护士促进癌症幸存者体力活动知信行问卷的编制及信效度检验

doi:10.16460/j.issn1008-9969.2022.23.007

摘要/Abstract

摘要： 目的编制护士促进癌症幸存者体力活动知信行问卷并检验其信效度。方法以知信行理论为指导,通过文献回顾、查阅指南、头脑风暴、专家函询、预调查后形成初始问卷,便利选取553名肿瘤相关科室护士进行调查,对问卷进行项目分析及信效度检验。结果问卷由知识、信念、行为3个维度共30条目构成。总问卷的Cronbach α系数为0.950,折半信度为0.682,重测信度为0.900。探索性因子分析提取3个公因子,累计方差贡献率为58.252%。验证性因子分析显示：χ²/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906,模型拟合良好。内容效度分析显示,条目水平内容效度指数（I-CVI）为0.833~1.00,平均量表水平内容效度指数（S-CVI/Ave）为0.969,全体一致量表水平内容效度指数（S-CVI/UA）为0.800。结论该问卷具有良好的信效度,可用于评估我国肿瘤科护士在促进癌症幸存者体力活动方面的知识、信念和实践水平。

关键词: 护士, 癌症幸存者, 体力活动, 知信行, 问卷开发, 信度, 效度

Abstract: Objective To develop and test the reliability and validity of a knowledge-belief-practice questionnaire for nurses to promote physical activity in cancer survivors. Methods Based on the KAP theory, the draft questionnaire was developed after literature review, guideline review, brainstorming, expert consultation and pilot survey. With convenient sampling, 553 nurses from oncology-related departments were selected and investigated to test the reliability and validity of the questionnaire. Results The questionnaire consisted of 30 items covering 3 dimensions: knowledge, belief and practice. The Cronbach's alpha coefficient of the total questionnaire was 0.950; the split-half reliability coefficient 0.682, and the retest reliability 0.900. Exploratory factor analysis extracted 3 common factors, which could explain 58.252% of the total variance. Confirmatory factor analysis showed that the fitting index of the scale structure model was good：χ²/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906. Content validity analysis showed that I-CVI was 0.833~1.000; S-CVI/Ave 0.969; and S-CVI/UA 0.800. Conclusion The questionnaire has good reliability and validity and can be used to evaluate the knowledge, belief and practice of oncology nurses to promote physical activity of cancer survivors in China.

Key words: nurse, cancer survivors, physical activity, knowledge,belief and practice, questionnaire development, reliability, validity

中图分类号:

柳云, 田敏, 王亚菲, 刘峰, 李新, 潘宁. 护士促进癌症幸存者体力活动知信行问卷的编制及信效度检验[J]. 护理学报, 2022, 29(23): 7-12.

LIU Yun, TIAN Min, WANG Ya-fei, LIU Feng, LI Xin, PAN Ning. Development and Psychometric Testing of Knowledge-belief-practice Questionnaire for Nurses to Promote Physical Activity in Cancer Survivors[J]. Journal of Nursing, 2022, 29(23): 7-12.

