核辐射损伤患者院内护理救治能力量表的编制及信效度检验

目的 编制核辐射损伤患者院内护理救治能力量表，为提高护士的核辐射损伤患者护理能力提供评价依据。方法 采用文献查阅、组织访谈和专家咨询编制量表方法，随机选取某三甲医院330名临床护士作为研究对象，发放量表，进行条目分析及信效度检验。结果 本量表共分为核辐射损伤基础知识、专科装备使用能力、专科病区管理能力、基础护理能力、专科护理能力、自我能力认可6个维度，51个条目。探索性因子分析后，共分为6个主成分，累计解释方差为70.757%。验证性因子分析的χ²、df、χ²/df、CFI、IFI、TLI、NFI、PNFI、PCFI、RMSEA拟合指标均可接受。Cronbach’s α系数为0.976，重测信度为0.823。全体一致S-CVI（S-CVI/UA）为0.84，评价内容效度S-CVI（S-CVI/Ave）为0.98，条目水平内容效度I-CVI为0.78～1.00；结论 本量表的条目及维度设置经检验，各项指标符合要求，信效度检验结果良好，可作为核辐射损伤患者院内护理能力初步评价量表。

Compilation and reliability and validity test of hospital nursing treatment capacity scale for patients with nuclear radiation damage

Objective The nursing treatment ability scale of patients with nuclear radiation damagein the hospital was developed to provide an evaluation basis for improving the nursing ability of nurses with nuclear radiation damage.Methods The scale was prepared by literature review, expert interview and expert consultation, and a total of 330 clinical nurses from a third-class hospital was randomly selected as the research objects. The scales were issued for item analysis and reliability and validity test.Results The scales were divided into 6 dimensions, including basic knowledge of nuclear radiation damage, specialized equipment use ability, specialized ward management ability, basic nursing ability, specialized nursing ability and self-ability recognition, with 51 items. After exploratory factor analysis, there were 6 principal components, and the cumulative interpreted variance was 70.757%. The χ², df, χ²/df, CFI, IFI, TLI, NFI, PNFI, PCFI, RMSEA fitting indexes of confirmatory factor analysis were all acceptable. Cronbach's α coefficient was 0.976, the retest reliability was 0.823, and the S-CVI (S-CVI/UA) was 0.84. The evaluation content validityS-CVI (S-CVI/AVE) was 0.98, and the content validity I-CVI of the item level was 0.78～1.00.Conclusion The items and dimension Settings of this scale have been tested, and all indicators met the requirements. The reliability and validity test results were good. It can be used as a scale for preliminary evaluation of hospital nursing ability of patients with nuclear radiation damage.