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Article(id=1241065988414829560, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202411033, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1730476800000, receivedDateStr=2024-11-02, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773822789529, onlineDateStr=2026-03-18, pubDate=1740412800000, pubDateStr=2025-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773822789529, onlineIssueDateStr=2026-03-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773822789529, creator=13701087609, updateTime=1773822789529, updator=13701087609, issue=Issue{id=1241065978004557893, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='4', pageStart='577', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773822787047, creator=13701087609, updateTime=1773823194927, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241067688831808347, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241067688831808348, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=603, endPage=607, ext={EN=ArticleExt(id=1241065988796510241, articleId=1241065988414829560, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Reliability and validity analysis of the Chinese version of the general medication adherence scale in patients with nontuberculous mycobacterial pulmonary disease, columnId=1228016567443718970, journalTitle=Modern Preventive Medicine, columnName=Epidemiology and Statistical Methods Advances, runingTitle=null, highlight=null, articleAbstract=
Objective

To test the reliability and validity of the Chinese version of the general medication adherence scale (GMAS) in patients with nontuberculous mycobacterial pulmonary disease(NTM-PD).

Methods

Patients with NTM-PD treated in Wuxi Fifth Hospital affiliated with Jiangnan University from February 2023 to September 2024 were selected as research objects to conduct a questionnaire survey to test the reliability and validity of the Chinese version of GMAS.

Results

A total of 281 patients were included in the study. The Cronbach's α coefficient of the Chinese version of the universal medication compliance scale was 0.890, and the Cronbach's α coefficient of each dimension was 0.834-0.890. The broken half reliability was 0.806, the split-half reliability of each dimension was 0.834-0.870, and the test-retest reliability was 0.896. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 76.244%. Confirmatory factor analysis showed that the model had a good fit, χ2/df=1.583, GFI=0.928, AGFI=0.884, NFI=0.934, TLI=0.965, CFI=0.974, TLI=0.965, RMSEA=0.063, and had good convergent validity and discriminant validity.

Conclusion

The Chinese version of GMAS has good reliability and validity in NTM-PD patients, mainly middle-aged and elderly people, and can be used to evaluate the level of medication compliance in this population.

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目的

检验中文版普适性药物依从性量表（general medication adherence scale, GMAS）在非结核分枝杆菌肺病（Nontuberculous mycobacteria pulmonary disease, NTM-PD）患者中的信度与效度。

方法

选取2023年2月至2024年9月在江南大学附属无锡五院就诊的NTM-PD患者作为研究对象进行问卷调查，以检验中文版GMAS的信效度。

结果

研究共纳入281例患者。中文版GMAS的Cronbach α系数为0.890，各维度Cronbach α系数为0.834~0.890。折半信度为0.806，各维度折半信度为0.834~0.870，重测信度为0.896。探索性因子分析供提取3个公因子，累计方差贡献率为76.244%。验证性因子分析显示模型拟合度良好，χ2/df=1.583，GFI=0.928，AGFI=0.884，NFI=0.934，TLI=0.965，CFI=0.974，TLI=0.965，RMSEA=0.063，且具有较好的聚敛效度和区分效度。

结论

中文版GMAS在以中老年人群为主的NTM-PD患者中具有良好的信度和效度，可用于评估此人群的用药依从性水平。

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储美萍，E-mail：
, copyrightStatement=本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=5AHZfONdZjpaCDw1tTuJtQ==, magXml=YKSlppL4LUJNbM13iyckPg==, pdfUrl=null, pdf=OFBxL5B2OBQrmLoEJedmOQ==, pdfFileSize=563224, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=0fZ7994rNPLBjaYLgQevQQ==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=H1msomNDnKUxhKe16Ep29g==, mapNumber=null, authorCompany=null, fund=null, authors=

毛昕妍（1998—），女，硕士在读，研究方向：老年呼吸方向

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毛昕妍（1998—），女，硕士在读，研究方向：老年呼吸方向

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毛昕妍（1998—），女，硕士在读，研究方向：老年呼吸方向

