《住院老年人护理需求及满意度量表》信度和效度的研究
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摘要
目的制订《住院老年人护理需求及满意度量表》,并对量表的信度和效度进行验证。方法通过查阅文献、专家咨询,并以马斯洛需要理论为理论框架,自行设计《住院老年人护理需求及满意度量表》,并采取便利抽样法选取2016年6～11月在湖北省6所三级综合医院住院老年人240例进行问卷调查。结果该量表各条目具有较好的相关性,各维度与总量表的相关系数为0.587～0.731,各维度间的相关系数为0.207～0.529。该量表水平的内容效度指数(S-CVI)为0.853,各个维度的内容效度指数(CVI)均>0.75;量表总的Cronbach′sα系数为0.812,各维度的Cronbach′sα系数均>0.6;因子分析产生的7个主因子对变量的累计贡献率为57.69%。结论该量表具有较好的信度和效度,可用于住院老年人护理需求及满意度的评估。
Objective To develop the Nursing Needs and Satisfaction Scale for Elderly Inpatients, and to verify the reliability and validity of the scale. Methods By consulting literatures and expert consultation, and taking Maslow′ s Needs Theory as the theoretical framework, a self-designed Nursing Needs and Satisfaction Scale for Elderly Inpatients was designed, and 240 elderly inpatients from 6 tertiary general hospitals in Hubei Province from June to November2016 were selected by convenience sampling method to conduct a questionnaire survey. Results There was a good correlation between the items of the scale. The correlation coefficients between the dimensions and the total scale were0.587-0.731, and between the dimensions were 0.207-0.529. The scale-level content validity index(S-CVI) of the scale is 0.853, and the content validity index(CVI) of each dimension is > 0.75; the total Cronbach′s alpha coefficient of the scale is 0.812, and the Cronbach′s alpha coefficient of each dimension is > 0.6; the cumulative contribution rate of the seven main factors produced by factor analysis to the variables is 57.69%. Conclusion The scale has good reliability and validity, and can be used to evaluate the nursing needs and satisfaction of the elderly inpatients.
Objective To develop the Nursing Needs and Satisfaction Scale for Elderly Inpatients, and to verify the reliability and validity of the scale. Methods By consulting literatures and expert consultation, and taking Maslow′ s Needs Theory as the theoretical framework, a self-designed Nursing Needs and Satisfaction Scale for Elderly Inpatients was designed, and 240 elderly inpatients from 6 tertiary general hospitals in Hubei Province from June to November2016 were selected by convenience sampling method to conduct a questionnaire survey. Results There was a good correlation between the items of the scale. The correlation coefficients between the dimensions and the total scale were0.587-0.731, and between the dimensions were 0.207-0.529. The scale-level content validity index(S-CVI) of the scale is 0.853, and the content validity index(CVI) of each dimension is > 0.75; the total Cronbach′s alpha coefficient of the scale is 0.812, and the Cronbach′s alpha coefficient of each dimension is > 0.6; the cumulative contribution rate of the seven main factors produced by factor analysis to the variables is 57.69%. Conclusion The scale has good reliability and validity, and can be used to evaluate the nursing needs and satisfaction of the elderly inpatients.
引文
[1]廖春霞,马红梅,张倩,等.国外老年人过渡期护理相关模式的研究进展[J].中国医药导报,2015,12(34):48-51.
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[3]韦小乐,凌瑛,何良妹,等.中文版护理依赖量表在恶性肿瘤患者应用中的信度效度评价[J].中国护理管理,2017,17(7):897-901.
[4]吴玉华,冷海燕,张佩文,等.高龄老人居家护理评估管理应用研究[J].护理研究,2017,31(24):3041-3043.
[5]汤先萍,孟宪梅,周兰姝.国外居家护理质量评价指标的研究进展及启示[J].中华护理杂志,2016,51(4):479-482.
[6]何霞,王斌全,冯彦,等.欧美国家常用居家护理评估工具简析及启示[J].护理研究,2017,31(21):2579-2582.
[7]杨飒,刘东玲,李红芳,等.国内外老年人家庭照顾者健康需求评估工具的研究现状及启示[J].老年护理专题,2017,17(9):1213-1216.
[8]朱杉杉,刘娜娜,牟焕玉,等.基于功能评估的养老机构老年人护理需求指标体系的构建[J].中国实用护理杂志,2017,33(35):2766-2770.
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[10] Slater P,Mccormack B. Determining older people′needsfor care by Registered Nurses the Nuring Needs Assess-ment Tool[J]. J Adv Nurs,2005,52(6):601-608.
[11]曾友燕,王志红,周兰姝,等.国内外家庭护理需求评估工具的研究现状与启示[J].护理管理杂志,2006,6(5):27-29.
[12]杨洪菊,徐凌中.住院病人护理需求调查表的研制[J].护理研究,2008,22(5):1211-1212.
[13]黄天雯,郝元涛,张婷,等.社区老年慢性病患者护理需求调查问卷的信度和效度评价[J].解放军护理杂志,2010,27(8A):1121-1123.
[14]陈平雁,Chit-MingWong,区燕萍,等.综合医院住院病人满意度量表研制初报[J].中国医院管理,1999,19(2):79-81.
