脊髓型颈椎病术后病人延续性护理需求量表的编制及信效度检验
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摘要
[目的]编制适用于评估脊髓型颈椎病术后病人延续性护理需求的测量工具。[方法]通过查阅相关文献、半结构化访谈及专家咨询法构建条目池,选取81例脊髓型颈椎病术后病人进行预调查,采用收集到的数据进行项目分析和探索性因子分析,形成初始版量表。选取206例脊髓型颈椎病术后病人作为正式调查对象,评价量表的信度和效度。[结果]脊髓型颈椎病术后病人延续性护理需求量表包括15个条目,探索性因子分析提取3个公因子,累积方差贡献率为86.693%;量表的内容效度指数(S-CVI)为0.928。验证性因子分析模型拟合良好:χ~2/df=1.022,拟合优度指数(GFI)=0.946,比较拟合指数(CFI)=0.999,简效拟合优度指数(PGFI)=0.686,近似误差均方根(RMSEA)=0.010。量表的Cronbach′sα系数为0.905,Guttman Split-Half系数为0.961。[结论]编制的脊髓型颈椎病术后病人延续性护理需求量表具有良好的信度和效度,可用于脊髓型颈椎病术后病人延续性护理需求的评估。
Objective:To develop a measurement tool for assessing the continuous care needs of postoperative patients with cervical spondylotic myelopathy.Methods:By document retrieval,half-structurized interview and expert consulting,item pool was established.The survey was carried out on 81 postoperative patients with cervical spondylotic myelopathy.The collected data were used for item analysis and exploratory factor analysis to form the initial version.Totally 206 postoperative patients with cervical spondylotic myelopathy were selected for formal investigation objects to test the reliability and validity of the scale.Results:The Continuous Nursing Demand Scale for Postoperative Patients with Cervical Spondylotic Myelopathy consisted of 15 items,three common factors were extracted with exploratory factor analysis,and the cumulative variance contribution rate was 86.693%.The content validity index(S-CVI)of the scale was 0.928.The confirmatory factor analysis model fitted wellχ~2/df=1.022,GFI=0.946,CFI=0.999,PGFI=0.686,RMSEA=0.010,the fitting degree of the model was good.The Cronbach′sαcoefficient of the scale was 0.905 and the Guttman Split-Half coefficient was 0.961.Conclusions:The Continuous Nursing Demand Scale for Postoperative Patients with Cervical Spondylotic Myelopathy has good reliability and validity.It can be used to evaluate continuous nursing demand of postoperative patients with cervical spondylotic myelopathy.
Objective:To develop a measurement tool for assessing the continuous care needs of postoperative patients with cervical spondylotic myelopathy.Methods:By document retrieval,half-structurized interview and expert consulting,item pool was established.The survey was carried out on 81 postoperative patients with cervical spondylotic myelopathy.The collected data were used for item analysis and exploratory factor analysis to form the initial version.Totally 206 postoperative patients with cervical spondylotic myelopathy were selected for formal investigation objects to test the reliability and validity of the scale.Results:The Continuous Nursing Demand Scale for Postoperative Patients with Cervical Spondylotic Myelopathy consisted of 15 items,three common factors were extracted with exploratory factor analysis,and the cumulative variance contribution rate was 86.693%.The content validity index(S-CVI)of the scale was 0.928.The confirmatory factor analysis model fitted wellχ~2/df=1.022,GFI=0.946,CFI=0.999,PGFI=0.686,RMSEA=0.010,the fitting degree of the model was good.The Cronbach′sαcoefficient of the scale was 0.905 and the Guttman Split-Half coefficient was 0.961.Conclusions:The Continuous Nursing Demand Scale for Postoperative Patients with Cervical Spondylotic Myelopathy has good reliability and validity.It can be used to evaluate continuous nursing demand of postoperative patients with cervical spondylotic myelopathy.
引文
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[18]胡慧秀,王志稳,李颖堃,等.养老机构老年人关怀行为评价量表编制及信效度检验[J].中华护理杂志,2015,50(8):912-916.
[2]钟红英.浅析延续性护理对颈椎病保守治疗患者的影响[J].基层医学论坛,2017,21(18):2342-2344.
[3]马学霞,李玮,李晓娟.延续性护理模式在椎动脉型颈椎病患者中的应用效果分析[J].西部中医药,2017,30(2):123-125.
[4]范小辉,李桂仙,宋雪娴.慢性阻塞性肺疾病患者与家属延续性护理需求调查[J].齐鲁护理杂志,2015,21(17):67-69.
[5]徐艳,王慧群,孔方.艾滋病病人家庭延续性护理需求调查[J].护理研究,2015,29(11B):4019-4020.
[6]方积乾.医学统计学与电脑实验[M].4版.上海:上海科学技术出版社,2012:506-508.
[7]吴明隆.结构方程模型——AMOS实务进阶[M].重庆:重庆大学出版社,2013:8-63.
[8]赵光红.护理研究[M].北京:人民卫生出版社,2003:81-84.
[9]OBAMIRO K O,CHALMERS L,BEREZNICKI L R.Development and validation of an oral Anticoagulation Knowledge Tool(AKT)[J].PLoS One,2016,11(6):e0158071.
[10]WARIT W,KRIENGSAK,P,STEWART R A.Workplace innovation:exploratory and confirmatory factor analysis for construct validation[J].Management and Production Engineering Review,2017,8(2):57-68.
[11]谷如婷,魏丽丽,宋蕾,等.基于ACSI模型的我国住院病人满意度指数模型构建[J].护理研究,2017,31(36):4629-4633.
[12]SCHREIBER J B,AMAURY N,STAGE F K,et al.Reporting structural equation modeling and confirmatory factor analysis results:a review[J].The Journal of Educational Research,2006,99(6):323-338.
[13]HAIR J F,BLACK W C,BABIN B J,et al.Multivariate data analysis:aglobal perspective[M].7th edition.[s.l.]:Pearson Education International,2010:670-672.
[14]SIVO S A,FAN X,WITTA E L,et al.The search for optimal cutoff properties:fit index criteria in structural equation modeling[J].The Journal of Experimental Education,2006,74(3):267-288.
[15]李倩,王俊杰.血糖负荷相关饮食知信行问卷的编制及信效度检验[J].护理研究,2017,31(23):2872-2876.
[16]KEESSEN P,MAASKANT J,VISSER B.The reliability and validity of the standardized Mensendieck test in relation to disability in patients with chronic pain[J].Physiotherapy Theory and Practice,2018,34(8):629-636.
[17]郭秀华.实用医学调查分析技术[M].北京:人民军医出版社,2005:261-279.
[18]胡慧秀,王志稳,李颖堃,等.养老机构老年人关怀行为评价量表编制及信效度检验[J].中华护理杂志,2015,50(8):912-916.