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(In Chinese), articleTitle=Reliability and validity of multidimensional scale of perceived social support (Chinese version) in older survivors with cancer, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1241065991048851558, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, xref=1., ext=[AuthorCompanyExt(id=1241065991061434472, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, companyId=1241065991048851558, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=School of Medicine, Jiangnan University, Wuxi, Jiangsu 214000, China), AuthorCompanyExt(id=1241065991069823084, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, companyId=1241065991048851558, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.江南大学医学院，江苏 无锡 214000)]), AuthorCompany(id=1241065991199846514, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, xref=2., ext=[AuthorCompanyExt(id=1241065991212429431, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, companyId=1241065991199846514, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.无锡市第五人民医院（江南大学附属无锡五院）呼吸与危重症医学科)])], figs=[ArticleFig(id=1241065993221501216, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Fig.1, caption=GMAS confirmatory factor analysis model path diagram, figureFileSmall=E795uSMFeihTXWoF/AsUsw==, figureFileBig=0fZ7994rNPLBjaYLgQevQQ==, tableContent=null), ArticleFig(id=1241065993343136045, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=图1, caption=GMAS验证性因子分析模型路径图, figureFileSmall=E795uSMFeihTXWoF/AsUsw==, figureFileBig=0fZ7994rNPLBjaYLgQevQQ==, tableContent=null), ArticleFig(id=1241065995033440576, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Table 1, caption=

GMAS score situation

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条目得分范围得分
总分0～3319.85±6.95
Q10～32.13±0.84
Q20～31.80±0.85
Q30～31.76±0.92
Q40～31.85±0.96
Q50～31.78±1.00
Q60～31.75±0.90
Q70～31.71±0.90
Q80～31.64±0.93
Q90～31.74±0.95
Q100～31.86±0.88
Q110～31.78±0.90
), ArticleFig(id=1241065995146686790, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=表1, caption=

GMAS得分情况

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条目得分范围得分
总分0～3319.85±6.95
Q10～32.13±0.84
Q20～31.80±0.85
Q30～31.76±0.92
Q40～31.85±0.96
Q50～31.78±1.00
Q60～31.75±0.90
Q70～31.71±0.90
Q80～31.64±0.93
Q90～31.74±0.95
Q100～31.86±0.88
Q110～31.78±0.90
), ArticleFig(id=1241065995289293133, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Table 2, caption=

GMAS reliability analysis

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维度条目数Cronbach α系数折半信度
维度一50.8900.856
维度二40.8770.870
维度三20.8340.834
总量表110.8900.806
), ArticleFig(id=1241065995423510868, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=表2, caption=

GMAS信度分析

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维度条目数Cronbach α系数折半信度
维度一50.8900.856
维度二40.8770.870
维度三20.8340.834
总量表110.8900.806
), ArticleFig(id=1241065995574505823, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Table 3, caption=

The component matrix after rotation

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条目患者行为共病和药物负担经济负担
Q10.851
Q20.860
Q30.644
Q40.570
Q50.589
Q60.808
Q70.853
Q80.742
Q90.695
Q100.858
Q110.891
), ArticleFig(id=1241065995717112170, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=表3, caption=

旋转后的成分矩阵

, figureFileSmall=null, figureFileBig=null, tableContent=
条目患者行为共病和药物负担经济负担
Q10.851
Q20.860
Q30.644
Q40.570
Q50.589
Q60.808
Q70.853
Q80.742
Q90.695
Q100.858
Q110.891
), ArticleFig(id=1241065995851329905, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Table 4, caption=

Convergent validity

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维度测量项标准因子载荷系数CRAVE
维度一Q10.7820.8930.627
Q20.726
Q30.745
Q40.884
Q50.812
维度二Q60.8870.8960.685
Q70.760
Q80.770
Q90.885
维度三Q100.8800.8040.673
Q110.756
), ArticleFig(id=1241065995947798904, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=表4, caption=

聚敛效度

, figureFileSmall=null, figureFileBig=null, tableContent=
维度测量项标准因子载荷系数CRAVE
维度一Q10.7820.8930.627
Q20.726
Q30.745
Q40.884
Q50.812
维度二Q60.8870.8960.685
Q70.760
Q80.770
Q90.885
维度三Q100.8800.8040.673
Q110.756
), ArticleFig(id=1241065996077822341, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=EN, label=Table 5, caption=

Discriminative validity analysis test

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维度维度一维度二维度三
维度一0.792a
维度二0.4730.828a
维度三0.3770.3970.820a
), ArticleFig(id=1241065996300120462, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988414829560, language=CN, label=表5, caption=

区分效度分析检验

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维度维度一维度二维度三
维度一0.792a
维度二0.4730.828a
维度三0.3770.3970.820a
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中文版普适性药物依从性量表在非结核分枝杆菌肺病患者中的信效度分析
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毛昕妍 1 , 储美萍 2 , 王婷 2
现代预防医学 | 流行病与统计方法 2025,52(4): 603-607
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现代预防医学 | 流行病与统计方法 2025, 52(4): 603-607
中文版普适性药物依从性量表在非结核分枝杆菌肺病患者中的信效度分析
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毛昕妍1, 储美萍2 , 王婷2
作者信息
  • 1.江南大学医学院，江苏 无锡 214000
  • 2.无锡市第五人民医院（江南大学附属无锡五院）呼吸与危重症医学科

