中晚期帕金森病患者社区护理需求量表的制订及信效度检验  

Development and reliability and validity tests of the tool of community nursing needs scale for patients with middle and advanced Parkinson’s disease

作　　者：李琴 宋彩萍 陈雨露 江玲 万雪莉 冯金华 LI Qin;SONG Caiping;CHEN Yulu;JIANG Ling;WAN Xueli;FENG Jinhua

机构地区：[1]解放军陆军军医大学第二附属医院神经内科医学中心,重庆市400037

出　　处：《中华护理杂志》2022年第11期1351-1358,共8页Chinese Journal of Nursing

基　　金：重庆市科卫联合医学科研项目(2022MSXM135)。

摘　　要：目的制订中晚期帕金森病患者社区护理需求量表,并检验其信效度。方法在马斯洛需求层次理论和约翰逊行为系统模式的指导下,参考相关文献,结合半结构式访谈和德尔菲法,初步形成中晚期帕金森病患者社区护理需求量表;采用预调查和项目分析法对量表进行修订。2021年5月—10月,选取400例中晚期帕金森病患者,采用面对面调查的形式进行问卷调查,进一步检验量表信效度。结果中晚期帕金森病患者社区护理需求量表包含日常照顾需求、跌倒预防需求、自主功能障碍需求、情感支持需求、疾病治疗需求和延续护理需求6个维度,39个条目。量表的Cronbach’s α系数为0.922,折半信度为0.702,各条目的内容效度指数为0.78~1.00,平均量表水平的内容效度指数为0.907。探索性因子分析提取出6个主要因子,累计方差贡献率为68.952%,验证性因子分析结果显示,模型适配理想,因子结构稳定。结论中晚期帕金森病患者社区护理需求量表能较全面地反映患者对社区护理支持的需求,具有良好的信效度,可用于动态评估疾病症状,指导护理人员开展健康评估、疾病管理和教育。Objective To develop the questionnaire of community nursing needs assessment tool for middle and advanced Parkinson’s disease and to test its reliability and validity.Methods Based on Maslow theory of hierarchical needs and Johnson behavior theory,using literature review,semi-structured interviews and Delphi,the primary questionnaire was initially formulated on community nursing needs for middle and advanced Parkinson’s disease,and the questionnaire was adjusted and revised through pre-survey.400 patients with middle and advanced Parkinson’s disease in Chongqing from March to October 2021 were investigated in the form of face-to-face survey,and the reliability,validity and needs were further analyzed.Results The community nursing needs questionnaire for middle and advanced Parkinson’s disease contains 39 items in 6 dimensions,including daily life care needs,fall prevention needs,autonomic dysfunction needs,emotional support needs,disease treatment needs and continuing care needs.The Cronbach’s α coefficients of the questionnaire was 0.922,and the split-half reliability of the questionnaire was 0.702.The total content validity index of the questionnaire was 0.907 and each item ranged from 0.78 to 1.00 Exploratory factor analysis extracted 6 main factors and the cumulative variance contribution rate was 68.952%.Confirmatory factor analysis showed that the model fit well and the factor structure was stable.Conclusion The questionnaire has good reliability and validity,which can be used as a specific tool to comprehensively reflect the needs of patients for community nursing support,and it can also be used as an auxiliary tool for dynamic evaluation of disease symptom control to guide nurses to carry out health assessment,management and education.

关 键 词：帕金森病 社区护理 需求 信度 效度 

分 类 号：R473.74[医药卫生—护理学]