护理专业学生控烟问卷的编制及其信效度分析  

Compilation and the reliability and validity analysis of tobacco control questionnaire for nursing students

作　　者：张黎[1] 何姗[1] 朱晓彬[2] 李军[3] 

机构地区：[1]重庆医科大学护理学院护理学基础教研室,400016 [2]重庆医科大学学生处第四学办,401331 [3]重庆医科大学缙云校区管委会,401331

出　　处：《中华医学教育探索杂志》2016年第8期848-853,共6页Chinese Journal of Medical Education Research

基　　金：重庆市卫生和计划生育委员会医学科研计划项目（20142020）

摘　　要：目的编制护理专业学生控烟问卷，为研究和评价护理专业学生控烟知识、态度、行为提供决策和参考依据。方法以影响行为的倾向因素、促成因素、强化因素为理论框架，通过文献查阅及专家咨询，编制护理专业学生控烟问卷。问卷包括对吸烟危害的认知、控烟的态度、控烟相关法律规定和烟草危害知识了解程度、未来吸烟倾向、未来参与社会控烟意向、对媒体控烟信息的感知度、参与学校控烟活动程度8个维度共24个条目。采用整群抽样对重庆市主城区2所公立高校5210名护理专业学生进行问卷调查，并选取其中215名学生进行重测，采用SPSS19．0和Lisre18．8软件对问卷信效度进行检验。结果问卷的Cronbach＇s α系数为0．720，8个维度的Cronbach’s α系数为0．529—0．748;问卷分半系数为0．806，各维度分半系数为0．526—0．818，问卷的重测信度系数为0．858，各维度的Spearman相关系数均大于0．7。采用主成分分析提取出8个公因子，累积方差贡献率为57．209％。各条目因素负荷量为0．43—0．83，模型拟合效果NFI、NNFI、CFI和IFI的值分别为0．92、0．91、0．93和0．93，问卷检验结果与理论构建相符。结论护理专业学生控烟问卷具有较好的信效度，可用于护理专业学生控烟相关研究。Objective To compile a questionnaire about tobacco control for the nursing students and to provide evidence of research and evaluation for nursing students＇ knowledge, attitude, belief and practice related with tobacco control. Methods Based on the conceptual framework of predisposing factors, contributing factors and reinforcing factors of action, develop the questionnaire about tobacco control through literature review and expert consultation. The questionnaire includes 8 dimensions and 24 items in all. Those arc the recognition of the harm of smoking, attitudes towards tobacco control, knowledge about laws and regulations of tobacco control and harms of cigarettes, future smoking tendency, future participation intention in social tobacco control, perception of information of tobacco control in media and participation of school tobacco control activities. By cluster sampling method, 5 210 nursing students in two medical universities in the main district of Chongqing were investigated. Reliability and validity of the questionnaire were tested through SPSS 19.0 and Lisrel 8.8 215 students were retested. Results Cronbach＇s α for the whole questionnaire was 0.720 and for eight dimensions, it ranged from 0.529 to 0.748. Split-half coefficient was 0.806 and for eight dimensions, it ranged from 0.526 to 0.815. Test-retest reliability coefficient was 0.858. Spearman coefficient for each dimension was greater than 0.7. The principal component analysis was used to extract 8 common factors and the accumulative variance contribution rate was 57.209%. The factor loading of all items was 0.43-0.83. NFI, NNFI, CFI and IFI were 0.92, 0.91, 0.93 and 0.93. The construction of the questionnaire was consistent with the theory. Conclusion The reliability and validity of questionnaire about tobacco control for nursing students were good. It can be used in researches about the nursing students＇ tobacco control.

关 键 词：护生 控烟 信度 效度 

分 类 号：R192.6[医药卫生—卫生事业管理]