The Development and Testing of the Pelvic Floor Muscle Exercise Self-Efficacy Scale_

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題名：	The Development and Testing of the Pelvic Floor Muscle Exercise Self-Efficacy Scale
書刊名：	The Journal of Nursing Research
作者：	陳淑月
作者(外文)：	Chen, Shu-yueh
出版日期：	2004
卷期：	12:4
頁次：	頁257-266
主題關鍵詞：	婦女尿失禁；骨盆底肌運動；運動自我效能；量表發展；心理計量測試；Female urinary incontinence；Pelvic floor muscle exercise；Exercise self-efficacy；Tool development；Psychometric testing
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:3 點閱:37

　　　　　本研究目的為發展骨盆底肌運動自我效能量表，並測試此量表之信度與效度。依據廣泛的文獻查證、研究者的臨床經驗、社會認知理論和健康促進模式等擬一含17個項目的骨盆底肌運動自我效能量表。共計106位診斷為尿失標的婦女填寫此量表，收集之資料用來測試本量表之信、效度。結果發現：本量表之Cronbach's α為.95，其內在一致性佳；其6-30天的再測信度相關系數為.86(p<.001)，此量表之穩定性佳；經主成分因素分析法得到兩個因素，分別命名為「對運動執行及其療效有信心」、「對克服阻礙持續執行運動有信心」，解釋變異量34.16%和32.55%，共解釋變異量66.71%。骨盆底肌運動自我效能量表與「一般性自我」效能、「骨盆底肌肉運動效益」分別呈顯著正相關，與「失禁衝擊量表-7」呈顯著負相關，顯示本量表具有初步之建構效度及效標關聯效度。綜合之，骨盆底肌運動自我效能量表具有初步之信度與效度，可作為未來研究和實務上應用的測量工具

以文找文

　　　　　The purpose of this study was to establish a reliable and valid instrument to evaluate women’s confidence in performing pelvic floor muscle exercise (PFME). Based on the researcher’s own experience and with extended literature review, social cognitive theory and a health promotion model were utilized to formulate the 17-item Chen pelvic floor muscle exercise self-efficacy (PFMSE) scale. Data were collected from 106 urinarily incontinent women and the reliability and validity of the scale were tested. The results showed that the scale has a high Cronbach’s alpha of .95 for its internal consistency. Test-retest reliability over 6-30 days was r =.86 (p<.001), showing acceptable stability of the Chen PFMSE scale. Exploratory factor analysis was used to test the initial construct validity, and two factors were extracted, which explained 34.16% and 32.55% of the total variance respectively, with a total of 66.71%. The two factors were named as (1) belief in PFME execution and its benefits, and (2) belief in performing PFME as scheduled and despite barriers. It is also evident that the Chen PFMSE scale satisfies concurrent validity when compared with well-developed and tested instruments such as general self-efficacy (GSE), perceived PFME benefits, and incontinence impact questionnaire-7 (IIQ-7). The results suggest that the Chen PFMSE scale has solid psychometric properties, and is a useful tool for clinicians to design appropriate interventions and to foster positive PFME self-efficacy during treatment for women with urinary incontinence and undergoing PFME training.