    • 毛昕妍（1998—），女，硕士在读，研究方向：老年呼吸方向

通讯作者:

储美萍，E-mail：
Reliability and validity analysis of the Chinese version of the general medication adherence scale in patients with nontuberculous mycobacterial pulmonary disease
Xin-yan MAO1, Mei-ping CHU2 , Ting WANG2
Affiliations
  • School of Medicine, Jiangnan University, Wuxi, Jiangsu 214000, China
出版时间: 2025-02-25 doi: 10.20043/j.cnki.MPM.202411033
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摘要
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目的

检验中文版普适性药物依从性量表（general medication adherence scale, GMAS）在非结核分枝杆菌肺病（Nontuberculous mycobacteria pulmonary disease, NTM-PD）患者中的信度与效度。

方法

选取2023年2月至2024年9月在江南大学附属无锡五院就诊的NTM-PD患者作为研究对象进行问卷调查，以检验中文版GMAS的信效度。

结果

研究共纳入281例患者。中文版GMAS的Cronbach α系数为0.890，各维度Cronbach α系数为0.834~0.890。折半信度为0.806，各维度折半信度为0.834~0.870，重测信度为0.896。探索性因子分析供提取3个公因子，累计方差贡献率为76.244%。验证性因子分析显示模型拟合度良好，χ2/df=1.583，GFI=0.928，AGFI=0.884，NFI=0.934，TLI=0.965，CFI=0.974，TLI=0.965，RMSEA=0.063，且具有较好的聚敛效度和区分效度。

结论

中文版GMAS在以中老年人群为主的NTM-PD患者中具有良好的信度和效度，可用于评估此人群的用药依从性水平。

普适性药物依从性量表  /  非结核分枝杆菌肺病  /  用药依从性  /  信效度研究
Objective

To test the reliability and validity of the Chinese version of the general medication adherence scale (GMAS) in patients with nontuberculous mycobacterial pulmonary disease(NTM-PD).

Methods

Patients with NTM-PD treated in Wuxi Fifth Hospital affiliated with Jiangnan University from February 2023 to September 2024 were selected as research objects to conduct a questionnaire survey to test the reliability and validity of the Chinese version of GMAS.

Results

A total of 281 patients were included in the study. The Cronbach's α coefficient of the Chinese version of the universal medication compliance scale was 0.890, and the Cronbach's α coefficient of each dimension was 0.834-0.890. The broken half reliability was 0.806, the split-half reliability of each dimension was 0.834-0.870, and the test-retest reliability was 0.896. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 76.244%. Confirmatory factor analysis showed that the model had a good fit, χ2/df=1.583, GFI=0.928, AGFI=0.884, NFI=0.934, TLI=0.965, CFI=0.974, TLI=0.965, RMSEA=0.063, and had good convergent validity and discriminant validity.

Conclusion

The Chinese version of GMAS has good reliability and validity in NTM-PD patients, mainly middle-aged and elderly people, and can be used to evaluate the level of medication compliance in this population.

