摘要
目的构建护士对脑卒中吞咽障碍知信行量表,并检验其信效度。方法以知信行为理论框架,通过文献回顾、专家函询、预实验、质性访谈拟定初始量表条目,对湖北省内18家医院633名收治脑卒中患者科室的护士进行调查,并检验量表的信效度。结果2轮专家函询,专家积极性均为100%;专家权威系数为0.930,专家意见协调程度和集中程度较好;探索性因子分析,提取4个公因子,累积解释方差贡献率44.278%;量表水平的内容效度为0.984,各条目水平的内容效度为0.857~1.000;量表Cronbachα系数为0.855;重测信度为0.909。最终量表由知识、态度和行为3个维度组成,共32个条目。结论该量表具有良好的信效度,可作为了解护士脑卒中吞咽障碍知信行现状的调查工具。
Objective To develop a rating scale on the knowledge,attitude and practice of stroke-dysphagia for nurses,and to test the reliability and validity.Methods Based on theoretical framework of the Knowledge,Attitude,Practice(KAP),the scale items were determined through literature review,expert consultation,pre-investigation,and qualitative interviews.633 nurses in the department of stroke that from 18 hospitals in Hubei Province were selected for the survey,to further screen the items and test reliability and validity of the scale.Results The positive coefficient of the two-round expert consultation were both 100%;the expert authority coefficient was 0.930;the level of coordination of experts′opinions was good.Exploratory factor analysis extracted 4 factors,the accumulative variance contribution rate was 44.278%,Content validity index S-CVI was 0.984,I-CVI was 0.857-1.000;the Cronbachαcoefficient of scale was 0.855,test-retest reliability was 0.909.Eventually,the scale was consisted of 3 dimensions,32 items.Conclusion The scale has good reliability and validity,and can be used as a survey tool to test the current knowledge,attitude,practice of clinical nurses about patient with stroke-dysphagia.
作者
毛晓岚
王国庆
陈荣
孟宪梅
余立平
Mao Xiaolan;Wang Guoqing;Chen Rong;Meng Xianmei;Yu Liping(School of Health Sciences,Wuhan University,Wuhan 430071,China)
出处
《中国实用护理杂志》
2021年第15期1140-1145,共6页
Chinese Journal of Practical Nursing
基金
湖北省卫生健康科研基金(WJ2019M176)。
关键词
脑卒中
吞咽障碍
知信行理论
信度
效度
Stroke
Dysphagia
Knowledge-attitude-practice
Reliability
Validity
