Abstract: Objective: To construct the health management need assessment scale for elderly patients with chronic diseases and test its reliability and validity. Methods: Based on the Omaha system, the first draft of the health management need scale for elderly patients with chronic diseases was formed through literature analysis, expert correspondence and preinvestigation. A questionnaire survey was conducted in elderly patients with chronic diseases in a Class A tertiary hospital in Tianjin from March to September 2022 to test the reliability and validity of the scale. Results: A total of 330 questionnaires were distributed and 320 valid questionnaires were recovered. The final scale consisted of 27 items in 4 dimensions including physical health need, psychosocial health need, environmental health need and health behavior related needs. Exploratory factor analysis showed that the four common factors explained 58.646% of the total variance. Cronbach′s α were 0.803 ～0.886 for subscales, and Cronbach’s α for the total scale was 0.917. Split -half reliability coefficients were 0.801～0.914 for subscales, and 0.815 for the total scale. Test-retest reliability coefficients were 0.498～ 0.647 for subscales, and 0.911 for the total scale. Conclusion: The health management need assessment scale for elderly patients with chronic diseases is scientific, reasonable, reliable and valid, which can be used to evaluate the health management needs of elderly patients with chronic diseases.

Key words: Aged；Chronic disease management, Health needs；Reliability；Validity

摘要： 目的：构建老年慢性病患者健康管理需求量表并进行信效度检验。方法：以奥马哈系统为理论框架，通过文献分析、专家函询及预调查等形成老年慢性病患者健康管理需求量表初稿；于2022 年3 月至9 月，采用便利抽样法选取天津市某综合性三级甲等医院的老年患者进行问卷调查，分析量表的信效度。结果：共发放330 份问卷，回收有效问卷320 份。最终形成的量表包括生理健康需求、心理社会健康需求、环境健康需求及健康行为相关需求4 个维度，共27 个条目。探索性因子分析结果显示，4 个公因子的累计方差贡献率为58.646%。总量表的Cronbach′s α 系数、分半信度、重测信度分别为0.917、0.815、0.911，4 个维度的Cronbach′s α 系数、分半信度、重测信度分别为0.803～0.886、0.801～0.914、0.498～0.647。结论：本研究构建的老年慢性病患者健康管理需求量表科学、合理、信效度良好，可用于老年慢性病患者健康管理需求的评估。

关键词: 老年, 慢性病管理, 健康需求, 信度, 效度