以文找文

期刊論文
1.	Chen, G. D.、Lin, T. L.、Hu, S. W.、Chen, Y. C.、Lin, L. Y.(2003)。Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women。Neurourology and Urodynamics，22(2)，109-117。
2.	Broome, B. A. S.(1999)。Development and testing of a scale to measure self-efficacy for pelvic muscle exercises in women with urinary incontinence。Urologic Nursing，19(4)，258-268。
3.	Shumaker, S. A.、Wyman, J. F.、Uebersax, J. S.、McClish, D.、Fantl, J. A.(1994)。Health-related quality of life measures for women with urinary incontinence: The incontinence impact questionnaire and the urogenital distress inventory。Quality of Life Research，3(5)，291-306。
4.	Zhang, J. X.、Schwarzer, R.(1995)。Measuring optimistic self-beliefs: A Chinese adaptation of the general self-efficacy scale。Psychologia: An International Journal of Psychology in the Orient，38(3)，174-181。
5.	Maibach, E.、Murphy, D. A.(1995)。Self-efficacy in health promotion research and practice: Conceptualization and measurement。Health Education Research，10(1)，37-50。
6.	余宏政、季瑋珠、丘祖毅(19940300)。台北地區社區成年婦女尿失禁的盛行率及危險因子之評估。中華民國泌尿科醫學會雜誌，5(1)，24-31。延伸查詢
7.	陳美玲、林麗嬋、卓俊辰、白璐(19970800)。漸進性骨盆底肌肉運動對應力性尿失禁婦女之影響--前驅性研究。護理研究，5(4)，353-365。延伸查詢
8.	黃鈺雯、余宏政、賴明坤、陳擇銘、謝豐舟、黃秀梨(19970900)。應力性尿失禁婦女的心理社會衝擊與因應策略之探討。慈濟醫學，9(3)，207-217。延伸查詢
9.	Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review，84(2)，191-215。
10.	Dzewaltowski, D. A.(1994)。Physical Activity Determinants: A Social Cognitive Approach。Medicine & Science in Sports & Exercise，26(11)，1395-1399。
11.	Bandura, A.、Adams, N.、Hardy, A.、Howell, G.(1980)。Tests of generality of self-efficacy theory。Cognitive Therapy and Research，4，39-66。
12.	Bo, K.(1995)。Adherence to Pelvic Floor Muscle Exercise and Long-term Effect on Stress Urinary Incontinence: A Five-year Follow-up Study。Scandinavian Journal of Medicine & Science in Sports，5，36-39。
13.	Broome, B. A. S.(2001)。Psychometric analysis of the Broome pelvic muscle self-efficacy scale in Afrian-American women with incontinence。Urologic Nursing，21(4)，289-297。
14.	Burgio, K. L.、Goode, P. S.(1997)。Behavioral interventions for incontinence in ambulatory geriatric patients。American Journal of the Medical Sciences，314(4)，257-261。
15.	Burgio, K. L.、Locher, J. L.、Goode, P. S.、Hardin, J. M.、McDowell, B. J.、Dombrowski, M.(1998)。Behavioral vs. drug treatment for urge urinary incontinence in older women。JAMA: The Journal of the American Medical Association，280(23)，1995-2000。
16.	楊貴雲、陳慧毅、張維君、林武周、葉聯舜、徐泰彥、蔡鴻德(1999)。應力性尿失禁之骨盆底肌復健的臨床療效。臺灣醫學會雜誌，98(4)，271-276。延伸查詢
17.	Chen, S. Y.、林隆堯、林淑姿、Chen, G. D.(2000)。婦女尿失禁骨盆底肌肉收縮運動遵從行為及其相關因素。醫學教育，4(4)，484-493。延伸查詢
18.	Gallo, M. L.、Staskin, D. R.(1997)。Cues to action: Pelvic floor muscle exercise compliance in women with stress urinary incontinence。Neurourology and Urodynamics，16，167-177。
19.	Kegel, A. H.(1948)。Progressive Resistance Exercise in the Functional Restoration of the Perineal Muscles。American Journal of Obstetrics & Gynecology，56(2)，238-248。
20.	McAuley, E.、Jerome, G. J.、Marquez, D. X.、Elavsky, S.、Blissmer, B. E.(2003)。Exercise self-efficacy in older adults: Social, affective, and behavioral influences。Annals of Behavioral Medicine，25(1)，1-7。
21.	McDowell, B. J.、Engberg, S.、Sereika, S.、Donovan, N.、Jubeck, M. E.、Weber, E.(1999)。Effectiveness of behavioral therapy to treat incontinence in homebound older adults。Journal of the American Geriatrics Society，47，309-318。
22.	Rodgers, W. M.、Blanchard, C. M.、Sullivan, M. J. L.、Bell, G. J.、Wilson, P. M.、Gesell, J. G.(2002)。The motivational implications of characteristics of exercise bouts。Journal of Health Psychology，7(1)，73-83。
23.	Rodgers, M. W.、Sullivan, M. J. L.(2001)。Task, coping, and scheduling self-efficacy in relation to frequency of physical activity。Journal of Applied Social Psychology，31(4)，741-753。
24.	Uebersax, J. S.、Wyman, J. F.、Shumaker, S. A.、McClish, D. K.、Fantl, J. A.(1995)。Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory。Neurourology and Urodynamics，14，131-139。
25.	Wyman, J. F.(1994)。The psychiatric and emotional impact of female pelvic floor dysfunction。Current Opinion in Obstetrics and Gynecology，6，336-339。

研究報告
1.	Fantl, J. A.、Newman, D.、Colling, J.、DeLancey, J. O. L.、Keeys, C.、Loughery, R.(1996)。Urinary incontinence in adults: Acute and chronic management。Rockville, MD。

圖書
1.	Dishman, R. K.(1994)。Advances in exercise adherence。Champaign, IL：Human Kinetics。
2.	Pender, N. J.(1996)。Health promotion in nursing practice。Norwalk, CT：Appleton-Century-Crofts。
3.	Nunnally, Jum C.、Bernstein, Ira H.(1994)。Psychological theory。MacGraw-Hill。
4.	Oettingen, G.(1995)。Cross-cultural perspectives on self-efficacy。Self-efficacy in changing societies。Melbourne, Australia。
5.	Schwarzer, R.(1993)。Measurement of perceived self-efficacy: Psychometric scales for cross-cultural research。Measurement of perceived self-efficacy: Psychometric scales for cross-cultural research。Berlin, Germany。

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