参考文献

[1] World Health Organization.Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World[R]. Geneva:2018.
[2] Patel AV, Friedenreich CM, Moore SC, et al.American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control[J].Med Sci Sports Exerc, 2019,51(11):2391-2402.DOI: 10.1249/MSS.0000000000002117.
[3] Campbell KL, Winters-Stone KM, Wiskemann J,et al.Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable[J]. Med Sci Sports Exerc, 2019, 51(11):2375-2390. DOI:10.1249/MSS.0000000000002116.
[4] 刘旭,王文辰,马春艳.基于健康促进模型的结直肠癌永久性肠造口患者体力活动影响因素分析[J].护理学报,2022,29(11):59-64.DOI:10.16460/j.issn1008-9969.2022.11.059.
[5] Eng L, Pringle D, Su J, et al.Patterns, Perceptions, and Perceived Barriers to Physical Activity in Adult Cancer Survivors[J].Support Care Cancer,2018,26(11):3755-3763.DOI: 10.1007/s00520-018-4239-5.
[6] Tarasenko YN, Miller EA, Chen C, et al.Physical Activity Levels and Counseling by Health Care Providers in Cancer Survivors[J]. Prev Med,2017,99:211-217.DOI: 10.1016/j.ypmed.2017.01.010.
[7] Spence RR, Sandler CX, Newton RU, et al.Physical Activity and Exercise Guidelines for People with Cancer: Why Are They Needed, Who Should Use Them, and When?[J]. Semin Oncol Nurs,2020,36(5):151075-151079.DOI:10.1016/j.soncn.2020.151075.
[8] Haussmann A, Ungar N, Tsiouris A, et al.The Influence of Cancer Patient Characteristics on the Recommendation of Physical Activity by Healthcare Professionals[J]. Int J Behav Med,2020,27(1):65-78.DOI:10.1007/s12529-019-09833-z.
[9] 罗娜. 临床护士静脉输液港维护知信行问卷的编制及应用[D].济南:山东大学,2021.
[10] Keogh JW, Pühringer P, Olsen A,et al.Physical Activity Promotion, Beliefs, and Barriers Among Australasian Oncology Nurses[J]. Oncol Nurs Forum,2017,44(2):235-245.DOI: 10.1188/17.ONF.235-245.
[11] Nadler M, Bainbridge D, Tomasone J, et al.Oncology Care Provider Perspectives on Exercise Promotion in People with Cancer: An Examination of Knowledge, Practices, Barriers, and Facilitators[J]. Support Care Cancer,2017,25(7):2297-2304. DOI: 10.1007/s00520-017-3640-9.
[12] Hardcastle SJ, Kane R, Chivers P, et al.Knowledge, Attitudes, and Practice of Oncologists and Oncology Health Care Providers in Promoting Physical Activity to Cancer Survivors: An International Survey[J].Support Care Cancer,2018, 26(11):3711-3719.DOI:10.1007/s00520-018-4230-1.
[13] 亢东琴. 大肠癌患者体力活动现况及其影响因素的研究[D].北京:北京中医药大学,2018.
[14] Roberts AL, Potts HWW, Stevens C, et al.Cancer Specialist Nurses' Perspectives of Physical Activity Promotion and the Potential Role of Physical Activity Apps in Cancer Care[J].J Cancer Surviv, 2019, 13(5):815-828.DOI:10.1007/s11764-019-00801-w.
[15] Jones LW, Courneya KS, Peddle C, et al.Oncologists' Opinions Towards Recommending Exercise to Patients with Cancer: A Canadian National Survey[J]. Support Care Cancer, 2005, 13(11):929-937.DOI:10.1007/s00520-005-0805-8.
[16] Avancini A, D'Amico F, Tregnago D, et al. Nurses' Perspectives on Physical Activity Promotion in Cancer Patients: A Qualitative Research[J].Eur J Oncol Nurs,2021,55:102061-102066.DOI:10.1016/j.ejon.2021.102061.
[17] National Comprehensive Cancer Network (NCCN). Clinical Practice Guideline in O-ncology:Survivorship,version3.2021[EB/OL].(2021-08-23)[2022-04-15].https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf.
[18] World Health Organization. Who Guidelines on Physical Activity and Sedentary Behaviour[EB/OL].(2020-11-26)[2022-04-15].https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y.
[19] Segal R, Zwaal C, Green E, et al.Exercise for People with Cancer: A Clinical Practice Guideline[J]. Curr Oncol,2017,24(1):40-46.DOI:10.3747/co.24.3376.
[20] 王孟成. 潜变量建模与Mplus应用·基础篇[M].重庆:重庆大学出版社,2014.
[21] 刘瑜,周春兰,周君桂,等.神经源性膀胱患者自我管理量表的编制及信效度检验[J].护理学报,2021, 28(7):64-68.DOI:10.16460/j.issn1008-9969.2021.07.064.
[22] 王琦,李领侠,和巾杰,等.医护人员低血糖症知信行问卷的编制及信效度检验[J].护理学报,2021,28(9):9-13.DOI:10.16460/j.issn1008-9969.2021.09.009.
[23] 史静琤,莫显昆,孙振球. 量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.DOI:10.3969/j.issn.1672-7347.2012.02.007.
[24] Elshahat S, Treanor C, Donnelly M.Factors Influencing Physical Activity Participation among People Living with or Beyond Cancer: A Systematic Scoping Review[J].Int J Behav Nutr Phys Act,2021,18(1):50-69.DOI:10.1186/s12966-021-01116-9.

