| 综合性医院ICU护士亚谵妄综合征知信行现况调查量表的研制及信效度检验 |
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| 引用本文： | 宁丽,陆骏,李益民,林黎君,刘琴,汤阿毛. 综合性医院ICU护士亚谵妄综合征知信行现况调查量表的研制及信效度检验[J]. 中华全科医学, 2019, 17(9): 1600-1604. DOI: 10.16766/j.cnki.issn.1674-4152.001007 |
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| 作者姓名： | 宁丽 陆骏 李益民 林黎君 刘琴 汤阿毛 |
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| 作者单位： | 1. 杭州市第一人民医院护理部, 浙江 杭州 310006; |
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| 基金项目： | 浙江省医药卫生科研基金(2018KY573) |
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| 摘 要： | 目的 研制ICU护士亚谵妄综合征知信行现况调查量表并进行信效度评价，为进一步研究亚谵妄综合征提供工具。 方法 通过文献回顾及整合，结合专家的意见，在知信行理论的基础上，初步拟定亚谵妄综合征知识、态度、行为的初级框架及条目池，用专家权威系数、积极系数、协调系数、变异系数等各项指标，对专家咨询的可靠性和代表性进行检验。形成调查量表后，于2017年7—8月选取在浙江省7家三级甲等医院和2家三级乙等医院ICU工作的510名在岗护理人员，采用上述量表对纳入研究对象进行调查，通过项目区分度分析、相关性分析、探索性因子分析对条目进行筛选；采用Cronbach's α系数、重测信度和内容效度、结构效度分析、确定该问卷的可行性和有效性。 结果 专家咨询的参与度为100%，权威系数为0.87，两轮函询的专家一致性为0.75和0.89。构建的综合性医院ICU护士亚谵妄综合征知信行现况调查量表包含知识、态度和护理行为3个维度，32个条目,采用Likert 5级评分法。量表的总Cronbanch's α系数为0.964，各维度的Cronbanch's α系数为0.900~0.976，重测信度为0.985，各维度重测信度为0.836~0.952；内容效度指标S-CVI为0.97,I-CVI为0.97~1.00；各维度累积贡献率为69.38%；验证性因素分析显示该量表具有较好的结构效度。 结论 该量表具有良好的信效度，可以用于对ICU护士的亚谵妄知信行现状的调查。
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| 关 键 词： | 亚谵妄综合征 知信行 ICU 护士 信度 效度 |
| 收稿时间： | 2018-04-19 |
Development and reliability and validity tests of the ICU nurse's KAP scale in the general hospital |
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| Affiliation: | Department of Nursing, Hangzhou Fist People's Hospital, Hangzhou, Zhejiang 310006, China |
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| Abstract: | Objective To Develop the ICU nurse's KAP scale in the general hospital and test its reliability and validity, in order to assess the subsyndromal delirium in ICU. Methods The subsyndromal delirium scale framework and items was initially built through literature reviewed and integrated，combined with expert opinion and knowledge theory. The reliability and representativeness of expert consultation are tested with expert authority coefficient, positive coefficient, coordination coefficient and coefficient of variation. After the formation of the questionnaire, we investigated 510 nursing staff working in ICU at 7 tertiary A hospitals and 2 tertiary B hospitals in Zhejiang province from July to August 2017, with the above questionnaire, filter items by project differentiation analysis, correlation analysis, exploratory factor analysis prevention; Cronbach's a coefficient, retest reliability, content validity and structural validity analysis were used to determine the feasibility and validity of the questionnaire. Results The participation in expert consultations is 100% and the authoritative coefficient is 0.87, the consistency of the experts in the two rounds of correspondence is 0.75 and 0.89. The ICU nurse's KAP scale in the general hospital contains 3 dimensions of knowledge, attitude and care behavior, including 32 items, using Likert 5-grade scoring method. The total Cronbanch's α coefficient of the questionnaire is 0.964, the Cronbanch's α coefficient for each dimension is 0.900-0.976, the test reliability is 0.985, the retest reliability for each dimension is 0.836-0.952, the content validity indicator S-CVI is 0.97, I-CVI is 0.97-1.00; the cumulative contribution rate for each dimension is 69.38%.The confirmatory factor analysis shows that the questionnaire has a good structural validity. Conclusion This scale has good reliability and validity, and can be used to investigate the status of subsyndromal delirium of nurses in ICU. |
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