上海交通大学学报(医学版) ›› 2022, Vol. 42 ›› Issue (1): 28-35.doi: 10.3969/j.issn.1674-8115.2022.01.005

• 临床护理专题 • 上一篇    下一篇

深静脉血栓形成机械预防知信行问卷的编制及信度和效度检验

韩春红1(), 王洁2(), 洪洋3, 童亚慧3   

  1. 1.南京医科大学教务处,南京 211166
    2.苏州大学附属独墅湖医院护理部,苏州 215127
    3.苏州大学附属第一医院骨科,苏州 215006
  • 收稿日期:2021-09-10 出版日期:2021-12-15 发布日期:2021-12-15
  • 通讯作者: 王洁 E-mail:hanchunhong@njmu.edu.cn;jie50000@sina.com
  • 作者简介:韩春红(1980—),女,助理研究员,硕士生;电子信箱:hanchunhong@njmu.edu.cn
  • 基金资助:
    苏州市科学技术局科研课题(SYSD2020100)

Development of knowledge-attitude-practice questionnaire for mechanical prophylaxis of deep venous thrombosis and its reliability and validity testing

Chunhong HAN1(), Jie WANG2(), Yang HONG3, Yahui TONG3   

  1. 1.Office of Academic Affairs, Nanjing Medical University, Nanjing 211166, China
    2.Nursing Department, Dushu Lake Hospital, Soochow University, Soochow 215127, China
    3.Orthopedics Department, the First Affiliated Hospital of Soochow University, Soochow 215006, China
  • Received:2021-09-10 Online:2021-12-15 Published:2021-12-15
  • Contact: Jie WANG E-mail:hanchunhong@njmu.edu.cn;jie50000@sina.com
  • Supported by:
    Scientific Research Project of Soochow Science and Technology Bureau(SYSD2020100)

摘要:

目的·编制适用于我国骨科护士的深静脉血栓形成机械预防知信行问卷,并检验其信度和效度。方法·在文献回顾的基础上,结合骨科疾病和骨科护士的工作特点,编制深静脉血栓形成机械预防知信行问卷初稿。2020年1月,通过2轮专家函询对初稿条目进行论证和修改,形成深静脉血栓形成机械预防知信行问卷测试版。2020年3月,在江苏省13个市36家医疗单位620名骨科护士中进行测试。采用临界比值法和同质性检验进行项目分析;从内部一致性信度、折半信度、重测信度的角度进行信度分析;从内容效度和结构效度两方面进行效度分析。结果·深静脉血栓形成机械预防知信行问卷初稿包含37个条目,经过第1轮专家咨询修改4个条目,增添7个条目;经过第2轮专家咨询,形成包含44个条目的问卷测试版。该研究共发放问卷620份,有效回收率为96.77%。临界比值法示,反映高分组和低分组独立样本t检验结果的条目决断值t介于5.89~20.31,且差异有统计学意义(均P<0.05);同质性检验示,反映各条目得分与量表总分相关性的Pearson相关系数r介于0.49~0.79,且差异有统计学意义(均P<0.05);故经项目分析,保留44个条目。反映总问卷内部一致性的Cronbach's α系数为0.893,反映折半信度的Spearman-Brown系数为0.794,反映重测信度的组内相关系数为0.909。反映内容效度的问卷水平内容效度指数为0.926,条目水平内容效度指数为0.833~1。反映结构效度的取样适切性量数KMO值为0.883,Bartlett's球形检验的χ2值为12 560.176(df=666,P<0.05),表示问卷适合进行探索性因子分析,且根据因子负荷绝对值共删除7个条目,最终剩余37个条目;提取7个特征值>1的公因子,分别命名为机械预防的行为、机械预防的风险认知、机械预防的适应证认知、机械预防的禁忌证认知、机械预防的概念认知、机械预防的应对和机械预防的健康教育认知,累计方差贡献率为61.992%。结论·该研究编制的深静脉血栓形成机械预防知信行问卷信度和效度较好,可作为研究骨科护士机械预防态度、认知和行为的调查工具。

关键词: 骨科护士, 深静脉血栓, 机械预防, 问卷, 信度, 效度

Abstract:

Objective·To develop a knowledge-attitude-practice questionnaire for mechanical prophylaxis of deep venous thrombosis for orthopedic nurses in China, and analyze its reliability and validity.

Methods·On the basis of literature review, combined with the characteristics of orthopedic diseases and orthopedic nurses, a preliminary questionnaire for mechanical prophylaxis of deep venous thrombosis was prepared. In January 2020, two rounds of expert letter consultation were conducted to demonstrate and modify the items in the first draft and form the test version of the questionnaire for mechanical prophylaxis of deep vein thrombosis.In March 2020, tests were conducted among 620 orthopedic nurses from 36 medical units in 13 cities in Jiangsu Province. Item analysis was carried out with critical ratio method and homogeneity test. Reliability analysis was carried out from internal consistency reliability, split-half reliability and retest reliability. Validity was analyzed from content validity and structure validity.

Results·The first draft of the questionnaire contained 37 items; after the first round of expert consultation, 4 items were revised and 7 items were added; after the second round of expert consultation, a test version of the questionnaire containing 44 items was formed. A total of 620 questionnaires were distributed. The effective recovery rate of the questionnaire was 96.77%. The critical ratio method showed that the item decision values t, which reflected the t-test results of independent samples of high and low groups, ranged from 5.89 to 20.31, and the difference was statistically significant (all P<0.05). The homogeneity test showed that Pearson correlation coefficient r, which reflected the correlation between the score of each item and the total score of the scale, ranged from 0.49 to 0.79, and the difference was statistically significant (all P<0.05). Therefore, 44 items were retained after item analysis. The Cronbach's α coefficient reflecting the internal consistency of the total questionnaire was 0.893, the Spearman-Brown coefficient reflecting the half-fold reliability was 0.794, and the intraclass correlation coefficient reflecting the retest reliability was 0.909. The scale-level content validity index reflecting content validity was 0.926 and the item-level content validity index was 0.833?1. Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett's sphericity test chi-square value which reflected the structure validity were 0.883 and 12 560.176 (df=666, P<0.05) respectively. These values indicated that the questionnaire was suitable for exploratory factor analysis. In addition, 7 items were deleted according to the absolute value of factor load. Finally, 37 items remained. Seven common factors with eigenvalue greater than 1 were extracted. The 7 common factors were named the act of mechanical prophylaxis, risk perception of mechanical prophylaxis, indications of mechanical prophylaxis, contraindications of mechanical prophylaxis, conceptual cognition of mechanical prophylaxis, mechanical preventive response and health education cognition of mechanical prophylaxis, respectively. The cumulative variance contribution rate was 61.992%.

Conclusion·The questionnaire in this study shows good reliability and validity. It can be used as an investigation tool to study the current attitude, knowledge and behavior of mechanical prophylaxis of orthopedic nurses.

Key words: orthopedic nurse, deep vein thrombosis, mechanical prophylaxis, questionnaire, reliability, validity

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