上海交通大学学报（医学版）

上海交通大学学报（医学版） >

2022 , Vol. 42 >Issue 11: 1582 - 1588

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.11.010

论著 · 公共卫生

中文版职业坐姿及体力活动问卷在重症监护室护士中的信效度评价

  • 黄康慧 ,
  • 李梦瑶 ,
  • 施澜 ,
  • 郑子一 ,
  • 温弗乐 ,
  • 章雅青
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  • 上海交通大学护理学院，上海 200025
黄康慧(1996—)，女，硕士生；电子信箱：huangkanghui@sjtu.edu.cn。第一联系人：（温弗乐、，章雅青并列第一作者）
章雅青，电子信箱：zhangyqf@shsmu.edu.cn。
温弗乐，电子信箱：wenfule@sjtu.edu.cn

收稿日期: 2022-05-23

  录用日期: 2022-10-18

  网络出版日期: 2023-01-04

基金资助

上海市教育委员会护理高原学科项目(Hlgy1902pt);上海交通大学护理学院大学生创新项目(BJ1-7000-21-7215-04)

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Validity and reliability of Chinese version of Occupational Sitting and Physical Activity Questionnaire among intensive care nurses

  • Kanghui HUANG ,
  • Mengyao LI ,
  • Lan SHI ,
  • Ziyi ZHENG ,
  • Fule WEN ,
  • Yaqing ZHANG
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  • Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
ZHANG Yaqing, E-mail: zhangyqf@shsmu.edu.cn.
WEN Fule, E-mail: wenfule@sjtu.edu.cn

Received date: 2022-05-23

  Accepted date: 2022-10-18

  Online published: 2023-01-04

Supported by

Construction Project of Nursing Plateau Discipline of Shanghai Education Commission(Hlgy 1902pt);College Students′ Innovation Training Program of Shanghai Jiao Tong University School of Nursing(BJ1-7000-21-7215-04)

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摘要

目的·引入和汉化职业坐姿及体力活动问卷（Occupational Sitting and Physical Activity Questionnaire，OSPAQ），评估该问卷在重症监护室护士中的信效度。方法·将OSPAQ汉化后，于2021年3月—7月便利选取上海市2家综合性三级甲等医院113名重症监护室护士作为研究对象。护士佩戴ActiGraph wGT3X-BT三轴加速度计7 d后填写中文版OSPAQ，对其中30名护士间隔1周后进行重测。采用组内相关系数（ICC）评价重测信度。以ActiGraph三轴加速度计为校标，采用Spearman等级相关系数和Bland-Altman图评价校标效度。结果·共纳入113名重症监护室护士，其中20名护士不翻班，93名护士翻班。中文版OSPAQ在坐姿、站姿和步行上重测信度较好，ICC为0.766~0.882；重体力劳动上重测信度可接受，ICC=0.606。从全体样本上看，在坐姿和步行方面，中文版OSPAQ与加速度计测量值的Spearman相关系数分别为0.456和0.428，为中等相关；在站姿方面，Spearman相关系数为0.200，为弱相关。从2个亚组分析上看，坐姿和步行方面，不翻班护士的Spearman相关系数表现为强相关，而翻班护士的Spearman相关系数表现为中等相关；在站姿方面，两类护士的相关系数则表现为弱相关或无相关。Bland-Altman一致性分析显示，中文版OSPAQ和加速度计对113名护士坐姿、站姿、步行测量结果的一致性为93.8%~94.7%，使用中文版OSPAQ自评时会低估坐姿和站姿时间、高估步行时间。结论·中文版OSPAQ具有较好的重测信度，在坐姿和步行方面具有可靠的校标效度，是一种简便可靠的职业性体力活动评估工具。

关键词： 体力活动; 信度; 效度; 评估工具; 工作; 加速度计

本文引用格式

黄康慧 , 李梦瑶 , 施澜 , 郑子一 , 温弗乐 , 章雅青 . 中文版职业坐姿及体力活动问卷在重症监护室护士中的信效度评价[J]. 上海交通大学学报（医学版）, 2022 , 42(11) : 1582 -1588 . DOI: 10.3969/j.issn.1674-8115.2022.11.010

