摘要
[目的]编制医用粘胶相关性皮炎评分表(Scoring Medical Adhesive Related Dermatitis,SMARD)并进行信效度检验,为临床评估医用粘胶相关性皮炎(medical adhesive related dermatitis,MARD)严重程度提供一种简单快捷、科学有效的量化评估工具。[方法]通过文献分析、小组讨论、专家咨询并参照三项严重程度(Three Item Severity,TIS)评分,构建条目池,经德尔菲专家函询,形成初量表。应用初量表对66例病人的MARD进行严重程度评分,分析量表信效度。[结果]构建SMARD包括7个条目,量表信度分析Cronbach′sα系数为0.742。探索性因子分析提出2个公因子,累计贡献率为59.60%,旋转后的因子载荷均>0.4。内容效度分析各项目得分与量表总分相关性均有统计学意义(P<0.05)。[结论]编制的SMARD具有较好的信效度,为今后科学有效地评估MARD提供科学有效的工具。
Objective:To develop Scoring Medical Adhesive Related Dermatitis(SMARD)and verify its validity and reliability,to provide a simple,fast,scientific and effective quantitative assessment tool for clinical assessment of the severity of medical adhesive related dermatitis(MARD).Methods:Based on literature review,panel discussions,experts consultation as well as reference to Three Item Severity(TIS)scores,the primary items were constructed,which was formed by Delphi experts consultation to formulate the draft scale.The draft scale was used to score the severity of MARD in 66 patients,and the reliability and validity of the scale were analyzed.Results:The constructed SMARD consisted of 7 items.The Cronbach′sαcoefficient of scale reliability was 0.742.Exploratory factor analysis proposed two common factors,with the cumulative contribution rate of 59.60%,rotated factor loading of each item was more than 0.4.The content validity analysis indicated that the correlation was statistically significant between the scores of each item and the total score of the scale(P<0.05).Conclusion:The constructed SMARD has good reliability and validity,which can provide effective tool for the scientific and effective evaluation of MARD in the future.
作者
赵慧函
何雨
凌瑛
黄家莲
应燕萍
ZHAO Huihan;HE Yu;LING Ying;HUANG Jialian;YING Yanping(The First Affiliated Hospital of Guangxi Medical University,Guangxi 530021 China)
出处
《全科护理》
2020年第6期641-645,共5页
Chinese General Practice Nursing
基金
国家自然科学基金资助项目，编号：81860032
广西自然科学基金项目，编号：2018GXNSFAA050081
广西卫生和计划生育委员会自筹经费科研课题，编号：Z20170567、Z20190398
关键词
皮炎
医用粘胶
皮肤损伤
评分
量表
dermatitis
medical adhesive
skin injury
scoring
scale
