冠心病PCI术后患者延续护理成效评价指标的构建  

Construction of the continue nursing effectiveness evaluation index for patients with coronary heart disease after PCI

作　　者：何成雨 甘秀妮[1] 王小琳[2] 张恬[1] 崔念奇 

机构地区：[1]重庆医科大学附属第二医院护理部,重庆400010 [2]重庆医科大学附属第二医院老年科,重庆400010

出　　处：《重庆医科大学学报》2018年第2期285-290,共6页Journal of Chongqing Medical University

基　　金：重庆市卫生计生委2016年医学科研项目重点项目(编号:2016ZDXM008);重庆市医科大学附属第二医院护理骨干科研资助计划

摘　　要：目的:构建系统、科学的冠心病PCI术后患者延续护理成效评价指标,并检验其信效度。方法:以文献分析和质性研究为基础,通过Delphi法确立冠心病PCI术后患者延续护理成效评价指标。选取其中9名专家对指标和条目进行相关性评分,计算内容效度。对231名冠心病PCI术后患者进行测评,检验其信效度。结果:最终构建的冠心病PCI术后患者延续护理成效评价指标包含4项一级指标、15项二级指标、35项三级指标。该指标Cronbach’sα系数为0.926,各维度Cronbach’sα系数依次为0.600、0.768、0.918、0.798,折半信度为0.952。内容效度为0.890,主成分提取6个公因子,累积贡献率达69.26%。结论:该评价指标具有较好的科学性、可靠性、实用性和可行性,能够科学有效地评价冠心病PCI术后患者延续护理的成效。Objective：To establish a systematic and scientific evaluation index of continuing nursing for CHD after percutaneous coronary intervention（PCI）,and to test the reliability and validity. Methods：Based on literature analysis and qualitative research,the effectiveness evaluation index of patients with CHD after PCI and was developed to determine the content index by Delphi method.Nine experts were invited to perform CVI. The reliability and validity of the index were tested among 231 patients with CHD after PCI in hospital another. Results：The final evaluation index consisted of 4 first indicators,15 second indicators and 35 third indicators.The Cronbach＇s alpha was 0.926 for the total index. The Cronbach＇s alpha of 4 first indicators were 0.600,0.768,0.918,0.798. The split half reliability was 0.952. The index content validity index was 0.890. Factor analysis was used to extract 6 factors and the cumulative variance contribution rate was 69.26%. Conclusion：The evaluation index is scientific,reliable,practical and feasible. It can evaluated the quality of continuous nursing scientifically and effectively.

关 键 词：冠心病 PCI术后 延续护理 成效评价指标 信度 效度 

分 类 号：R541.4[医药卫生—心血管疾病]