主动脉夹层术后患者康复期不适症状自评量表的编制  

Development and validation of a self-rating scale for discomfort symptoms in convalescent patients after surgery for aortic dissection

作　　者：冯丹妮 黄素芳 刘雨晨 张可心 郎晓荣 Feng Danni;Huang Sufang;Liu Yuchen;Zhang Kexin;Lang Xiaorong(Department of Emergency,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院急诊科,湖北武汉430030 [2]华中科技大学同济医学院护理学院

出　　处：《护理学杂志》2022年第13期33-37,共5页Journal of Nursing Science

基　　金：国家自然科学基金项目(71874063)。

摘　　要：目的构建主动脉夹层术后患者康复期不适症状自评量表,为评估主动脉夹层术后康复期不适症状并进行有效的症状管理提供依据。方法以症状管理模式为理论基础,基于心脏症状调查表,并根据前期主动脉夹层术后患者电话随访结果,结合心脏手术症状量表初步构建条目池,通过2轮专家咨询,并对出现不适症状的217例主动脉夹层术后康复期患者数据进行量表信效度检验。结果形成的主动脉夹层术后患者康复期不适症状自评量表包括22个条目,探索性因子分析提取7个公因子,累积方差贡献率为70.343%;条目水平内容效度指数为0.833~1.000,量表水平内容效度指数0.918;量表Cronbach′sα系数为0.874,Spearman-Brown分半信度系数为0.785。结论编制的主动脉夹层术后患者康复期不适症状自评量表具有良好的信效度,可作为主动脉夹层术后患者康复期不适症状的测评工具。Objective To develop a self-rating scale for discomfort symptomsin convalescent patients after surgery for aortic dissection,and to provide reference for assessing discomfort symptoms and taking effective symptom management measures.Methods Based on the Conceptual Model of Symptom Management,the Cardiac Symptom Survey,the results of telephone follow-ups of patients receiving surgery for aortic dissection,and the Heart Surgery Symptom Inventory,we formulated the preliminary item pool,then conducted two-round of expert consultation.Finally,217 patients who suffered from discomfort symptoms during convalescent period filled out the questionnaire to test the reliability and validity.Results The self-rating scale included 22 items.Seven factors were identified by exploratory factor analysis,accounting for 70.343%of the total variance.The item-level content validity index was between 0.833 and 1.000,and the scale-level content validity index was 0.918.The overall Cronbach′sαcoefficient was 0.874 and the Spearman-Brown split-half reliability coefficient was 0.785.Conclusion The self-rating scaleis reliable and valid forassessing discomfort symptoms inconvalescent patients after surgery for aortic dissection.

关 键 词：主动脉夹层 手术 康复期 心脏症状 不适症状 量表 信度 效度 

分 类 号：R473.6[医药卫生—护理学]