中文版理查兹-坎贝尔睡眠量表在骨科围手术期患者中应用的 信效度检验  

Chinese version of Richards-Campbell sleep questionnaire in perioperative orthopaedic patient:a reliability and validity study

作　　者：和晖[1] 弥金霞[1] 谭媛媛 张於 He Hui;Mi Jinxia;Tan Yuanyuan;Zhang Yu(Department of Orthopaedics,The First Affiliated Hospital of Harbin Medical University,Harbin,150000;Department of Gastrointestinal Pancreatic Surgery,Zhejiang Provincial People's Hospital,Hangzhou,310000,China)

机构地区：[1]哈尔滨医科大学附属第一医院骨科,黑龙江哈尔滨150000 [2]浙江省人民医院胃肠胰外科,浙江杭州310000

出　　处：《现代临床护理》2021年第5期40-47,共8页Modern Clinical Nursing

基　　金：黑龙江省护理学会威高科研基金,项目编号201951011022。

摘　　要：目的将中文版理查兹-坎贝尔睡眠量表(Richards-campbell sleep questionnaire,RCSQ)应用于骨科围手术期患者并进行信效度检验。方法采取便利抽样方法,选取199例骨科围手术期患者应用中文版RCSQ进行睡眠质量调查分析,对量表的结构效度、内容效度、校标关联效度及内部一致性信度进行评价。结果中文版RCSQ应用于骨科围手术期患者结构效度的KMO值分别为手术当日前1个晚上0.861、术当晚0.904、术后第1晚0.896、术后第2晚0.900、术后第3晚0.905;Bartlett值分别为手术当日前1个晚上955.207、术当晚1295.427、术后第1晚1103.857、术后第2晚1007.841、术后第3晚1011.084,均P<0.001。通过因子分析,提取1个公因子,累计方差贡献率分别为为手术当日前1个晚上80.834%、术后当晚88.501%、术后第1晚85.343%、术后第2晚83.057%,术后第3晚83.741%,结果表明量表具有较好的结构效度;6名专家评定条目水平的内容效度0.667~1.000,量表水平的内容效度(credit value index,CVI)为0.833;选取(Pittsburgh Sleep Quality Index,PSQI)作为效标进行中文版RCSQ校标效度检验,Pearson相关系数分别为术前晚-0.577、手术当日前1个晚上-0.546、术后第1晚-0.613、术后第2晚-0.652、术后第3晚-0.582,P<0.001差异均有显著统计学意义;量表的Cronbach’sα系数分别为手术当日前一个晚上0.938、手术当日晚上0.965、术后第1晚0.954、术后第2晚0.944、术后第3晚0.947,以上结果表明中文版RCSQ应用于骨科围手术期患者的睡眠评价具有较好的信度。结论中文版RCSQ应用于骨科围手术期患者的睡眠评估具有良好的信度、效度,可广泛应用于骨科围手术期患者睡眠评估。Objective To assess the reliability and validity of Richards campbell sleep Questionnaire(RCSQ,Chinese Version)in investigation of perioperative sleep quality of patients.Methods Convenience sampling method was applied to select 199 perioperative patients from the department of orthopaedics in investigation of sleep quality using RCSQ(Chinese Version).The structural validity,content validity,criterion-related validity and internal integrity of the questionnaire were tested.Results KMO value was 0.861,0.904,0.896,0.900 and 0.905 at the time points in the night before surgery date,the night on surgery date,the first,second and third night after surgery,respectively.Bartlett value was 955.207,1295.427,1103.857,1007.841 and 1011.084 at the time points of the night before surgery date,the night on surgery date,the first,second and third night after surgery,respectively(P<0.001).With factor analysis,one common factor was extracted and the cumulative variance contribution rate was 80.834%,88.501%,85.343%,83.057%,83.741%at the time points of the night before surgery date,the night on surgery date,the first,second and third night after surgery,respectively.All above data indicated a good structural validity of the questionnaire.The content validity on the terms and the questionnaire assessed by 6 experts was 0.667~1.000 and 0.833.Pittsburgh Sleep Quality Index(PSQI)was used as the criterion to test the validity.The Pearson correlation coefficient was-0.564,-0.577,-0.613,-0.652 and-0.582 at the time points of the night before surgery date,the night on surgery date,the first,second and third night after surgery,respectively,with significant difference(P<0.001).Cronbach'sαwas 0.938,0.965,0.954,0.944 and 0.947 at the time points of the night before surgery date,the night on surgery date,the first,second and third night after surgery,respectively.All above data indicated a good reliability of the questionnaire.Conclusion RCSQ(Chinese Version)is reliable and valid in the assessment of the quality of perioperative sleep in pati

关 键 词：睡眠质量 骨科围手术期 信度 效度 

分 类 号：R473.6[医药卫生—护理学]