[15]袁方.社会研究方法教程[M].北京:北京大学出版社,1997:165-198.
[16]赵光红.护理研究[M].北京:人民卫生出版社,2003:71-84.
[17]蒋艳,沈宁,邹树芳.护理研究中量表研制及测量学特征的评定方法[J].中华护理教育,2005,2(4):174-176.
[18]杜萍,叶文琴.上海市护理人员学历职称结构需求研究[J].护理学报,2008,15(2):14-16.
[19]魏丽丽,何仲,刘华平,等.三级甲等综合医院“护士助理”任职资格和工作描述的研究[J].中华护理杂志,2006,41(4):340-342.
[20]李平,田晓丽,王仙园,等.以工作量为基础配备护理人力的研究护理学报[J].2006,13(1):78-79.
[21] Gordon SC,Barry CD. Development of a school nursingresearch agenda in Florida:a Delphi study[J]. J SchNurs,2006,22(2):114-119.
[22]郭子衡.医院管理学[M].3版.北京:人民卫生出版社,1989:165.
[23]赵光红.护理研究[M].北京:人民卫生出版社,2003:71-84.
[24]郭秀花.医学现场调查技术与统计分析[M].北京:人民卫生出版社,2009:321.
[25]吴明隆.SPSS统计应用实务[M].北京:科学出版社,2003:12-119.
[26]肖顺贞,胡雁.护理科研[M].北京:人民卫生出版社,2002:97-102.
[27]方积乾.医学统计学与电脑实验[M].上海:上海科学出版社,2001:239-250.
[2]徐旭,马红梅,陈江宁,等.住院老年人护理需求的研究现状[J].中国医药导报,2017,14(3):40-42.
[3]韦小乐,凌瑛,何良妹,等.中文版护理依赖量表在恶性肿瘤患者应用中的信度效度评价[J].中国护理管理,2017,17(7):897-901.
[4]吴玉华,冷海燕,张佩文,等.高龄老人居家护理评估管理应用研究[J].护理研究,2017,31(24):3041-3043.
[5]汤先萍,孟宪梅,周兰姝.国外居家护理质量评价指标的研究进展及启示[J].中华护理杂志,2016,51(4):479-482.
[6]何霞,王斌全,冯彦,等.欧美国家常用居家护理评估工具简析及启示[J].护理研究,2017,31(21):2579-2582.
[7]杨飒,刘东玲,李红芳,等.国内外老年人家庭照顾者健康需求评估工具的研究现状及启示[J].老年护理专题,2017,17(9):1213-1216.
[8]朱杉杉,刘娜娜,牟焕玉,等.基于功能评估的养老机构老年人护理需求指标体系的构建[J].中国实用护理杂志,2017,33(35):2766-2770.
[9] Department of Geriatric Health Medical Management of theHome Care Patient Guidelines for Physicians[M]. ChicagoAmerican Medical Association,1998:12-15.
[10] Slater P,Mccormack B. Determining older people′needsfor care by Registered Nurses the Nuring Needs Assess-ment Tool[J]. J Adv Nurs,2005,52(6):601-608.
[11]曾友燕,王志红,周兰姝,等.国内外家庭护理需求评估工具的研究现状与启示[J].护理管理杂志,2006,6(5):27-29.
[12]杨洪菊,徐凌中.住院病人护理需求调查表的研制[J].护理研究,2008,22(5):1211-1212.
[13]黄天雯,郝元涛,张婷,等.社区老年慢性病患者护理需求调查问卷的信度和效度评价[J].解放军护理杂志,2010,27(8A):1121-1123.
[14]陈平雁,Chit-MingWong,区燕萍,等.综合医院住院病人满意度量表研制初报[J].中国医院管理,1999,19(2):79-81.
[15]袁方.社会研究方法教程[M].北京:北京大学出版社,1997:165-198.
[16]赵光红.护理研究[M].北京:人民卫生出版社,2003:71-84.
[17]蒋艳,沈宁,邹树芳.护理研究中量表研制及测量学特征的评定方法[J].中华护理教育,2005,2(4):174-176.
[18]杜萍,叶文琴.上海市护理人员学历职称结构需求研究[J].护理学报,2008,15(2):14-16.
[19]魏丽丽,何仲,刘华平,等.三级甲等综合医院“护士助理”任职资格和工作描述的研究[J].中华护理杂志,2006,41(4):340-342.
[20]李平,田晓丽,王仙园,等.以工作量为基础配备护理人力的研究护理学报[J].2006,13(1):78-79.
[21] Gordon SC,Barry CD. Development of a school nursingresearch agenda in Florida:a Delphi study[J]. J SchNurs,2006,22(2):114-119.
[22]郭子衡.医院管理学[M].3版.北京:人民卫生出版社,1989:165.
[23]赵光红.护理研究[M].北京:人民卫生出版社,2003:71-84.
[24]郭秀花.医学现场调查技术与统计分析[M].北京:人民卫生出版社,2009:321.
[25]吴明隆.SPSS统计应用实务[M].北京:科学出版社,2003:12-119.
[26]肖顺贞,胡雁.护理科研[M].北京:人民卫生出版社,2002:97-102.
[27]方积乾.医学统计学与电脑实验[M].上海:上海科学出版社,2001:239-250.