肿瘤科护理项目缺失程度自评量表的研制及信效度检验  

Development and psychometric test of oncology missed nursing care self-rating scale

作　　者：刘瑞云[1] 高文慧 栗晓坤[3] 牛巧红[3] Liu Ruiyun;Gao Wenhui;Li Xiaokun;Niu Qiaohong(Office of the President,Shanxi Provincial Cancer Hospital,Taiyuan 030013,China;Department of Emergency,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Nursing,Shanxi Provincial Cancer Hospital,Taiyuan 030013,China)

机构地区：[1]山西省肿瘤医院院办,太原030013 [2]首都医科大学宣武医院急诊科,北京100053 [3]山西省肿瘤医院护理部,太原030013

出　　处：《肿瘤研究与临床》2019年第12期837-841,共5页Cancer Research and Clinic

基　　金：山西省重点研发计划(201803D31176)。

摘　　要：目的研制适合我国国情的肿瘤科护理项目缺失程度自评量表,并对量表进行信效度评价。方法通过文献回顾、质性访谈和德尔菲专家函询,形成量表初稿。采用便利抽样法选取山西省388名临床护士进行问卷调查,采用项目分析筛选条目,利用结构效度、内容效度评价量表评价效度,利用内部一致性信度、折半信度及重测信度评价量表评价信度。结果肿瘤科护理项目缺失程度自评量表包括护理评估、护理计划、基础护理和护理干预4个维度,共33个条目。探索性因子分析显示,量表的累积方差贡献率为63.664%,量表的内容效度指数为0.904;Cronbachα系数为0.948,折半信度为0.786,重测信度为0.833。结论肿瘤科护理项目缺失程度自评量表具有良好的信效度,可以作为肿瘤科护理缺失程度的测量工具。Objective To develop a scientific oncology missed nursing care self-rating scale suitable for hospital culture background in China,and to test its validity and reliability.Methods The initial scale was formulated by literature review,qualitative interview and delphi expert consultation.A total of 388 clinical nurses from Shanxi Province were selected by convenience sampling.Item analysis was used to filtrate items.The validity was evaluated by using evaluation scale of construction and content validity,and the reliability was tested by using internal consistency,split-half reliability and retest reliability.Results Oncology missed nursing care self-rating scale consisted of 33 items and 4 dimensions including nursing assessment,nursing plan,basic nursing and nursing intervention.Exploratory factor analysis(EFA)revealed that 4 factors accounted for 63.664%of the accumulated variances.The scale-level content validity index(S-CVI)was 0.904.The Cronbachαcoefficient was 0.948,the spilt-half reliability coefficient was 0.786,and the retest reliability coefficient was 0.833.Conclusion Oncology missed nursing care self-rating scale has good validity and reliability,which can be used as a measuring tool for oncology missed nursing care.

关 键 词：肿瘤 肿瘤护理 量表 信度 效度 

分 类 号：R473.73[医药卫生—护理学]