围手术期护士预防患者深静脉血栓形成知信行调查问卷的编制与评价  

Development and evaluation of questionnaire on knowledge, belief and practice ofperioperative nurses in prevention of deep venous thrombosis

作　　者：宗倩 刘志梅[1] 张洁[1] 杨富国[2] Zong Qian;Liu Zhimei;Zhang Jie;Yang Fuguo(Department of Anesthesiology,Qingdao Municipal Hospital Affiliated to Qingdao University,Qingdao 266011,China;Nursing College of Qingdao University,Qingdao 266021,China)

机构地区：[1]青岛大学附属青岛市市立医院麻醉手术科,266011 [2]青岛大学护理学院,266021

出　　处：《中国实用护理杂志》2020年第5期366-372,共7页Chinese Journal of Practical Nursing

摘　　要：目的编制并评价围手术期护士预防患者深静脉血栓形成知信行调查问卷,为开展预防深静脉血栓形成护理现状调查提供工具。方法以知信行理论模式为基础,运用文献阅读、半结构式访谈建立问卷条目池,通过德尔菲(Delphi)专家函询形成初始问卷,便利选取青岛大学附属青岛市立医院197名从事外科及手术室护理的护士开展问卷预调查,对问卷进行区分度、相关系数分析以及信效度检验以形成正式问卷。结果2轮Delphi专家函询后共删除赋值低于标准的条目3项,修改条目内容4项,形成初始问卷。2轮函询专家积极系数分别为85.00%、100.00%;专家肯德尔和谐系数分别是0.195、0.204(P<0.01);专家权威系数是0.836、0.849。对197份预调查问卷进行区分度、相关系数分析以及信效度检验,共删除条目4项。总问卷的条目水平效度为0.800~1.000,量表水平效度为0.825;结构效度分析中,各条目得分的KMO值为0.824,Bartlett球形检验值为3170.304,P<0.01,共抽取12个特征值>1的公因子,累计方差贡献率为66.11%。总问卷的内在一致性克朗巴赫系数(Cronbachα系数)为0.859,重测信度为0.706。最终形成知识维度15个、信念维度10个、行为维度15个共40个问卷条目的正式问卷。结论本问卷信效度检验评价良好,可作为开展围手术期护士预防深静脉血栓形成知信行现状调查的工具。Objective To compile and evaluate the questionnaire of knowledge,belief and practice of perioperative nurses in the prevention of deep venous thrombosis(DVT)in order to provide a tool for further investigation of the status quo of nursing care in the prevention of DVT during perioperative period.Methods Based on the theoretical model of knowledge,belief and practice,a questionnaire item pool was established by literature reading and semi-structured interviews,and an initial questionnaire was formed by Delphi expert inquiry.It was convenient to select 197 nurses engaged in surgery and operating room nursing in Qingdao Municipal Hospital Affiliated to Qingdao University to carry out the pre questionnaire,and to carry out the differentiation levels,relevance coefficient analysis and reliability and validity test were used to form a formal questionnaire.Results After two rounds of Delphi expert inquiries,three items with lower assignment value and four items with modified contents were deleted to form the initial questionnaire.The positive coefficients of experts in two rounds of inquiry were 85.00%and 100.00%,respectively;the Kendall's harmonious coefficients of experts were 0.195 and 0.204(P<0.01);and the authoritative coefficients of experts were 0.836 and 0.849.Four items were deleted from 197 pre-survey questionnaires by discriminatory analysis,correlation coefficient analysis and reliability and validity test.The Item Level Validity(I-CVI)of the total questionnaire was 0.800-1.000,and the Scale Level Validity(S-CVI)was 0.825.In the structural validity analysis,the KMO value of each item was 0.824,the Bartlett spherical test value was 3170.304,P<0.01.Twelve common factors with eigenvalues greater than 1 were extracted,and the cumulative variance contribution rate was 66.11%.The intrinsic consistency Cronbach a coefficient of the total questionnaire was 0.859,and the retest reliability was 0.706.Finally,a formal questionnaire with 40 items in 15 knowledge dimensions,10 belief dimensions and 15 behavior dimensions

关 键 词：围手术期 深静脉血栓形成 预防 问卷 编制 

分 类 号：R473[医药卫生—护理学]