Development And Application Of Pelvic Floor Muscle Exercise Compliance Scale For Patients With Gynecological Tumor Surgery

Objective:1.Compile scientific and systematic characteristics of "gynecological tumor surgery patient pelvic floor muscle exercise compliance scale" to provide an effective tool for measuring patient pelvic floor muscle exercise comp liance.2.Evaluate the compliance of pelvic floor muscle exercise in patients undergoing gynecological tumor surgery and analyze the related factors that affect the compliance of patients,so as to provide a reference basis for the development of targete d individualized interventions.Methods:1.Based on the theory of knowledge,belief and behavior,through literature analysis,review relevant literature at home and abroad,draw on relevant questionnaires and scales,and after discussion by the research team,initially define the scale of the scale and construct an item pool.2.Using the expert consultation method,13 experts in the fields of gynecological oncology and obstetrics and gynecology were invited to conduct two rounds of evaluation on the items of the scale.,The coefficient of variation and the full score ratio K are used as the screening basis,combined with expert opinions and group discussions,the entries are added,subtracted,merged and improved to form a pre-trial version scale.3.A convenience sampling method was used to investigate 230 gynecological tumor patients who met the inclusion and exclusion criteria in a top three hospital.The selection of items used the coefficient of variation method,discrimination analysis method,correlation coefficient method,Cronbach’s a lpha coefficient method,and exploratory factor analysis 5 methods.The reliability test uses internal consistency reliability,split reliability,and inter-rater reliability for evaluation.The validity test adopts content validity,exploratory factor analysis and correlation analysis to form a formal version scale.4.Using the convenience sampling method,a questionnaire survey was conducted on 120 gynecological tumor patients who met the inclusion and exclusion criteria in a top three hospital.Through single factor analysis and regression analysis,the pelvic floor muscle exercise compliance and influencing factors of the gynecological tumor patients were initially understood.And put forward corresponding countermeasures and suggestions.Results:1.After literature analysis,combined with the opinions of the research team,the pelvic floor muscle exercise compliance scale for patients with gynecological tumor surgery was initially determined to include 4 dimensions of disease and exercise knowle dge,exercise belief,exercise behavior,and social support,with a total of 30 items.2.Expert consultation results show that the positive coefficients of the two rounds of experts are 100% and 92.3%,respectively.The expert authority coefficients are 0.869 and 0.906 respectively,and the expert Kendall W is 0.499 and 0.531(P <0.001)respectively.After deleting 5,adding 3 and modifying 5 items,28 items are retained to form a pre-trial scale.3.After filtering entries by 5 methods,a total of 8 entri es are deleted.Respectively,the coefficient of variation method deletes 3entries,the correlation coefficient method deletes 1 entry,and the 2rounds of exploratory factor analysis deletes 4 entries,resulting in a scale of 20 entries.4.Reliability and validity test results,the total Cronbach ’s αcoefficient of the scale is 0.955;the split-half reliability coefficient is0.965;the inter-rater reliability is 0.915,indicating that the scale reliability is good.The content validity index is 0.968,and four common factors are extracted by exploratory factor analysis,and the cumulative variance contribution rate is 71.335%;at the same time,the correlation coefficient between each dimension and the total score of the scale is0.679 ～ 0.966,and the correlation coefficient between each dimension is0.483 ～ 0.768(P <0.01),indicating that the scale validity is good.5.Compliance survey research shows that the gynecological tumor surgery patients’ pelvic floor muscle compliance score(43.02 ± 11.16)points,the average compliance rate is 53.78%,the overall compliance is in the low level,120 patients,only 10.83% compliance At a high level,the four dimensions are ranked according to the degree of compliance.The highest compliance rate is exercise be lief and the lowest is social support.Multivariate logistic regression analysis showed that age,education level,place of residence were the influencing factors of compliance.Conclusion:1.The "Pelvic Floor Muscle Exercise Compliance Scale for Patients with Gynecologic Cancer Surgery" compiled by this study consists of a total of 20 items in 4 dimensions(disease and exercise knowledge,exercise belief,exercise behavior,and social sup port).It has good feasibility,reliability and validity,and can be used as a scientific tool to effectively evaluate the compliance of pelvic floor muscle exercise in patients undergoing gynecological tumor surgery.2.The compliance of the patient’s pel vic floor muscle exercise is generally at a low level.Age,education,residence are the influencing factors of compliance.