中国积极信念自评量表的研制及其信效度检验

目的编制中国积极信念自评预测量表并进行信度、效度检验。方法通过预测验构建初问卷,并采用探索性因素分析、相关分析、t检验等方法分析数据,检验其信效度。结果根据因子分析结果,提取1个因子,正式量表含有10个条目,累计方差贡献率为51.85%。总量表的Cronbach'sα系数为0.783,分半系数为0.852。10个条目与总量表的相关系数在0.624~0.778(P0.01)。高分组与低分组比较,各条目得分差异显著(t=2.57~5.38,P0.01)。结论中国积极信念自评量表的信度、效度符合心理测量学要求,可作为中国人积极信念的自评工具。     

初中生“基本认知能力测验”信效度分析

目的初中生"基本认知能力测验"信效度分析。方法以中国社会科学院心理研究所基本认知能力测验系统(2.0版)为工具,对分层随机抽取的300名初中生进行认知能力测试。结果①各分量表重测信度比较高,其相关系数分别是:数字拷贝0.90,汉字比较0.73,心算0.75,汉字旋转0.62,数字工作0.91,双字词再认0.59,无意义图形再认0.56,均达到显著水平(P0.05);②因素分析发现基本认知能力测验有6个纬度,分别是:数字拷贝、双字词再认、数字加工、数字工作、汉字比较、心算。结论基本认知能力测验信效度较好,能很好的反映初中生的认知状况。     

Validation of the Premature Infant Pain Profile-Revised (PIPP-R)

Objectives

To examine the construct validity, inter-rater reliability, and feasibility of the Premature Infant Pain Profile-Revised in infants of varying gestational ages, diagnoses, and procedures.

Methods

A prospective cross-over study with infants in three gestational age groups (26–31, 32–36, and ≥ 37 weeks) at three university-affiliated Neonatal Intensive Care Units in Canada. One hundred and ninety five bedside nurses and expert raters rated 202 hospitalized infants' pain during scheduled procedures using the measure. An expert rater and a nurse independently assessed infants' pain scores, using the Premature Infant Pain Profile-Revised, during 246 scheduled pairs of painful and non-painful procedures in the 202 infants. Nurses also completed a feasibility survey on using the measure in a clinical setting. To establish construct validity, pain scores were computed during painful and non-painful procedures. Inter-rater reliability between pain experts and nurses was calculated. A 5-point Likert scale was used to measure feasibility in terms of clarity, ease of use, and time to complete.

Results

Irrespective of gestational age, Premature Infant Pain Profile-Revised scores were significantly higher during painful procedures (mean 6.7 [SD 3.0]) compared to non-painful procedures (mean 4.8 [SD 2.9]). There was a high degree of correlation between nurses' and experts' ratings for painful (all R² = 0.92, p < 0.001) and non-painful (all R² = 0.87, p < 0.001) procedures. Mean scores on all feasibility indicators were equal to or higher than 3.8.

Discussion

The Premature Infant Pain Profile Revised has beginning construct validation, inter-rater reliability, and is considered feasible by clinicians. Concurrent validation studies should be considered.     

中文版脑卒中后失语症生活质量量表的信度和效度研究

目的通过编译及心理测量学考评脑卒中失语症生活质量量表,建立脑卒中失语症适合的生活质量专用表。方法应用中文版脑卒中失语症生活质量量表(SAQOL-39g)以问卷形式对2017年1月至2019年1月我院收治的88例脑卒中失语患者及其88名陪护(代评者)进行调查,全面考察该量表信度、效度、可行性及及自评代评量表间一致性。结果量表回收率为100%,其中自评量表和代评量表平均完成时间为(21.61±4.38)min和(13.26±5.70)min。中文版SAQOL-39g Cronbach’s alpha系数内自评量表和代评量表的总体和各维度内在信度范围分别为0.881~0.946和0.884~0.941;重测信度相关系数范围分别为0.803~0.973和0.862~0.986。使用量表结构效度检验因子分析显示提取3个公因子,贡献率为59.7%。中文版SAQOL-39g中自评量表和代评量表之间具有较高一致性(P>0.05)。结论应用中文版SAQOL-39g具有较高的信度、效度及可行性,自评量表和代评量表间具有较好的一致性,可有效评估脑卒中失语症患者的生活质量。     

中文版炎症性肠病问卷的信度和效度研究

目的评价中文版炎症性肠病问卷(1BDQ)的信度和效度。方法采用IBDQ和健康状况调查问卷(SF-36)对71例炎症性肠病患者进行问卷调查,分析量表的内部一致性、分半信度、标准关联效度和结构效度等指标。结果IBDQ各维度的Cronbach’sα系数为0.7430~O.8763,分半信度为0.9029,IBDQ的各维度与SF-36中除生理机能外的各维度均呈显著正相关。结构效度中,经因子分析,各主因子中各条目与其主成分大致相符。结论中文版的IBDQ具有良好的信度和效度,适用于评价我国IBD患者的生存质量。     

Reliability and validity of the Tibetan medicine constitution scale: a cross-sectional study of the general population in Beijing,China

