社区老年人医养康护一体化服务需求问卷的编制及信效度评价  

Development and reliability and validity evaluation of needs questionnaire of the integrated services for medicine,pension,rehabilitation and care of community elderly

作　　者：许文丽 刘化侠[2] 杨兴菊 杨朝霞[3] 王祖麟[2] 王彩英[2] Xu Wenli;Liu Huaxia;Yang Xingju;Yang Zhaoxia;Wang Zulin;Wang Caiying(Intensive Care Unit of Jinan People1 s Hospital,Jinan 271100,China;School of Nursing,ShandongTaishan Medical University,Taian 271000,China;the Affiliated Hospital of Tai' an Medical CollegeNursing Department,Taian 271000,China)

机构地区：[1]济南市人民医院重症监护室,济南271100 [2]泰山医学院护理学院,泰安271000 [3]泰山医学院附属医院护理部,泰安271000

出　　处：《中国实用护理杂志》2019年第26期2055-2060,共6页Chinese Journal of Practical Nursing

基　　金：山东省软科学研究计划(重大)项目(2017RZB14002).

摘　　要：目的编制社区老年人医养康护一体化服务需求问卷,为老年人医养康护需求评估提供有效的测量工具.方法以对12名社区老年人及社区医护人员的质性访谈结果形成问卷理论框架,通过2轮专家咨询和对泰安市3个社区102名老年人预调查形成初稿.采用结构效度评价问卷效度,Cronbachα系数、重测信度、分半信度评价问卷信度.结果本研究邀请16位专家对问卷的61个条目进行2轮咨询,专家权威系数为0.881,专家积极系数为100%.第1轮问卷条目水平的内容效度指数(I-CVI)、全体一致问卷水平的内容效度指数(S-CVI/UA)、平均问卷水平的内容效度指数(S-CVI/Ave)分别为0.68~1.00、0.72、0.83,修改7个条目,删除6个条目,增加3个条目;第2轮分别为0.875~1.000、0.83、0.98,删除1个条目,增加1个条目,最终形成包含7个维度58个条目的问卷.探索性因子分析提取7个公因子,累计贡献率为63.078%,最终形成7个维度51个条目问卷,各维度分别为社区公共卫生服务、全科服务、健康教育、养老服务、康复服务、家庭病床、收费服务.总Cronbachα系数为0.919,各维度Cronbachα系数为0.615~0.808,总问卷重测信度系数为0.862,Guttman分半系数为0.865.总S-CVI为0.85,I-CVI为0.80~1.00.项目分析显示7个条目相关系数低于0.3,其余均在0.3~0.7,在P<0.05水平上显著相关.结论社区老年人医养康护一体化服务需求问卷具有良好信效度,可作为老年人医养康护一体化服务需求的评估工具.Objective The purpose of the research was to draw up the questionnaire of the integrated services demand for medicine,pension,rehabilitation and care of community elderly and to provide elderly people with a effective tool for evaluating the needs of medicine,pension,rehabilitation and care.Methods The theoretical framework of the questionnaire was based on the qualitative interview results of 12 community elderly and community health care workers.A preliminary draft was formed through two rounds of expert consultation and a preliminary survey of 102 elderly people in 3 communities in Taian.Construct validity was used to evaluate the validity of the questionnaire,and Cronbach's alpha coefficient and split half reliability were used to evaluate the reliability of the questionnaire.Results Sixteen experts were invited to conduct two rounds of consultation on 61 items of the questionnaire.The authoritative coefficient of experts was 0.881,and the positive coefficient of experts was 100%.In the first round,items I-CVI,S-CVI/UA and S-CVI/Ave were 0.68-1.00,0.72 and 0.83,respectively.Seven items were modified,six items were deleted and three items were added.In the second round,one item was deleted and one item was added,and a questionnaire consisting of seven dimensions and 58 items was formed.7 common factors were extracted from exploratory factor analysis,and the cumulative contribution rate was 63.078%.Finally,7 dimensions and 51 item questionnaires were formed.Each dimension is the community public health service and general services,health education,pension services,rehabilitation services,family beds,service charges The total Cronbach's alpha coefficient was 0.919,the Cronbach's alpha coefficient of each dimension was 0.615-0.808,the retest reliability coefficient of the total questionnaire was 0.862.and the Guttman half coefficient is 0.865.The total questionnaire CVI was 0.85 and the item CVI was 0.80-1.00.Item analysis showed that the correlation coefficients of the 7 items were lower than 0.3,and the rest we

关 键 词：老年人 医养结合 服务需求 信度 效度 测量工具 

分 类 号：R473.2[医药卫生—护理学]