居家脑卒中患者护理分级评估指标体系的构建和信效度检验

目的 构建居家脑卒中患者护理分级评估指标体系,为居家脑卒中患者护理分级提供测评依据。 方法 基于文献分析、质性访谈、专家小组会议拟定指标体系初稿;2018年6月至9月,经三轮专家函询形成指标体系。2018年9月至12月,对210例居家脑卒中患者开展评估,进行信效度检验。 结果 三轮专家函询的有效回收率为85.00%、89.47%和100%,专家权威系数为0.878、0.879和0.879;形成由4个一级指标,30个二级指标和120条评价标准构成的指标体系;量表内容效度指数(CVI)全体一致率为0.733,平均CVI为0.927,各项目CVI为0.83~1.00;整体水平Cronbach α系数为0.928,Guttman Spilt折半系数为0.794,各维度水平Cronbach α系数与Guttman Spilt折半系数均在0.700以上;各指标评分者间相关系数0.492~0.963 (P< 0.05)。 结论 居家脑卒中患者护理分级评估指标体系简单可操作,信效度良好,能较好对居家脑卒中患者进行照护等级评估。

Nursing Grading Evaluation System for Patients with Stroke at Home:Construction,Validity and Reliability

Objective To construct a nursing grading evaluation indicator system for patients with stroke at home to provide a basis for graded care.Methods Based on literature analysis,qualitative interviews and panel meeting,an evaluation indicator system was preliminarily drafted.June to September,2018,the indicator system was consulted to experts three times.It was used to evaluate 210 patients with stroke at home from September to December,2018 to test its reliability and validity.Results The effective recovery rates of the three times of consultation were 85.00%,89.47%and 100%,and the authority coefficient were 0.878,0.879 and 0.879.The indicator system included four first-level indicators,30 secondlevel indicators and 120 items.The scale-level content validity index(CVI)universal agreement was 0.733,average CVI was 0.927;the item-level CVIs were 0.83 to 1.00.For the overall level,the Cronbach'sαcoefficient was 0.928,and the Guttman Spilt half-factor coefficient was 0.794.For the dimensions,the Cronbach'sαcoefficient and the Guttman Spilt half-factor coefficients were all above 0.700.The correlated coefficients inter-evaluator of each indicators were 0.492 to 0.963(P<0.05).Conclusion The nursing grading evaluation indicator system for patients with stroke at home is simple and operable,with satisfactory reliability and validity to grade the level of care for patients with stroke at home.