| Objective: This study Chinesized and tested the reliability and validity of the Health Promoting Behaviour for Bloating scale(HPB-Bloat),and provided a scientific and practical tool for the evaluation of health promoting behavior of patients with functional abdominal distension in China.The HPB-Bloat scale was used to investigate the level of health promotion behavior of patients with functional abdominal distension and to explore its influencing factors,so as to provide theoretical basis for medical staff in China to develop personalized health promotion behavior programs for patients with functional abdominal distension.Methods: This study mainly includes two stages : the localization of HPB-Bloat scale and the preliminary application of HPB-Bloat scale.The first stage is the Chinese translation of the HPB-Bloat scale.According to the Brislin translation principle,the scale is translated,integrated,back-translated,culturally adjusted and pre-tested to form the Chinese version of the HPB-Bloat scale.From January to April 2022,a convenient sampling method was used to select 404 patients with functional abdominal distension to fill out the Chinese version of the HPB-Bloat scale in the Department of Spleen and Stomach Diseases of a tertiary hospital in Nanning City.SPSS21.0 and Mplus8.0 statistical software were used to complete the project analysis,reliability and validity,and cross-gender equivalence test of the scale to form a formal evaluation of the HPB-Bloat scale.The second stage is the preliminary application of the HPB-Bloat scale.From May to June 2022,188 patients with functional abdominal distension in the spleen and stomach department of a tertiary hospital in Nanning were selected as the research objects by convenient sampling method.The research tools were self-made general data questionnaire,TCM syndrome differentiation standard and HPB-Bloat scale.SPSS21.0 software was used for statistical analysis.The general data of patients with functional abdominal distension were analyzed by descriptive statistics.The measurement data obeying normal distribution were described by mean ± standard deviation,and the count data were described by frequency and composition ratio.The difference of health promotion behavior in patients with functional abdominal distension was compared by t test or one-way analysis of variance.The influencing factors of health promotion behavior in patients with functional abdominal distension were analyzed by multiple linear hierarchical regression analysis.Results: The results of the first stage : 1.The HPB-Bloat scale co ntains 11 items in 4 dimensions,including 2 items in the diet dimensio n,3 items in the physical activity dimension,2 items in the stress man agement dimension,and 4 items in the health and treatment awareness dimension.2.The reliability and validity test results of the HPB-Bloat s cale showed that the scale items had good discrimination and homogene ity.The content validity index of the scale was 0.949,and the content validity index of each item was between 0.875 and 1.000.Four factors (diet,physical activity,stress management,health and treatment awaren ess)were extracted by exploratory factor analysis,and the cumulative v ariance contribution rate was 51.4%.The results of confirmatory factor analysis showed that the model fitting data was ideal;the criterion-relat ed validity of the scale was 0.687;the Cronbach′α coefficient of the sc ale was 0.796,and the test-retest reliability after 2 weeks was 0.824.In the cross-gender equivalence test,△CFI≤0.010,△RMSEA≤0.015.Resul ts of the second phase of the study : 1.The total score of health prom otion behavior in patients with functional bloating was(31.16±5.41)po ints,and the average scores of the four dimensions were higher in the two dimensions of physical activity and health and treatment awareness,which were(3.13±0.88)points and(3.01±0.78)points respectively.T he scores of the two dimensions of diet and stress management were lo wer,which were(2.36±0.81)points and(2.50±0.90)points respectivel y.2.the distribution of TCM syndromes in patients with functional abdo minal distension is more common in liver depression and qi stagnation syndrome and spleen deficiency and dampness obstruction syndrome,fol lowed by middle-jiao deficiency and cold syndrome,spleen-stomach da mp-heat syndrome,intestinal dryness and fluid deficiency syndrome,diet ary stagnation syndrome,cold and heat syndrome.The overall trend of health promotion behavior level of patients with functional abdominal di stension is that the health promotion behavior level of patients with exc ess syndrome is low,and the health promotion behavior level of patient s with deficiency syndrome is high.There were significant differences i n the scores of four dimensions of health promotion behavior among p atients with different syndromes of functional abdominal distension(P<0.05).The scores of liver depression and qi stagnation syndrome were th e lowest in the two dimensions of physical activity and stress managem ent,which were(8.33±2.37)points and(4.46±1.60)points,respectivel y.The scores of diet stagnation syndrome were the lowest in the two dimensions of diet and health and treatment consciousness,which were(3.75±0.96)points and(8.25±0.96)points,respectively.3.Univariate ana lysis showed that there were statistically significant differences in health promotion behavior scores of patients with functional abdominal disten sion with different family residence,education level,family per capita monthly income and TCM syndrome types(P<0.05).The health promot ion behavior score of patients with functional abdominal distension was taken as the dependent variable.The first layer included family residenc e,education level and family per capita monthly income,and the secon d layer included TCM syndromes.Hierarchical regression analysis showe d that family residence and TCM syndromes were important factors aff ecting the health promotion behavior of patients with functional abdomi nal distension(P<0.05),which explained 34.0% of the variation of healt h promotion behavior of patients with functional abdominal distension.Conclusions: 1.The Chinese version of the HPB-Bloat scale has good reliability and validity and cross-gender measurement equivalence.The content of the scale is simple and easy to understand and has good applicability.It can be used as a specific assessment tool for health promotion behavior of patients with functional bloating in China.2.The level of health promotion behaviors in patients with functional bloating needs to be improved,focusing on health promotion behaviors in diet and stress management.3.The health promotion behavior of patients with functional bloating is affected by many factors,especially the patients whose family residence is in rural and urban areas,as well as the patients whose TCM syndromes are mainly empirical.In the future,targeted dialectical nursing measures should be given according to the influencing factors to improve the level of health promotion behavior. |
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