摘要
目的编制术后早期下床活动影响因素调查问卷,并进行信效度检验。方法以理论域框架为基础,结合质性研究编制术后早期下床活动影响因素问卷,采取全部纳入的方式(排除日间手术)选取2022年5月-12月某三甲医院肝胆胰外科行腹腔镜手术的患者,通过项目分析、信度检验、因子分析确定问卷的结构和条目。结果术后早期下床活动因素调查初始问卷包括9个维度,30个条目。项目分析统计结果显示不需要删减条目。问卷信度分析显示,问卷总体Cronbach'sα系数为0.959,各维度Cronbach'sα系数范围为0.696~0.873,内部一致性良好。经因子分析和模型修正后,得到模型T6,χ^(2)/df、RMSEA、CFI、TLI、SRMR分别为1.980、0.079、0.891、0.877、0.064,表明数据与模型拟合可接受。结论本研究研制的术后早期下床活动影响因素调查问卷具有良好的信度和效度,能有效、客观地评价患者在健康行为改变情况方面的影响因素,能够作为快速链接理论的工具。
Objective To develop a questionnaire on influencing factors of early postoperative ambulatory activity and to test its reliability and validity.Methods Based on the theoretical framework and combined with qualitative research,a questionnaire on influencing factors of early postoperative ambulation activities was compiled.Patients who underwent laparoscopic surgery in the Department of hepatobiliary and pancreatic surgery of a third-class A hospital from May to December 2022 were selected in a fully included way(excluding daytime surgery).The structure and items of the questionnaire were determined by project analysis,reliability test and factor analysis.Results The initial questionnaire for factors related to early postoperative ambulation included 9 dimensions and 30 items.The statistical results of the project analysis show that there was no need to delete entries.The reliability analysis of the questionnaire showed that the overall Cronbach'sαcoefficient of the questionnaire was 0.959,and the Cronbach'sαcoefficient of each dimension ranged from 0.696 to 0.873,with good internal consistency.After factor analysis and model correction,the model T6 was obtained,and the fitting indexχ^(2)/df,RMSEA,CFI,TLI,and SRMR were 1.98,0.079,0.891,0.877,and 0.064,respectively,indicating that the data and model fit were acceptable.Conclusion The questionnaire developed in this study has good reliability and validity,which can effectively and objectively evaluate the influencing factors of patients'health behavior changes,and can be used as a tool for rapid link theory.
作者
何洋
唐景霞
杨宏强
HE Yang;TANG Jing-xia;YANG Hong-qiang(Department of Preventive Medicine,Shihezi University School of Medicine,Shihezi 832002,Xinjiang,China;School of Public Health,Chengdu Medical College,Chengdu 610500,Sichuan,China;Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,Sichuan,China)
出处
《医学信息》
2024年第5期57-62,共6页
Journal of Medical Information
关键词
术后早期下床活动
理论域框架
问卷
因子分析
Early postoperative ambulation
Theoretical domain framework
Questionnaire
Factor analysis
