Abstract: Objective: To construct an evaluation tool for rehabilitation training compliance in patients after pacemaker implantation. Methods: Through literature review and group discussion, an initial rehabilitation training compliance scale for patients after pacemaker implantation was formed. After two rounds of expert consultation, a questionnaire survey was conducted among 250 patients who met the inclusion criteria and received permanent pacemaker implantation in the department of cardiovascular medicine of one Class A tertiary hospital in Anhui Province from March to July 2019 and the reliability and validity of the scale was tested. Results: Exploratory factor analysis showed that the rehabilitation training compliance scale contained three dimensions and 10 items in total, and the cumulative variance contribution rate was 66.945%. The item-level content validity index of the scale was 0.856~1.000, the scale-level content validity index was 0.945, the Cronbach’s α coefficient of the scale was 0.795, the split-half reliability of the scale was 0.814, and the retest reliability of the scale was 0.822. Conclusion: The rehabilitation training compliance scale has good reliability and validity in patients after pacemaker implantation, which can be used to assess the compliance of rehabilitation training in patients after pacemaker implantation.

Key words: Pacemaker implantation, Rehabilitation training, Compliance, Evaluation scale, Reliability, Validity

摘要： 目的：构建起搏器植入术后患者康复训练依从性的评估工具。 方法：通过文献回顾法结合小组讨论形成起搏器植入术后患者康 复训练依从性初始量表，进行 2 轮专家咨询后，选取 2019 年 3 月至 7 月安徽某三级甲等医院心血管内科接受永久起搏器植入术的患 者 250 例进行问卷调查，以评估量表的信效度。 结果：探索性因子分析结果显示，康复训练依从性量表包含 3 个维度 10 个条目，累积 方差贡献率为 66.945%；量表的各条目内容效度(item-level content validity index, I-CVI)为 0.856～1.000，总量表的内容效度（scalelevel content validity index, S-CVI）为 0.945，总量表的 Cronbach’s α 系数为 0.795，折半信度为 0.814，重测信度为 0.822。 结论：起搏器 植入术后患者康复训练依从性量表具有较好的信效度，可用于评估起搏器术后患者康复训练的依从性。

关键词: 起搏器植入术, 康复训练, 依从性, 信度, 效度