Abstract

Objective ·To introduce and translate the Occupational Sitting and Physical Activity Questionnaire (OSPAQ), and evaluate the reliability and validity of the Chinese version of OSPAQ among intensive care nurses. Methods ·After the translation of OSPAQ, from March 2021 to July 2021, 113 intensive care nurses from two comprehensive tertiary first-class hospitals in Shanghai were conveniently selected as research objects. All participants wore ActiGraph wGT3X-BT accelerometer for 7 consecutive days, and then filled in the Chinese version of OSPAQ. Thirty nurses were retested after an interval of a week. Intraclass correlation coefficient was used to evaluate retest reliability. Criterion validity was assessed by using Spearman′s rank correlation coefficients and Bland-Altman plots. Results ·The sample included 113 intensive care nurses (20 nurses working in day shifts, and 93 nurses working in rotating shifts). The test-retest intraclass correlation coefficients for occupational sitting, standing, and walking in OSPAQ ranged from 0.766 to 0.882, which was evaluated as excellent. The test-retest intraclass correlation coefficients for heavy labour were 0.606, which was evaluated as acceptable. Spearman′s rank correlation coefficients for sitting (0.456) and walking (0.428) showed moderate associations, and that for standing (0.200) showed weak associations. Based on the analysis of the two subgroups, the Spearman′s rank correlation coefficients for sitting and walking showed strong associations among day shifts nurses, while those showed moderate associations among rotating shifts nurses. The Spearman′s rank correlation coefficients for standing showed weak or no associations among day shifts nurses and rotating shifts nurses. Bland-Altman consistency analysis showed that the consistency between the results of sitting posture, standing posture and walking measured by Chinese version OSPAQ and accelerometer was 93.8% to 94.7% in 113 nurses. When using Chinese version OSPAQ self-assessment, the time of sitting posture and standing posture was underestimated and the time of walking was overestimated. Conclusion ·The Chinese version of OSPAQ has good test-retest reliability and moderate validity for occupational sitting and walking among intensive care nurses. It is a simple and reliable assessment tool for occupational physical activity.

Key words： physical activity; reliability; validity; measurement; work; accelerometer

参考文献

1 何静, 王军, 杨涛. 慢性下肢静脉疾病的流行病学研究现状[J]. 中国血管外科杂志(电子版), 2018, 10(1): 71-78.
1 HE J, WANG J, YANG T. Epidemiology of chronic venous disease: current status[J]. Chin J Vasc Surg (Electronic Version), 2018, 10(1): 71-78.
2 VAN HOOF W, O′SULLIVAN K, O′KEEFFE M, et al. The efficacy of interventions for low back pain in nurses: a systematic review[J]. Int J Nurs Stud, 2018, 77: 222-231.
3 孙菲, 黄红铃, 江会, 等. 中英两国护士对自身体力活动及健康促进的态度与体验[J]. 中国实用护理杂志, 2013, 29(10): 12-16.
3 SUN F, HUANG H L, JIANG H, et al. Nurses′ attitude to and experience of physical activity and associated health promotion in UK and China[J]. Chin J Prac Nurs, 2013, 29(10): 12-16.
4 ROSENBERGER M E, HASKELL W L, ALBINALI F, et al. Estimating activity and sedentary behavior from an accelerometer on the hip or wrist[J]. Med Sci Sports Exerc, 2013, 45(5): 964-975.
5 CHAU J Y, VAN DER PLOEG H P, DUNN S, et al. Validity of the occupational sitting and physical activity questionnaire[J]. Med Sci Sports Exerc, 2012, 44(1): 118-125.
6 JANCEY J, TYE M, MCGANN S, et al. Application of the Occupational Sitting and Physical Activity Questionnaire (OSPAQ) to office based workers[J]. BMC Public Health, 2014, 14: 762.
7 PEDERSEN S J, KITIC C M, BIRD M L, et al. Is self-reporting workplace activity worthwhile? Validity and reliability of occupational sitting and physical activity questionnaire in desk-based workers[J]. BMC Public Health, 2016, 16(1): 836.
8 DILLON K, HIEMSTRA M, MITCHELL M, et al. Validity of the occupational sitting and physical activity questionnaire (OSPAQ) for home-based office workers during the COVID-19 global pandemic: a secondary analysis[J]. Appl Ergon, 2021, 97: 103551.
9 MAES I, KETELS M, VAN DYCK D, et al. The occupational sitting and physical activity questionnaire (OSPAQ): a validation study with accelerometer-assessed measures[J]. BMC Public Health, 2020, 20(1): 1072.
10 王丽敏, 万巧琴, 谷水, 等. 临床护士感知的工作负荷水平及其对工作投入的影响[J]. 护理学杂志, 2020, 35(17): 57-61.
10 WANG L M, WAN Q Q, GU S, et al. The level of self-rated workload among clinical nurses and its impact on work engagement[J]. J Nurs Sci, 2020, 35(17): 57-61.
11 李潮, 徐斐, 叶青, 等. 儿童青少年体力活动量表信效度评价[J]. 中华疾病控制杂志, 2019, 23(2): 172-175.
11 LI C, XU F, YE Q, et al. Evaluation of an item-specific physical activity scale for Chinese children and adolescents(I-PASCA)[J]. Chin J Dis Control Prev, 2019, 23(2): 172-175.
12 CICCHETTI D V. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology[J]. Psychol Assess, 1994, 6(4):284-290.
13 COHEN J. Statistical power analysis for the behavioral sciences[M]. 2nd ed. Hillsdale: Lawrence Erlbaum Associates, 1988: 83.
14 CLELAND C, FERGUSON S, ELLIS G, et al. Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom[J]. BMC Med Res Methodol, 2018, 18(1): 176.
15 WICK K, FAUDE O, SCHWAGER S, et al. Deviation between self-reported and measured occupational physical activity levels in office employees: effects of age and body composition[J]. Int Arch Occup Environ Health, 2016, 89(4): 575-582.
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