临床护理用老年慢性病患者护理结局评定量表的研制和信效度检验  

Development and evaluation of a rating scale assessing the nursing outcome of geriatrics with chronic diseases

作　　者：黄天雯[1] 郝元涛[5] 苏永静[2] 张小燕[1] 朱琦[5] 张振路[1] 成守珍[1] 肖燕[3] 张婷[4] 

机构地区：[1]中山大学附属第一医院护理部,广州510080 [2]中山大学附属第一医院神经内科,广州510080 [3]中山大学附属第一医院消化内科,广州510080 [4]中山大学附属第一医院心内科,广州510080 [5]中山大学公共卫生学院医学统计与流行病学系

出　　处：《中华现代护理杂志》2010年第27期3225-3230,共6页Chinese Journal of Modern Nursing

摘　　要：目的 研制适合国内老年护理专科领域使用的老年慢性病患者护理结局评定量表,用于度量老年慢性病患者住院过程及出院时的健康状况.方法 采用文献法、专家咨询法、预调查及量表考评方法进行量表研制.首先,采用文献法初步形成量表的框架及内容,然后,运用专家咨询法进行两轮专家咨询修订量表,最后,选取3名临床老年专科护士使用老年慢性病患者护理结局量表对187例出院老年慢性病患者进行调查,对量表效度、信度进行了检验.结果 确定了老年慢性病患者护理结局评定量表由4个方面组成,包括功能健康领域（12个条目）、生理健康领域（10个条目）、心理社会健康（5个条目）、健康知识和行为领域（11个条目）,共38个条目.量表具有较好的表面效度和内容效度;具有较好的结构效度和区分效度;量表总的Cronbach＇s d系数为0.9462,其中功能健康领域Cronbach＇s α系数为0.9569,生理健康领域Cronbach＇sα系数为0.7874,心理社会健康领域Cronbach＇sα系数为0.763 8,健康知识和行为领域Cronbach＇s α系数为0.900 9,具有较好的信度.结论 本量表具有较好的效度和信度,可用于评价国内老年慢性病患者的健康状况,供老年护理专科领域护理人员及研究者使用.Objective To develop a rating scale assessing the nursing outcomes of geriatrics with chronic disease,in order to provide valid evaluation tools for health assessment of geriatrics with chronic disease during hospitalization and after discharge.Methods Based on literature reviews,the rating scale was preliminarily developed.Through twice expert consultation,the scale was revised.The validity and reliability of the rating scale was evaluated by 3 clinical nurse specialists through investigation of 187 cases of discharged geriatrics with chronic diseases.Results The rating scale assessing the nursing outcomes of geriatrics with chronic disease included 4 aspects and 38 items：Functional Health （12 items）,Physical Health （10 items）,Psychosocial Health （5 items）,Health Knowledge and Behavior （11 items）.The results of scales evaluation showed that the rating scale had good construct validity,content validity and discrimination validity,and the Cronbach＇ s c of all domains were above 0.70,indicating a good internal consistency.Conclusions The results suggest that the rating scale has good rehability and validity,and can be used to assess the health status of domestic geriatrics with chronic diseases by specialists and researchers.

关 键 词：老年慢性疾病 护理结局 信度 效度 量表 

分 类 号：R473[医药卫生—护理学]