General medication adherence scale(GMAS)  /  Nontuberculous mycobacteria pulmonary disease(NTM-PD)  /  Medication adherence  /  Reliability and validity
毛昕妍, 储美萍, 王婷. 中文版普适性药物依从性量表在非结核分枝杆菌肺病患者中的信效度分析. 现代预防医学, 2025 , 52 (4) : 603 -607 . DOI: 10.20043/j.cnki.MPM.202411033
Xin-yan MAO, Mei-ping CHU, Ting WANG. Reliability and validity analysis of the Chinese version of the general medication adherence scale in patients with nontuberculous mycobacterial pulmonary disease[J]. Modern Preventive Medicine, 2025 , 52 (4) : 603 -607 . DOI: 10.20043/j.cnki.MPM.202411033
正文
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非结核分枝杆菌肺病（Nontuberculous mycobacteria pulmonary disease, NTM-PD）是由非结核分枝杆菌感染肺部引起的一种使人衰弱的疾病[1]。NTM-PD患者的治疗特点为复杂的用药方案和漫长的治疗时间以及并不令人满意的治疗效果[2]。治疗的有效性不仅取决于药物方案，还与用药依从性密切相关，保持良好的用药依从性水平对患者的临床治疗结局具有积极影响[3]。荷兰一项通过处方数据报告NTM-PD患者治疗依从性的研究表明，NTM-PD患者的依从性有待改善[4]。医护人员在评估和改善依从性方面发挥着关键的作用[5]，应选择准确、简便的方法评估患者的用药依从性水平，并采取相应措施进行干预。
目前，尚缺乏针对NTM-PD患者用药依从性的评估工具，国内研究者在评估分枝杆菌病人的用药依从性时多采用中文版8条目Morisky用药依从性量表（MMAS-8）[6]。与肺结核相比，NTM-PD不具备传染性，并且在治疗方案、治疗时间以及治愈率方面也存在显著的差异[7]。
普适性药物依从性量表（general medication adherence scale, GMAS）由Naqvi等人于2018年编制[8]，已被翻译为多种语言版本[9-11]。此量表的优点在于共有三个维度，即患者行为、疾病和药物负担、经济支出[12]。本研究首次将中文版的GMAS应用于NTM-PD患者，并检验其在此人群中的信度和效度。旨在为中国NTM-PD患者提供全面、可靠的用药依从性评估工具。
1　对象与方法
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1.1　研究对象
采用便利抽样法，选取2023年2月—2024年9月在江南大学附属无锡五院就诊的281例NTM-PD患者作为研究对象。
纳入标准：①符合NTM-PD诊断标准[1]；②年龄大于18岁；③接受药物治疗一个月以上；④患者知情同意，自愿参与本研究。排除标准：①同时参与其他研究；②伴有精神疾病或认知障碍，无法完成调查。
本研究已获得江南大学附属无锡五院伦理委员会审核批准（审批号：2024-017-1）。样本量计算参照类似研究[13]。GMAS共有11个条目，按条目数的5~10倍估算，同时考虑20%的失访率。本研究所需样本量为66~132例，最终纳入样本量281例。采用问卷调查法,共发放问卷290份，回收有效问卷281份，有效回收率96.9%。
1.2　研究工具
1.2.1　一般资料调查表
查阅相关文献，由研究者自行编制。包括人口学资料如年龄、性别等；疾病相关资料如菌种类型、治疗类型等。
1.2.2　中文版普适性药物依从性量表（general medication adherence scale, GMAS）
由Naqvi等人编制[8]，Wang等人[14]于2021年进行翻译、跨文化调适。量表包含3个维度，共11个条目，得分范围为0分~33分。每个条目均有4个选项，为“总是”、“大部分”、“有时”、“从不”选项，依次计0分、1分、2分、3分。30~33分表明依从性高，27~29分表明依从性良好，7~26分表明依从性一般，11~16分表明依从性低，0~10分表明依从性差。本研究将依从性水平分为3组，分别为用药依从性水平高组（27~33分）、依从性水平中等组（17~26分）、依从性水平低组（0~16分）。
1.3　统计学方法
采用双人核对进行录入数据工作。用频数和百分比描述计数资料，用均数±标准差描述计量资料。将281份数据分为样本1（n=131）和样本2（n=150）。使用运用SPSS 26.0对样本1进行信度分析和探索性因子分析，运用AMOS 21.0对样本2进行验证性因子分析。
2　结果
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2.1　对象一般资料
本研究共纳入281例NTM-PD患者，年龄19~86（58.91±15.35）岁。男性143例（50.9%），女性138例（49.1%）。常见的NTM菌种依次为堪萨斯分枝杆菌87例（31.0%）、鸟分枝杆菌复合群156例（55.5%）和脓肿分枝杆菌29例（10.3%），其他NTM菌种9例（3.2%），包括龟分枝杆菌3例、蟾蜍分枝杆菌2例、瘰疬分枝杆菌2例、戈登分枝杆菌2例。初治患者195例（69.4%），复治患者86例（30.6%）。病程3~42（10.22±6.03）个月，持续用药时间2~20（6.49±3.51）个月。用药依从性水平低组51例（18.1%），用药依从性水平中等组134例（47.7%），用药依从性水平高组96例（34.2%）。GMAS每个条目得分数据见表1。
2.2　信度检验
2.2.1　内部一致性
