结直肠癌患者参与手术部位感染防控意向及行为量表的研制  

Development of Intention and Behavior Scale for Colorectal Cancer Patients to Participate in Prevention and Control of Surgical Site Infection

作　　者：姚丽丽 肖明朝[1] 李跃荣[1] 罗业涛 严露培 赵庆华[1] 廖刚[1] 闵苏[1] YAO Li-li;XIAO Ming-zhao;LI Yue-rong(The First Affiliated Hospital of Chongqing Medical University,Chongqing,400016 China)

机构地区：[1]重庆医科大学附属第一医院,重庆400016 [2]陆军军医大学第二附属医院,重庆400037

出　　处：《中国医院管理》2021年第3期55-59,共5页Chinese Hospital Management

基　　金：国家临床重点专科建设项目(财社[2011]170号);重庆市医学重点学科项目(渝卫科教[2007]2号);国家重点研发项目(2020YFC2005900);重庆医科大学附属第一医院护理基金项目(HLJJ2018-12)。

摘　　要：目的研制结直肠癌患者参与手术部位感染防控意向及行为量表,并进行信效度检验。方法依据互动式参与患者安全理论,利用文献研究、半结构式访谈、Delphi专家咨询法形成量表初稿。采用便利抽样法对重庆市某三甲综合医院320例结直肠癌患者进行调查,通过所得的数据测评量表的信度和效度。结果结直肠癌患者参与手术部位感染防控意向及行为量表共26个条目,利用探索性因子分析提取出5个公因子,累积方差贡献率为67.615%。意向分量表和行为分量表的Cronbach’sα系数分别为0.941和0.937,2周重测信度分别为0.898和0.920。结论量表信效度良好,符合心理学测量要求,可用于评估结直肠癌患者参与手术部位感染防控的意向和行为现状。Objective To develop a scale for colorectal cancer patients to participate in the prevention and control of surgical site infection intention and behavior,and to test its reliability and validity.Methods Based on the theoretical framework of patient participation in patient safety,this study used literature review,semi-structured interviews and Delphi method to form a scale draft.A convenient sampling method was used to survey 320 cases of colorectal cancer patients in a tertiary general hospital of Chongqing,and the reliability and validity of the scale were measured by the data.Results A total of 26 items were included in the scale on intention and behavior of colorectal cancer patients participating in prevention and control of surgical site infection.Five principal factors were extracted by exploratory factor analysis,which could explain 67.615%of total variance.Cronbach’sαcoefficients were 0.941 and 0.937,and the two-week test-retest reliabilities were 0.898 and 0.920 of the intention and behavior subscales,respectively.Conclusion The scale has good reliability and validity,and meets the psychometric properties requirements.So it can be used to evaluate the degree of willingness and behavioral status of colorectal cancer patients to participate in the prevention and control of surgical site infection.

关 键 词：患者参与 手术部位感染 量表 信度 效度 

分 类 号：R197.323.4[医药卫生—卫生事业管理]