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 ›› 2025, Vol. 25 ›› Issue (6): 835-840.doi: 10.3969/j.issn.1672-1756.2025.06.007

• 论著 • 上一篇    下一篇

危险药物处理问卷的汉化及信度效度检验

郑阳 沈傲梅 张力川 杨宏艳 谷洪涛 赵杰 罗健 路潜   

  1. 北京大学第一医院医学影像科，100034 北京市（郑阳，罗健）；护理部（杨宏艳，谷洪涛）；门诊化疗中心（赵杰）；天津医科大学肿瘤医院护理部（沈傲梅）；河北大学护理学院（张力川）；北京大学护理学院（路潜）
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 路潜，博士，教授，E-mail:luqian@bjmu.edu.cn
  • 作者简介:郑阳，硕士在读，主管护师
  • 基金资助:
    北京大学第一医院科研种子基金（2024SF73）

Reliability and validity test of the Chinese version of the Hazardous Drug Handling Questionnaire

ZHENG Yang, SHEN Aomei, ZHANG Lichuan, YANG Hongyan, GU Hongtao, ZHAO Jie, LUO Jian, LU Qian   

  1. Department of Radiology, Peking University First Hospital , Beijing, 100034, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:luqian@bjmu.edu.cn

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摘要： 目的：翻译危险药物处理问卷（Hazardous Drug Handling Questionnaire，HDHQ），并检验其信度、效度，为国内护士危险药物职业防护的评估提供科学、可靠的测量工具。方法：遵循Brislin翻译模型对HDHQ进行翻译、回译、文化调适和预调查，形成中文版HDHQ。2024年3月—4月采用便利抽样法选取北京市406名护士进行问卷调查，检验问卷的信度、效度。结果：中文版HDHQ的危险药物安全防护措施使用情况部分的Cronbach’s α系数为0.892，重测信度检验结果显示ICC为0.782；影响因素部分的Cronbach’s α系数为0.742～0.971；ICC为0.536～0.823；中文版HDHQ的I-CVI为0.80～1.00，S-CVI为0.90～1.00；接受过危险药物职业防护培训的护士危险药物安全防护措施的使用得分高于没有接受过培训的护士得分，差异有统计学意义（P<0.05）；危险药物安全防护措施的使用得分与注册护士核心能力量表总分呈正相关（r=0.334，P<0.05）；模型适配度良好。结论：中文版HDHQ具有较好的信度和效度，可作为护士危险药物职业防护现状的评估工具。

关键词: 危险药物, 处理, 问卷, 信度, 效度

Abstract: Objective: To translate and test the reliability and validity of the Hazardous Drug Handling Questionnaire (HDHQ), in order to provide a scientific and reliable measurement tool for the assessment of nurses' occupational protection against hazardous drugs in China. Methods: Following Brislin's translation model, HDHQ was translated, back-translated, culturally adapted and pre-investigated to form its Chinese version. From March to April 2024, a total of 406 nurses in Beijing were selected by convenience sampling method to conduct a questionnaire survey to test the reliability and validity of the questionnaire. Results: The Cronbach's α coefficient of the Chinese version of HDHQ was 0.892, and the test-retest reliability test showed that the ICC was 0.782. Besides, the Cronbach's α coefficient of the influencing factors was 0.742-0.971 with the ICC being 0.536-0.823. The I-CVI and S-CVI of Chinese version of HDHQ was 0.80-1.00 and 0.90-1.00, respectively. Nurses who had received protection training scored higher in terms of using hazardous drugs safety protection measures than those who had not received training, and the difference was statistically significant (P<0.05). Nurses' score of hazardous drug safety measures was positively correlated with the total score of Competency Inventory for Registered Nurses (r=0.334, P<0.05), showing good model fit. Conclusion: The Chinese version of HDHQ has good reliability and validity thus can be used as an assessment tool for the current situation of occupational protection against hazardous drugs in nursing staff.

Key words: hazardous drugs, handle, questionnaire, reliability, validity

中图分类号:  R47；R197
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