建構E化更年期健康篩檢系統之信、效度探討

Developing and Verifying the Validity and Reliability of the Electronic Menopausal Health Screen System

背景 更年期正值健康與疾病的過渡階段，過去傳統的更年期照護偏向更年期症狀困擾的評估與衛教，缺乏從預防慢性疾病的整合性照護。目　的提供婦女一套整合更年期症狀困擾程度、骨質疏鬆風險因子、心血管風險因子、糖尿病風險因子之可信賴、有效的E化更年期健康評估工具。方　法本研究分為四個階段，分別為評估與分析期、設計期、發展期與前驅測試期，來檢視E化更年期健康篩檢系統的開發成效。結　果E化更年期健康篩檢系統的信、效度顯示，專家效度為.97–.99與使用者評鑑內容效度為.99；且兼具良好的再測信度：Pearson’s correlation介於.80–.96及組內相關係數（intraclass correlation）介於.79–.96。結　論／實務應用本研究結合護理、醫學與資訊工程等跨領域共同合作，建立一套適用於更年期婦女的E化健康風險評估系統，並通過信效度考驗。透過E化系統提供立即性與便利性的資料分析與專屬個人量身訂作之衛教建議，有助於提供護理人員衛教諮詢的依據與醫師診療的輔助參考。

Background: Menopausal women are in a transitional phase between health and sickness. Although the highest standards of menopausal care include clinical assessment and patient education on menopausal symptoms, current practices lack integrated care that aim to prevent chronic diseases for which menopause is a predisposing factor. Purpose: To integrate menopausal disturbances; to evaluate the risk factors for osteoporosis, cardiovascular disease, and diabetes; and to create a reliable and effective electronic menopausal health screen system (EMHSS). Methods: The research was conducted in the four stages of assessment and analysis, design, development, and pretest stage in order to explore the effectiveness of the developed EMHSS. Results: The EMHSS has a high degree of reliability and validity. Analysis found an expert validity of .97~.99, content validity of .99, and test-retest reliabilities of .80~.96 (Pearson’s correlation) and .79~.96 (intra-class correlation). Conclusions / Implications for Practice: The EPMHSS was developed using cross-disciplinary collaboration among nursing staff, medical practitioners, and information engineers in order to screen menopausal women. The EPMHSS provides tailored health education content for patients in a timely manner and compiles historical assessment data that may be referenced by nursing staff when providing health consultations and by physicians when delivering diagnoses and treatment.