重症监护室护士职业悲伤支持量表的编制及信效度检验  

Development and Reliability and Validity Test of Professional Grief Support Scale for Intensive Care Unit Nurses

作　　者：张正敏 冯现刚[2] 梁素娟[3] 魏红云[4] 左倩倩 高钰琳[1] ZHANG Zhengmin;FENG Xiangang;LIANG Sujuan;WEI Hongyun;ZUO Qianqian;GAO Yulin(School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China;School of Public Health,Southern Medical University;Department of Neurological Surgery,Zhujiang Hospital of Southern Medical University,Guangzhou 510282,Guangdong Province,China;Department of Intensive Medicine,Nanfang Hospital of Southern Medical University,Guangzhou 510515,Guangdong Province,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]南方医科大学公共卫生学院 [3]南方医科大学珠江医院神经外科,广东广州510282 [4]南方医科大学南方医院重症医学科,广东广州510515

出　　处：《解放军护理杂志》2021年第12期9-12,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2020年医学教育研究课题(20B0327);中国学位与研究生教育学会2020年面上课题(2020MSA385)。

摘　　要：目的编制重症监护室(intensive care uint,ICU)护士职业悲伤支持量表,为评估ICU护士的职业悲伤支持提供有效工具。方法基于质性访谈结果,结合社会支持理论,通过文献分析和课题组讨论后形成量表初始条目池。通过专家评定、小样本预调查,形成量表初稿。对389名ICU护士进行问卷调查,测定ICU护士职业悲伤支持量表的信效度。结果正式量表包括同事、领导、家人、朋友和单位支持5个维度,共27个条目。验证性因子分析结果显示,5个因子模型拟合良好。5个因子的平均方差抽取量均>0.7,组合信度均>0.8;各因子间相关系数为0.101~0.507,均小于对应平均方差抽取量的平方根;各因子得分与职业悲伤支持总分间相关系数为0.547~0.860。量表及各维度的Cronbach’sα系数为0.934~0.969。结论ICU护士职业悲伤支持量表信效度良好,适用于评估ICU护士的职业悲伤支持。Objective The professional grief support scale for Intensive Care Unit(ICU)nurses was developed to provide an effective tool for the evaluation of ICU nurses professional grief support.Methods Based on the results of semi-structured interviews and social support related theories,the initial item pool of the scale was drawn up after the literature analysis and group discussion.Afterwards,the first draft of the scale was formed after expert evaluation and small sample pre-test.389 valid questionnaires were collected to test its reliability and validity.Results The scale consisted of 27 items and 5 factors namely colleague,leader,family,friend and work unit support.Confirmatory factor analysis showed that the five-factor model fitted well.The mean variance extraction of 5 factors were all>0.7,and the combined reliability was all>0.8.Correlation coefficients between five factors were from 0.101 to 0.507,which were all smaller than the square root of corresponding average variance extracted.The correlation coefficients between scores of each factor and total score of the scale were from 0.547 to 0.860.The Cronbach’sαcoefficient for the scale and each dimension were between 0.934 and 0.969.Conclusions The professional grief support scale for ICU nurses is a valid and reliable instrument to assess professional grief support of ICU nurses.

关 键 词：职业悲伤支持 量表编制 ICU护士 信效度检验 

分 类 号：R471[医药卫生—护理学]