相关文章 15

[1]	苏孟宇, 王真, 吴金凤, 李晓燕, 张玉玺. 临床护士开展哀伤辅导的现状及研究进展[J]. 护理学报, 2022, 29(9): 26-30.
[2]	吕娜, 许凤琴, 刘春梅, 邵晴. 安宁疗护专科护士再认证的研究现状与启示[J]. 护理学报, 2022, 29(9): 31-35.
[3]	李慧, 潘玲, 李博, 刘晓辉. 患者安全胜任力自评量表的汉化及其在实习护生中的信效度评价[J]. 护理学报, 2022, 29(9): 47-51.
[4]	蔡莹莹, 张俊峰, 蔡艾芳, 曾雅燕, 李玲, 黄琼珊, 刘兴玲. 以培养护士核心能力为导向的循证护理查房模式探索[J]. 护理学报, 2022, 29(6): 50-54.
[5]	阚吟诗, 刘林, 李翔宁, 刘洪园, 毕雅昕, 张露, 张瑜. 糖尿病患者体力活动波动性的研究进展[J]. 护理学报, 2022, 29(6): 32-36.
[6]	张慧超, 王楠楠, 张玉玺. 安宁疗护护士情感劳动经历质性研究的Meta整合[J]. 护理学报, 2022, 29(6): 37-43.
[7]	左倩倩, 曾文捷, 廖敏怡, 李景秋, 罗岚, 高钰琳. 199名安宁疗护护士职业悲伤现状及影响因素分析[J]. 护理学报, 2022, 29(4): 46-52.
[8]	王秋婷, 魏琳, 刘杨晨, 林静霞, 林丽君, 胡萍, 朱丽佳, 林美珍. 中医专科护士核心能力评价指标体系的构建[J]. 护理学报, 2022, 29(4): 1-6.
[9]	李丹, 冯兰棱, 樊落, 李琳, 朱伟, 郝雅茹. 护士对患者死亡认知与体验质性研究的Meta整合[J]. 护理学报, 2022, 29(4): 34-39.
[10]	张娜, 陈海勤, 邵磊, 朱月莉, 沈银萍. 精神科低年资护士培训应用防暴技能微视频的效果观察[J]. 护理学报, 2022, 29(3): 24-28.
[11]	肖凤, 宋慧娟, 任英, 李爽, 施盛莹, 赖嘉微. 临床护士自我效能感在情绪智力与关怀行为间的中介调节作用[J]. 护理学报, 2022, 29(3): 62-66.
[12]	徐泽俊, 敬洁, 李蓉, 高义, 曹静, 尹梓杨. 基于行为分阶段转变理论的护士创新行为激励策略构建研究[J]. 护理学报, 2022, 29(24): 6-9.
[13]	陈娟, 林美珍, 丁美祝, 胡燕娇, 胡佩欣, 李薇薇, 杨友友. “互联网+中医护理”服务模式的实践[J]. 护理学报, 2022, 29(24): 14-17.
[14]	凌培, 朱雪娇, 倪珂, 祝泽星, 章琳. 代际沟通感知量表的汉化及其在社区老年人与年轻人的信效度检验[J]. 护理学报, 2022, 29(24): 49-54.
[15]	冯宪凌, 白杨, 古钰君. 《儿童、青少年和年轻成人癌症幸存者癌因性疲乏监测》解读[J]. 护理学报, 2022, 29(24): 64-67.

Metrics

Viewed

Full text

Abstract

Cited

Shared