彭妤 周熙临 毛惠梨 胡荣婷 谢静涛

〔摘要〕 目的 编制中医药健康素养量表，并检验其信效度。方法 编制中医药健康素养量表初稿，采取方便抽样的方式在湖南长沙两所高校及其附属医院抽取674人进行调查，分析该量表的信效度。结果 通过探索性因子分析提取4个因子，共包括24个项目，主要拟合指标良好（？字2/df=1.54、RMSEA=0.04、CFI=0.95、IFI=0.95、TLI=0.94、GFI=0.92），收敛效度和区分效度良好（4个维度的平均方差萃取量分别为0.32、0.44、0.38、0.42，组合信度分别为0.76、0.88、0.70、0.68，4个维度平均方差萃取量的平方根均大于各维度之间的相关系数的绝对值），总量表的Cronbach's α系数为0.87，各维度的Cronbach's α系数在0.63～0.84之间，分半信度为0.77，各维度分半信度为0.66～0.80。结论 中医药健康素养量表具有良好的信度和效度，是一种有效可行的测量工具。

〔关键词〕 健康素养;中医药;量表;信度;效度

〔中图分类号〕R229     〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2020.11.027

〔Abstract〕 Objective To develop an instrument for measuring the health literacy in traditional Chinese medicine （TCM） and test its reliability and validity. Methods The draft of health literacy scale in TCM was developed. A sample of 674 people were investigated from two hospitals and affiliated universities by using convenience sampling to analyzethe validity and reliability of this scale. Results Four factor were obtained by exploratory factor analysis， which included 24 items. The main fitting index was good（？字2/df=1.54， RMSEA=0.04， CFI=0.95， IFI=0.95， TLI=0.94， GFI=0.92）. Convergent validity and discriminant validity were good. （AVE of four dimensions were 0.32， 0.44， 0.38， 0.42. CR was 0.76， 0.88， 0.70， 0.68， and the square root of AVE of the four dimensions was larger than the absolute value of the correlation coefficient of each dimension.） The Cronbach's α coefficient of total scale was 0.87. The Cronbach's α coefficients of each dimensions were 0.63～0.84. The split-half reliability of total scale was 0.77. The split-half reliability of each dimensions was 0.66～0.80. Conclusion The health literacy in TCM has good reliability and validity， which is an effective and feasible measuring tool.

〔Keywords〕 health literacy; traditional Chinese medicine; reliability; validity

當今社会，人们的生活水平获得了极大的提高，科学健康的生活方式开始日益为个体所重视。世界卫生组织（WHO）曾指出，在评价个体健康水平的各项指标中，健康素养占据着重要的地位[1]。个体的健康素养，是指收集与身心健康相关的知识，并通过这种知识维护自身身体状况的能力[2]，这种能力影响着个体的生活水平与生活质量，并在整个社会的进步与发展中扮演着非常重要的角色。

中医药作为一种防病治病、副作用小的治疗手段，是中华民族经过长期实践锤炼出的瑰宝，其理念与治疗方法被许多人看作是养生保健的首选，也为个体增强健康素养贡献出了具有民族特色的思路。……