摘要
目的编制基层卫生人员应对艾滋病与其他传染病共病感染的胜任力量表,并评价其信度和效度。方法基于胜任力理论,结合HIV/新型冠状病毒(COVID-19)共病感染相关知识,设计调查量表,采用定额抽样法对52个基层医疗卫生机构进行抽样调查,使用SPSS 26.0和AMOS 24.0分别进行探索性因子分析和验证性因子分析,优化形成最终量表,并评估量表信效度。结果558名调查对象中,男性179人,20~49岁513人,临床医学类255人,胜任力总分为(74.0±7.3)分。胜任力量表包括4个维度,共16个条目,量表总体及其各维度的信度Cronbach’sα系数为0.924、0.793、0.808、0.951、0.945,探索性因子分析显示:巴特利特球形检验结果显著,KMO值=0.912;验证性因子分析显示,χ^(2)自由度之比(χ^(2)/df)值=2.775,近似误差均方根(RMSEA)=0.08,规范拟合指数(NFI)=0.931,增值拟合指数(IFI)=0.955,Tucker-Lewis指数(TLI)=0.944,比较拟合指数(CFI)=0.955;组合信度CR值均大于0.7;平均方差提取量AVE值均大于0.5。结论该量表具有良好的信度、效度,能够为评价基层卫生人员应对以HIV/COVID-19为例的共病感染胜任力提供参考。
Objective This study aimed to develop a competency scale for primary healthcare workers in managing the comorbidities of HIV/AIDS and other infectious diseases and to evaluate its reliability and validity.Methods A survey scale was designed based on the competency theory and incorporated knowledge related to the comorbidity of HIV/coronavirus disease 2019(COVID-19).Quota sampling was used to survey 52 primary healthcare institutions.Exploratory and confirmatory factor analyses were conducted using SPSS 26.0 and AMOS 24.0,respectively,to optimize the final scale and assess its reliability and validity.Results Among the 558 participants,179 were male,513 were aged between 20 and 49 years,and 255 were from clinical medicine disciplines.The overall competency score was 74.0±7.3.The competency scale consisted of four dimensions,comprising 16 items.The Cronbach'sαcoefficients for the overall scale and each dimension were 0.924,0.793,0.808,0.951,and 0.945,respectively.Exploratory factor analysis showed a significant Bartlett's sphericity test result,with a Kaiser-Meyer-Olkin(KMO)value of 0.912.The confirmatory factor analysis yielded a chi-square to degrees of freedom ratio of 2.775,a root mean square error of approximation(RMSEA)of 0.08,a normed fit index of 0.931,an incremental fit index(IFI)of 0.955,a Tucker-Lewis index(TLI)of 0.944,and a comparative fit index(CFI)of 0.955.The composite reliability(CR)values were greater than 0.7,and the average variance extracted(AVE)values were greater than 0.5.Conclusions The scale demonstrated good reliability and validity,providing a valuable tool for evaluating the competency of primary healthcare workers in managing comorbidities,using HIV/COVID-19 as an example.
作者
李卓蔓
田英男
邓絮
逯莉
李懋舒
向丝雨
徐雯
刘文程
陆枢英
吴波
许红
LI Zhuoman;TIAN Yingnan;DENG Xu;LU Li;LI Maoshu;XIANG Siyu;XU Wen;LIU Wencheng;LU Shuying;WU Bo;XU Hong(School of Public Health,Chongqing Medical University,Chongqing 400016,China;Wanzhou District Center for Disease Control and Prevention,Chongging 404100,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2024年第8期832-836,共5页
Chinese Journal of Aids & STD
基金
重庆医科大学公共卫生学院第二届“公卫菁英”项目(GWJY2022dy006)。