对281份问卷进行分析，总量表的Cronbach α系数为0.890，折半信度为0.806。3个维度的Cronbach α系数分别为0.890、0.877、0.834，折半信度分别为0.856、0.870、0.834。见表2。
2.2.2　重测信度
从调查对象中随机抽取30例患者，在第一次调查后2周再次填写问卷。结果显示，量表的重测信度为0.896。
2.3　效度检验
2.3.1　探索性因子分析（EFA）
对样本1（n=131）进行探索性因子分析。结果显示，量表数据的KMO值为0.845（>0.6），Bartlett检验P<0.001，说明适合做因子分析。采用主成分分析法和正交旋转的最大方差法进行分析。结果显示，共提取3个公因子，累计方差贡献率为76.244%（>60%），旋转后的成分矩阵见表3。
2.3.2　验证性因子分析（CFA）
根据评价标准，卡方与自由度之比（χ2/df）应≤3，拟合优度指标（GFI）、有调整的拟合优度指标（AGFI）应>0.8，规范拟合指数（NFI）、比较拟合指数（CFI）0.974、非规范拟合指数（TLI）0.965应>0.9，估计误差均方根（RMSEA）应<0.08。结果显示，χ2/df=1.583，GFI=0.928，AGFI=0.884，NFI=0.934，TLI=0.965，CFI=0.974，TLI=0.965，RMSEA=0.063。根据模型拟合指标的标准，模型的拟合指标均达到要求，故对模型的路径进行分析。见图1。
2.3.3　聚敛效度
采用组合信度（composite reliability, CR）和平均方差提取值（average variance extractet, AVE）表示。各题项因素载荷值在0.7~0.9之间，各维度的组合信度（CR）分别为0.893、0.896、0.804，AVE分别为0.627、0.685、0.673，均达到标准，表示该量表具有较好的聚敛效度。见表4。
2.3.4　区分效度
各维度的AVE均大于0.5，且AVE的平方根大于各维度之间的相关系数，故说明量表有较好的区分效度。见表5。
3　讨论
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NTM-PD治疗时间通常需要18~24个月，并且需要严格遵医嘱用药以取得成功的治疗结局。由于不良事件和药物-药物相互作用，许多患者面临治疗中断和过早终止治疗的风险，导致治疗失败、感染复发和耐药菌株的发展。因此，提高并且保持较高的用药依从性是NTM-PD患者临床管理中重要的策略之一。
本研究调查了281例NTM-PD患者的用药依从性水平，用药依从性水平占比最高的是水平中等组（47.7%），其次为水平高组（34.2%）和水平低组（18.1%），这提示NTM-PD患者的用药依从性水平仍有待提高。用药依从性水平在一定程度上影响治疗方案的有效性和治疗结局，综合多因素评估高风险人群非常重要。医务人员在解决可能阻碍用药依从性的问题或挑战方面发挥着关键作用。中文版GMAS针对患者有意或无意的行为、共病及药物负担、经济负担所导致的用药不依从这3个方面来评估NTM-PD患者的用药依从性水平，可以精确识别患者在用药方面依从和不依从的相关原因，帮助医护人员早期筛选出高风险人群，以便后期采用针对性的干预措施改善患者的用药依从性，从而最大化实现药物治疗的价值，延缓疾病进展，改善治疗结局[15]。
信度和效度在医学研究中非常重要[16-17]。信度是反映量表测量结果内部一致性和稳定性的指标[18]。本研究通过Cronbach α系数、折半信度和重测信度对中文版GMAS进行信度检验。结果显示，总量表的Cronbach α系数为0.890，折半信度为0.806。三个维度的Cronbach α在0.834~0.890，折半信度在0.834~0.870。在第一次调查后2周再次填写问卷，重测信度为0.896。研究表明，信度系数均>0.8，说明中文版GMAS具有较好的内部一致性和时间稳定性。
效度是关于数据或结果测量的准确性[16]。探索性因子分析结果显示，共提取3个公因子，与原量表一致，累计方差贡献率为76.244%，各条目在所属公因子上的载荷均>0.5，表明中文版GMAS具有较好的结构稳定性。验证性因子分析结果显示，χ2/df、GFI、AGFI、NFI、TLI、CFI、TLI、RMSEA、AVE、CR均达到理想标准，表示模型拟合度较好且具有较好的聚敛效度和区分效度。
4　小结
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综上所述，中文版GMAS应用于NTM-PD人群中信效度良好，可以较为全面的评估NTM-PD患者的用药依从性水平，且量表条目数较少，在以中老年人群为主的NTM-PD患者中应用时普适性较高。今后可进一步扩大样本的地域范围和数量。开展对NTM-PD患者用药依从性的纵向追踪，调查患者用药依从性水平随时间推移而发生的变化过程，进一步验证此量表的适用性。
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2025年第52卷第4期
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doi: 10.20043/j.cnki.MPM.202411033
  • 接收时间：2024-11-02
  • 首发时间：2026-03-18
  • 出版时间：2025-02-25
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  • 收稿日期：2024-11-02
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    1.江南大学医学院，江苏 无锡 214000
    2.无锡市第五人民医院（江南大学附属无锡五院）呼吸与危重症医学科

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2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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