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

doi:10.16460/j.issn1008-9969.2019.06.001

摘要/Abstract

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Cronbach α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。

关键词: 急性白血病, 照顾者, 知信行, 问卷编制, 信度, 效度

Abstract: 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.

Key words: acute leukemia, caregiver, knowledge-attitude-practice, questionnaire development, reliability, validity

中图分类号:

R473.55

王洁, 郭燕. 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[J]. 护理学报, 2019, 26(6): 1-5.

WANG Jie, GUO Yan. Development and Test of Questionnaire of Care Knowledge-attitude-practice of Caregivers for Children with Acute Leukemia[J]. Journal of Nursing, 2019, 26(6): 1-5.

参考文献

[1] Terracini B.Epidemiology of Childhood Cancer[J].Environmental Health, 2011, 10(Suppl 1):S1-S8.DOI:10.1186/1476-069X-10-S1-S8.
[2] Kaltenbaugh D J, Klem M L, Hu L, et al.Using Web-based Interventions to Support Caregivers of Patients with Cancer: A Systematic Review[J]. Oncol Nurs Forum, 2015, 42(2):156-64.DOI:10.1188/15.ONF.156-164.
[3] 侯明香,芦桂芝,王静波,等. 护生安全注射知信行问卷的编制及信效度评价[J].护理学报, 2017, 24(22):7-11.DOI:10.16460/j.issn1008-9969.2017.22.007.
[4] Hashemi F, Shokrpour N.The Impact of Education Regarding the Needs of Pediatric Leukemia Patients' Siblings on the Parents' Knowledge and Practice[J]. Health Care Manager, 2010,29(1):75-79.DOI:10.1097/HCM.0b013e3181cca479.
[5] 刘晓,俞梦盈,何桂娟.护士用老年糖尿病患者口腔保健知信行问卷的编制及信效度评价[J].护理学报, 2016,23(23):54-58. DOI:10.16460/j.issn1008-9969.2016.23.054.
[6] 王园园,王婧婷,俞苏燕,等.确诊初期急性淋巴细胞性白血病患儿父母需求的质性研究[J]. 解放军护理杂志,2016,33(4):6-10.DOI:10.3969/j.issn.1008-9993.2016.04.002.
[7] 武艳,高伟,李曼,等.白血病患儿照顾者真实感受的质性研究[J].护理学报,2017,24(12):5-9.DOI:10.16460/j.issn1008-9969.2014.08.001.
[8] 吴明隆. 问卷统计分析实务[M].重庆:重庆大学出版社, 2010.
[9] 李真. 肿瘤患儿家庭照顾者负担及影响因素研究[D].吉林:吉林大学, 2015.
[10] Markon K E, Chmielewski M, Miller C J.The Reliability and Validity of Discrete and Continuous Measures of Psychopathology: A Quantitative Review[J]. Psychological Bulletin, 2011, 137(5):856-879.DOI:10.1037/a0023678.
[11] 张莎,田晋,刘巧兰,等.流动人口SF-12生命质量量表信度、效度评价[J]. 中国公共卫生,2011, 27(2):226-227.DOI:10.11847/zgggws2011-27-02-49.
[12] 郑日昌. 心理测量与测验[M].北京:中国人民大学出版社,2013.
[13] 郝元涛,孙希凤,方积乾,等.量表条目筛选的统计学方法研究[J].中国卫生统计,2004, 21(4):209-211.DOI:10.3969/j.issn.1002-3674.2004.04.006.

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