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人工全髋关节置换术患者预防假体脱位的知信行问卷编制及信效度检验

Development,reliability and validity of the knowledge-attitude-practice questionnaire for preventing prosthesis dislocation in patients undergoing total hip arthroplasty
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摘要 目的 编制人工全髋关节置换术(THA)患者预防假体脱位知信行问卷,并进行信效度检验。方法 采用文献分析法、半结构式访谈法初步建立问卷条目池,经过两轮德尔菲专家咨询进行条目的修改,并选取某两所三甲医院251例THA患者进行信效度检验。结果 最终形成THA术后患者预防假体脱位知信行问卷共知识、态度、行为3个维度,37个条目。知识、态度、行为及整体问卷的Cronbach’s α系数分别为0.940、0.935、0.913、0.945。I-CVI为0.85~1.00,S-CVI/Ave为0.97。探索性因子分析提取3个公因子,累计解释方差变异为56.720%,验证性因子分析结果适配理想,聚敛效度和区分效度理想。结论 编制的THA患者预防假体脱位知信行问卷信效度良好,能够作为评价THA术后患者预防假体脱位知信行水平的工具。 Objective To develop a knowledge-attitude-practice questionnaire for the prevention of prosthesis dislo⁃cation in patients undergoing total hip arthroplasty(THA),and to test its reliability and validity.Methods Literature analysis and semi-structured interview were used to preliminarily establish the questionnaire item pool.After two rounds of Delphi expert consultation,the items were modified,and 251 THA patients from two Class Grade A hospitals were select⁃ed for reliability and validity test.Results The knowledge,attitude and practice questionnaire for preventing prosthesis dislocation in patients after THA was finally formed,with 37 items in three dimensions:knowledge,attitude and behavior.Cronbach'sαcoefficients of knowledge,attitude,behavior and overall questionnaire were 0.940,0.935,0.913 and 0.945,respectively.The item-level content validity index I-CVI value ranged from 0.85 to 1,and the questionnaire level content validity index S-CVI/Ave value was 0.97.Exploratory factor analysis extracted three common factors,and the cu⁃mulative explained variance variation was 56.720%.The results of confirmatory factor analysis were suitable,and the con⁃vergent and discriminant validity were ideal.Conclusion The knowledge-attitude-practice questionnaire for the preven⁃tion of prosthesis dislocation in patients undergoing THA has good reliability and validity,and can be used as a tool to eval⁃uate the knowledge-attitude-practice level of patients after THA.
作者 杨辰菲 袁蔓娇 何礼平 李莉 YANG Chenfei;YUAN Manjiao;HE Liping;LI Li(School of Nursing,North Sichuan Medical College,Nanchong 637000,China)
出处 《老年医学研究》 2023年第2期7-12,共6页 Geriatrics Research
关键词 全髋关节置换术 假体脱位 知信行 问卷编制 信效度 total hip arthroplasty dislocation of prosthesis knowledge-attitude-practice questionnaire prepara⁃tion reliability and validity
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