 1
Dietary guidance 0.379# 1
Exercise guidance 0.321# 0.300# 1
Medication guide 0.302# 0.393# 0.362# 1
Total questionnaire 0.701# 0.697# 0.692# 0.685# 1
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