摘要
目的构建全膝关节置换术患者居家康复训练依从性评估工具。方法参考相关文献联合讨论法形成初始全膝关节置换术患者居家康复训练依从性量表(依从性量表),进行2轮专家咨询,发放给176例全膝关节置换术患者检验其信效度。结果专家积极性为84.62%、81.82%,专家协调系数为0.332,专家权威系数为0.839;依从性量表含3个维度11个条目,累积方差贡献率为69.855%;I-CVI为0.889~1.000,S-CVI为0.978,3个维度及量表总的Cronbach′s α系数为0.747~0.885及0.850,各维度与总分的相关系数r为0.622~0.865。结论全膝关节置换术患者居家康复训练依从性量表编制合理,信度效度较好,可作为全膝关节置换术患者居家康复训练依从性评估工具。
Objective To develop an instrument for evaluating adherence to home-based rehabilitation among patients with total knee arthroplasty. Methods Based on literature review and group discussion, we developed an initial home-based rehabilitation adherence scale for patients with total knee arthroplasty. Then a 2-round expert consultation and a pilot survey with 176 patients with total knee arthroplasty were conducted to validate the scale. Results More than eighty percent (84.62% at round 1, 81.82% at round 2) of the experts returned the questionnaire. The Kendall′s coefficient of concordance ( W ) was 0.332 and the authority coefficient was 0.839. Exploratory factor analysis showed the scale included 3 dimensions and 11 items, which could explain 69.855% of the total variance. The item-level content validity index ( CVI ) ranged from 0.889 to 1.000 and the scale-level CVI was 0.978. The Cronbach′s α coefficients were 0.747-0.885 for 3 dimensions and 0.850 for the total scale. The correlation coefficients between dimension and the total scale ranged from 0.622 to 0.865. Conclusion The scale can be used to measure adherence to rehabilitation at home among patients with total knee arthroplasty for its rational development process and high reliability and validity.
作者
赵改云
钱会娟
王凡凡
许燕玲
Zhao Gaiyun;Qian Huijuan;Wang Fanfan;Xu Yanling(School of Nursing,Shanghai Jiaotong University,Shanghai 200025,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第12期94-97,共4页
Journal of Nursing Science
关键词
全膝关节置换术
居家康复训练
依从性评估量表
信度
效度
total knee arthroplasty
home-based rehabilitation
adherence assessment scale
reliability
validity
