摘要
[目的]编制老年病人生前预嘱知信行调查问卷,并检验其信效度。[方法]以知信行理论为指导构建问卷框架,通过文献回顾、课题小组讨论、专家咨询、预调查形成老年病人生前预嘱知信行调查问卷。选取武汉市某三级甲等医院老年住院病人135例进行调查。[结果]共进行2轮专家咨询,问卷有效回收率均为100%。2轮专家权威系数分别为0.84,0.86。第2轮专家肯德尔协调系数(Kendall's W)为0.130~0.241(P<0.05)。最终编制的老年病人生前预嘱知信行调查问卷包括知识、态度、行为3个维度,共26个条目。问卷总的Cronbach'sα系数为0.873,知识、态度、行为维度的Cronbach'sα系数分别为0.860,0.802,0.806。问卷总的分半信度为0.801,各维度的分半信度为0.911,0.715,0.764。问卷条目内容效度为0.89~1.00。探索性因子分析共提取7个公因子,累计方差贡献率为68.783%。[结论]老年病人生前预嘱知信行调查问卷具有良好的信效度,可作为评估老年病人对生前预嘱认知、态度、行为状况的可靠工具。
Objective:To develop knowledge⁃attitude⁃practice(KAP)questionnaire on living will of elderly patients,and to test its reliability and validity.Methods:With framework of knowledge⁃attitude⁃practice(KAP)theory,knowledge⁃attitude⁃practice(KAP)questionnaire on living will of elderly patients was formed through literature research,topic group discussion,Delphi method and pre⁃survey.Questionnaire survey was conducted among 135 elderly inpatients in a tertiary A hospitals in Wuhan.Results:Two rounds of expert consultations were conducted,and the effective recovery rate was all 100%.The authority coefficients of experts in the two rounds of consultations were 0.84 and 0.86,respectively.The values of Kendall's W in the second rounds of consultations ranged from 0.130 to 0.241(P<0.05).Finally,the knowledge⁃attitude⁃practice(KAP)questionnaire on living will of elderly patients included following 3 dimensions:knowledge,attitude and practice,involving 26 items.The total Cronbach's coefficient of the questionnaire was 0.873.And the Cronbach's coefficients of the knowledge,attitude and practice dimensions were 0.860,0.802 and 0.806,respectively.The total split⁃half reliability coefficient of the questionnaire was 0.801.And the split⁃half reliability coefficient of each dimension were 0.911,0.715 and 0.764,respectively.The item⁃content validity index ranged from 0.89 to 1.00.The results of exploratory factor analysis showed that 7 common factors were extracted,whose cumulative variance contribution was 68.783%.Conclusion:The knowledge⁃attitude⁃practice(KAP)questionnaire on living will of elderly patients had good reliability and validity,which can be used as a reliable tool for evaluating knowledge,attitude and practice on living will of elderly patients.
作者
章艳婷
钱新毅
李建军
ZHANG Yanting;QIAN Xinyi;LI Jianjun(Liyuan Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430077 China)
出处
《护理研究》
北大核心
2020年第23期4154-4158,共5页
Chinese Nursing Research
关键词
老年人
生前预嘱
德尔菲法
知信行理论
认知
态度
行为
信度
效度
量表研究
elderly
living will
Delphi method
knowledge⁃attitude⁃practice(KAP)theory
knowledge
attitude
practice
reliability
validity
scale research
