摘要
目的编制临床八年制医学生、护理本科生对老年医学知识、态度、行为认识的量表，并检验其信度、效度。方法以知信行（KAP）理论为指导框架，初步拟定问卷条目。通过对100名八年制医学生、护理本科生的调查研究，对拟定问卷进行条目筛选，并检验问卷的信度、效度。通过专家意见评估知识类条目；通过离散趋势法、Cronbachα系数、t检验、相关分析法、因子分析法等5种方法对态度、行为条目结果进行筛选。对于达到3条以上排除标准的条目，结合实际问题进行删除。通过因子分析法评估完整量表的结构效度。结果量表由3个维度组成，条目设置为知识类13个条目，态度类11个条目，行为类19个条目，初始问卷共计43个条目。根据专家意见评估删除2个知识类条目，经过统计分析删除达到3条以上排除标准的7个条目，最终保留34个条目，量表的Cronbachα系数为0.702，经过探索性因子分析，抽取公因子数3个。结论编制的八年制医学生及护理本科生老年医学知信行调查量表具有一定的信度和效度，但考察知识类的条目需考虑重新编写。
ObjectiveTo construct a rating scale on the knowledge, attitude, and practice of geriatrics for 8-year clinical medical students and undergraduate nursing students, and to test the reliability and validity of the scale.MethodsThe Knowledge, Attitude, Practice（KAP）theory was used as a guided framework, relative literatures were reviewed, and topics for question answering were discussed by experts group.Then, a questionnaire was initially constructed.Five methods, including discrete trend method, Cronbach coefficient, t-test, correlation analysis, and factor analysis, were used to screen the attitude and practice items.The knowledge items were evaluated by experts.Items with over three exclusion criteria were deleted when combining the literal questions.The construct validity of the integrated scale was assessed by factor analysis.A pilot research was conducted by 100 eight-year medical students and nursing undergraduates selecting question entries, and the reliability and validity of the scale were examined.ResultsThe scale consisted of three dimensions.A 43-item initiate questionnaire on the scale included 13 items for knowledge, 11 for attitude, and 19 for practice.Two knowledge items were deleted according to expert evaluation.Seven items with more than three exclusion criteria were deleted after statistical analyses.Eventually, 34 items were included in the questionnaire.The Cronbach α coefficient of the questionnaire was 0.702.And three common factors were extracted according to exploratory factor analysis.ConclusionsThe reliability and validity of Geriatrics Knowledge, Attitude and Practice scale for eight-year medical students and nursing undergraduates are acceptable, but the knowledge items should be recomposed.
作者
康琳
刘雅茹
庞海玉
刘晓红
曾平
朱鸣雷
高小慧
Kang Lin;Liu Yaru;Pang Haiyu;Liu Xiaohong;Zeng Ping;Zhu Minglei;Gao Xiaohui(Department of Geriatric Medicine,Peking Union Medical College Hospital,Beijing 100730,China;Department of Geriatric Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,Chin;Central Research Laboratory,Peking Union Medical College Hospital,Beijing 100730,China;Education Department,Beijing Union Medical College,Beijing 100730,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2018年第11期1272-1275,共4页
Chinese Journal of Geriatrics
基金
北京协和医学院青年医学教育学者计划（2017zlgc0712）
北京协和医学院2017年本科教育教学改革立项项目（2017zlgc0115）
关键词
老年医学
知信行
量表
信度
效度
Geriatrics
Knowledge-attitude-practice
Scale Reliability
Validity
