[关键词]
[摘要]
目的 编制重症监护室(intensive care unit,ICU)医护人员实施早期康复行为意向问卷并检验其信效度,为展开相关研究提供测评工具。 方法 基于计划行为理论,通过文献分析、专家咨询、小组讨论形成初始问卷。采用便利抽样法对上海市3所三级甲等医院的202名ICU医护人员进行调查。通过项目分析筛选条目,探索性因子分析评估结构效度,最终确定问卷条目。计算Cronbach’α系数和重测信度对问卷信度进行评价。 结果 最终形成了包含5个维度26个条目的问卷。探索性因子分析共提取了5个公因子,累积方差贡献率为70.51%。问卷各条目水平的内容效度为0.800~1.000,问卷水平的内容效度为0.813。问卷总的Cronbach’s α系数为0.941,各维度Cronbach’s α系数均>0.7。问卷总重测信度为0.995,各维度的重测信度为0.932~1.000。 结论 ICU医护人员实施早期康复行为意向问卷具有良好的信度和效度,值得推广应用。
[Key word]
[Abstract]
Objective To develop a behavioral intention questionnaire for medical staff who implement early rehabilitation in intensive care unit(ICU) and test its reliability and validity,and to provide evaluation tools for related research. Methods Based on the theory of planned behavior(TPB),the initial version was developed through literature analysis,expert consultation and panel discussion.A total of 202 ICU medical staff in 3 tertiary A hospitals in Shanghai were selected by convenience sampling method for the survey.Items were selected through item analysis,and the structural validity was evaluated by exploratory factor analysis to finally determine the questionnaire items.Cronbach’s α and retest reliability were calculated to evaluate the reliability of the questionnaire. Results A questionnaire containing 26 items in 5 dimensions was formed.5 common factors were extracted from exploratory factor analysis,and the cumulative variance contribution rate was 70.51%.The content validity of each item was 0.800-1.000, and the content validity of each item was 0.813.The total Cronbach’s α coefficient of the questionnaire was 0.941, and the Cronbach’s α coefficient of all dimensions were greater than 0.7.The total retest reliability of the questionnaire was 0.995,and the retest reliability of each dimension was 0.932-1.000. Conclusions The questionnaire developed in the study has good reliability and validity,and is worth promotion.
[中图分类号]
R473
[基金项目]
上海市卫健委面上科研项目(202140047);上海市加强公共卫生体系建设三年行动计划(2020-2022 年)(GWV-5);上海市第一人民医院特色研究项目(CCTR-2022N03);上海市第一人民医院护理学院级科研基金项目(Syhlz2107)