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急性白血病患儿照顾者照护知信行问卷的编制及信度效度检验 被引量:15

Development and Test of Questionnaire of Care Knowledge-attitude-practice of Caregivers for Children with Acute Leukemia
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摘要 目的编制急性白血病患儿照顾者照护知识、态度及行为问卷,并对其进行条目筛选及信度、效度检验。方法以"知信行"理论为指导,通过相关文献回顾、半结构访谈和2轮专家咨询形成试测问卷。选取郑州市2所三级甲等医院360例住院治疗的急性白血病患儿照顾者的调查数据进行项目分析,应用探索性因素分析、内容效度测评问卷的效度,采用内部一致性系数、折半信度对问卷的信度进行分析。结果共删除13个条目,保留41个条目:照护知识维度22个条目,态度维度11个条目,行为维度8个条目;探索性因子分析中各维度分别提取4、2、1个公因子,且分别解释总方差的72.141%、70.336%、55.798%;问卷内容效度分别为0.909、0.922、0.929,条目内容效度为0.857~1.000;总问卷及各维度的Cronbachα系数分别为0.967、0.953、0.916、0.885,总问卷及各维度的折半信度分别为0.894、0.842、0.762、0.833。结论问卷具有良好的信度、效度,可以用于急性白血病患儿照顾者照护知识、态度及行为评估。 Objective To develop a questionnaire of care knowledge-attitude-practice(KAP) of caregivers for children with acute leukemia and to test its reliability and validity. Methods Based on KAP theory, the questionnaire was developed by using literature review,semi-structured interviews,and 2 rounds of expert consultation. The project analysis was carried out using a sample of 360 caregivers for children with acute leukemia from the wards in 2 tertiary grade A hospitals in Zhengzhou. The validity of the questionnaire was analyzed by exploratory factor analysis and content validity. The internal consistency coefficient and bisected reliability were used to evaluate the reliability of the questionnaire. Results Totally 13 items were deleted. The questionnaire was composed of 41 items and 3 dimensions including knowledge(22 items), attitude(11 items), and behavior(8 items). The 3 dimensions included 4, 2 and 1 common factors respectively and they explained 72.141%, 70.336%, 55.798% of the variances respectively by using exploratory factor analysis. The S-CVI was 0.909, 0.922, 0.929 respectively,and I-CVI ranged from 0.857 to 1.000. The Cranach’s α of the questionnaire and each dimension was 0.967, 0.953, 0.916 and 0.885 respectively. The split-half reliability of the general questionnaire and each dimension was 0.894, 0.842, 0.762, and 0.833 respectively. Conclusion The questionnaire has good reliability and validity, and it can be used to evaluate the care KAP of caregivers for children with acute leukemia.
作者 王洁 郭燕 WANG Jie;GUO Yan(School of Nursing,Zhengzhou University,Zhengzhou 450000,China;Cancer Hospital of Henan Province,Zhengzhou 450000,China)
出处 《护理学报》 2019年第6期1-5,共5页 Journal of Nursing(China)
基金 2017年度河南省医学科技攻关计划项目(201701027)
关键词 急性白血病 照顾者 知信行 问卷编制 信度 效度 acute leukemia caregiver knowledge-attitude-practice questionnaire development reliability validity
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