慢性病患者人文关怀体验量表的信效度评价  

Evaluation of the reliability and validity of Nursing Humanistic Care Experience Scale for Chronic Disease Patients

作　　者：周俊[1] 沈意娜 杜渐[2] 卢红梅 王彤宇[4] 王鑫[5] 苏春香[1] 王琦[1] 

机构地区：[1]北京中医药大学护理学院,102488 [2]北京中医药大学东直门医院骨一科 [3]北京中医药大学东直门医院脑病三科 [4]北京中医药大学东直门医院骨三、骨四科 [5]中国中医科学院望京医院内分泌科

出　　处：《中国实用护理杂志》2018年第3期217-221,共5页Chinese Journal of Practical Nursing

摘　　要：目的对Boscart等研制的人文关系体验量表（HRES）进行汉化，并评价其信度、效度。方法用美国矫形外科医师学会循证医学委员会（AAOS）推荐的跨文化调适过程指南对HRES进行跨文化调适，对180例慢性病患者采用方便抽样的方法进行调查，采用内部一致性信度和重测信度考察量表的信度；采用内容效度和结构效度评价量表的效度。结果为便于理解测量目的和内容，在征求专家意见后，将量表的中文版题目由“人文关系体验量表（HRES）”修订为“慢性病患者人文关怀体验量表（NHCES—NCDP）”。量表总条目的内容效度指数为l；探索性因子分析得到的3个公因子，累积贡献率为67．897％。总量表的Cronbach α系数为0．965，各维度Cronbach α 系数为0．876—0．948，其重测信度为0．710。结论中文版NHCES-NCDP具有良好的信度和效度，可用于评价我国慢性病患者对护理人文关怀的真实体验，从而了解护理人文关怀的实施情况。Objective To cross-cultural adapt and test the reliability and validity of Humanistic Relationship Experience Scale （HRES） made by Boscart. Methods Cross-culture Adaptation was carried out by following American Academy of Orthopaedic Surgeons Evidence Based Medicine Committee （AAOS）. A convenience sampling was conducted among 180 patients with chronic disease, and then assessed the reliability and validity of HRES. The internal consistency coefficient and the test-retest were used to assess the reliability of HRES, and the content validity index （CVI） and construct validity were used to assess the validity of HRES. Results In order to understand the purpose and content of the scale easily, the Chinese version title of HRES was revised to ＂Nursing Humanistic Care Experience Scale- Noninfectious Chronic Disease Patients Version （NHCES-NCDP）＂ after soliciting experts＇ advice. The CVI of the scale was 1; factor analysis got three factors, which could explain 67.897% of the total variance. A 0.965 Cronbach c~ of total scale was obtained, and for each dimension range was 0.876-0.948; the test- retest reliability was 0.710 for the overall scale. Conclusion NHCES- NCDP is reliable and valid, which can be used to assess the experience of nursing humanistic care for patients with chronic diseases, and to explore nurses＇ implementation of nursing humanistic care.

关 键 词：慢性病 护理人文关怀 信度 效度 

分 类 号：R473.5[医药卫生—护理学]