主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (2): 205-209.doi: 10.3969/j.issn.1672-1756.2023.02.010

• 论著 • 上一篇    下一篇

濒死期护理实践行为评价问卷的编制及信度效度检验

侯晓婷 李欣 国仁秀 王云 杨红 陆宇晗   

  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所胸部肿瘤内一科,100142 北京市(侯晓婷);护理部(李欣,杨红,陆宇晗);消化肿瘤内科(国仁秀);中西医结合科暨老年肿瘤科(王云)
  • 出版日期:2023-02-15 发布日期:2023-02-15
  • 通讯作者: 陆宇晗,硕士,主任护师,护理部主任,E-mail:lu_yuhan@sina.com
  • 作者简介:侯晓婷,硕士,主管护师
  • 基金资助:
    北京大学肿瘤医院科学研究基金(2020自主-26)

Development of the Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire and psychometric properties test

HOU Xiaoting, LI Xin, GUO Renxiu, WANG Yun, YANG Hong, LU Yuhan   

  1. The First Division of Thoracic Oncologic Department, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing), Peking University Cancer Hospital & Institute, Beijing, 100142, China
  • Online:2023-02-15 Published:2023-02-15
  • Contact: E-mail:lu_yuhan@sina.com

摘要: 目的:编制适用于我国文化的濒死期护理实践行为评价问卷,并检验其信度和效度。方法:基于CARES框架拟定问卷条目池;通过专家评定形成测试问卷;应用该问卷对210名肿瘤科护士进行调查,采用项目分析、因子分析、内部一致性信度、重测信度对问卷进行条目筛选和信度、效度检验。结果:最终形成的正式评价问卷包括31个条目。探索性因子分析提取出4个因子,累计方差贡献率为72.459%;结合条目具体内容将问卷调整为5个因子,分别为疼痛管理和舒适照护、气道管理、躁动和谵妄管理、情感和精神支持以及护士自我照护。问卷I-CVI为0.80~1.00,S-CVI/Ave为0.98。总体问卷的Cronbach’s?α系数为0.945,重测信度为0.785。结论:该问卷具有良好的信度和效度,可评价护士对濒死期患者的照护实践行为。

关键词: 濒死期护理;行为;信度;效度

Abstract: Objective: To develop the Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire and to test its psychometric properties. Methods: An item pool was development based on the CARES framework. The items were selected and modified by expert assessment, and then totally 210 oncology nurses were investigated with the questionnaire to test its psychometric properties. Through item analysis, factor analysis, internal consistency analysis, test-retest reliability to screen items of the questionnaire and conduct reliability and validity tests. Results: The final questionnaire consisted of 31 items. Exploratory factor analysis identified four principal factors which could explain 72.459% of the variance. Considering the items content, the final questionnaire was adjusted to 5 factors, namely pain management and comfort, airway management, restlessness and delirium management, emotional and spiritual support, and nurse self-care. The I-CVI was 0.80-1.00, and the S-CVI/Ave was 0.98. The Cronbach's α coefficient of the overall questionnaire was 0.945 and the test-retest reliability was 0.785. Conclusion: The Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire has good validity and reliability, which can assess nurses' practice behaviors in providing the care for the dying.

Key words: care of the dying; behavior; reliability; validity

中图分类号:  R47;R197