Background:The constitutional theory is an important aspect of Tibetan medicine,however a quantitative measurement tool for constitution identification still does not exist.The objective of this study is to evaluate the reliability and validity of a Tibetan medicine constitution scale(TMCS)that consists of three sub-scales and 31 items.Methods:From June to July 2019,622 people from the general population in Beijing,China,aged 18 to 60 were investigated.We employed Cronbach’s alpha(α),split-half reliability,and test-retest reliability to determine the reliability of the scale.The content validity and contract validity of the TMCS were evaluated using factor analysis and correlation analysis based on Tibetan medicine theory.The items were screened according to the reliability test results.Results:After the items were screened,22 items remained in the scale.The Cronbach’s alpha value for the internal consistency reliability of the TMCS was 0.754(95%confidence interval(CI):0.700–0.761).The correlation coefficient for the two-week test-retest of the total score was 0.726(95%CI:0.571–0.834).The split-half coefficient was 0.689(95%CI:0.640–0.734).The scale can be explained by eight potential factors,including morphological structure,physiological function,personality,adaptability,etc.The body mass index was negatively correlated with the score of the sub-rlung scale(r=−0.376),slightly positively correlated with the sub-mkhris pa scale(r=0.099),and positively correlated with the sub-bad kan scale(r=0.362).Conclusion:The TMCS is a reliable and valid instrument that can be used to assess the body constitution of the general population in Beijing,China.Future studies are needed to explore the differences in biological characteristics among the constitutional types and the association between constitution and disease.     

研究生心理压力的因子探索

目的 探索构成研究生压力的因子,开发适合测量我国研究生的压力问卷。方法 用自编问卷调查来自重庆市3所高校的210名硕士研究生．对调查数据进行探索性因素分析和相关分析。结果 研究生压力由8个因子构成．即专业发展、论文要求、担忧未来、经济和相貌、人际孤单、环境和心境糟糕、身体健康、学习任务等,研究生压力问卷的α系数为0．905,各分量表的α系数在0．621～0．832之间,并且其结构效度较好。结论 研究生压力由8个因子构成,研究生压力问卷的信效度较好。     

Development and validation of the incontinence associated dermatitis knowledge,attitude and practice questionnaire

AimThis study aimed to develop and test the validity and reliability of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q) for Nurses.MethodsA psychometric validation design was employed. Phase I of the study entailed the development of items through an extensive literature review and a double Delphi procedure with 11 experts specialised in wound, ostomy and continence to examine content validity of the KAP-IAD-Q. Phase II involved administering the KAP-IAD-Q to a convenience sample of 263 Registered Nurses from a public hospital in Singapore to evaluate its construct validity, internal consistency and test-retest reliability.ResultsThe instrument showed acceptable content validity (S-CVI = 0.85). Exploratory factor analysis showed all 22 items demonstrated strong factor loadings >0.4 and the four factors KAP-IAD-Q explained 58.1% of total variance. The four factors were☹1) knowledge om IAD aetiology and identification, (2) knowledge on IAD risk factors; (3) attitudes, and (4) practices. The overall internal consistency was excellent (Cronbach's α = 0.913). The KAP-IAD-Q showed good overall test-retest reliability as well (ICC = 0.89 (95% CI 0.69–0.96, p < 0.001).ConclusionThe KAP-IAD-Q demonstrated good psychometric properties and is effective in measuring levels of IAD-related KAP among nurses. Further confirmation of the proposed factor structure is recommended. Future research should explore determinants of nurses’ KAP and associations between IAD knowledge, attitudes and practices.     

异基因造血干细胞移植供者症状评估量表的编制和信效度检验

目的 编制适用于异基因造血干细胞移植供者的症状评估量表并检验其信效度。 方法 在文献回顾、半结构式访谈的基础上构建量表条目池;经过2轮专家函询,形成初始版量表;通过对30例供者的预调查,补充各条目的描述性定义及症状严重程度的参考标准。对2021年1月—12月浙江省5所三级甲等医院血液科接收的178例异基因造血干细胞移植供者进行正式调查,检验量表的信效度。 结果 异基因造血干细胞移植供者症状评估量表包括21个条目,探索性因子分析提取7个公因子,累计方差贡献率为67.794%;条目的内容效度指数为0.830~1.000,量表的内容效度指数为0.884;量表总的Cronbach’s α系数为0.811,重测信度为0.755,折半信度为0.730。 结论 异基因造血干细胞移植供者症状评估量表具有良好的信效度,可用于相关人群的症状评估。     

术中获得性压力性损伤危险因素评估量表的编制及信效度检验

目的 编制术中获得性压力性损伤危险因素评估量表并进行信效度检验,旨在为手术室护理人员提供科学、客观的压力性损伤评估工具。 方法 在循证的基础上结合2轮专家函询形成量表初稿;采用便利抽样法,于2019年11月—2020年1月选取7所三级甲等医院的6 713例择期手术患者为调查对象,对术中获得性压力性损伤风险评估量表的信效度进行检验并绘制受试者工作特征曲线确定最佳临界值。结果 术中获得性压力性损伤危险因素评估量表包括2个维度、10个危险因素;2轮函询专家积极系数均为100%,权威系数为0.874、0.885,肯德尔和谐系数为0.164、0.170;量表整体的Cronbach’s α系数为0.648,折半信度为0.705,内容效度为0.989;2个维度的最佳临界值为8.5分、7.5分,受试者工作特征曲线下面积分别为0.779、0.776。 结论 术中获得性压力性损伤危险因素评估量表具有良好的信效度,可在临床推广使用。