中青年维持性血液透析患者护理服务需求问卷编制及信效度检验  

Development and Reliability and Validity Test of Nursing Service Demand Questionnaire for Young and Middle-aged Maintenance Hemodialysis Patients

作　　者：吴宗壁 徐明明[2] 应锰 韩晓苇[2] 万艳平 WU Zong-bi;XU Ming-ming;YING Meng;HAN Xiao-wei;WAN Yan-ping(Institute of Nursing,School of Nursing,Hengyang Medical College,University of South China,Hengyang 421001,Hunan,China;Department of Nursing,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,Guangdong,China)

机构地区：[1]南华大学衡阳医学院护理学院护理学研究所,湖南衡阳421001 [2]深圳市中医院护理部,广东深圳518033

出　　处：《医学信息》2022年第19期26-29,共4页Journal of Medical Information

基　　金：广东省“十三五”中医重点、特色专科建设项目(粤中医函〔2019〕472号);深圳市中医重点专科建设项目(深卫健中医〔2019〕22号)。

摘　　要：目的编制中青年维持性血液透析患者护理服务需求问卷,并检验其信效度。方法在文献回顾、专题小组讨论的基础上拟定中青年维持性血液透析患者护理服务需求调查问卷初稿,于2022年3月-4月采用方便抽样法选取深圳市从事血液透析方面工作的19名专家作为函询对象,采用德尔菲法进行两轮专家函询,统计专家的积极系数、权威程度、协调系数;2022年5月,采用方便抽样法选取深圳市中医院肾病诊疗中心50例中青年维持性血液透析患者为预调查对象,对自制中青年维持性血液透析患者护理服务需求问卷的维度和条目进行预调查并进行信效度测试。结果两轮专家函询的积极系数均为100.00%;专家权威程度为0.882;协调系数分别为0.619、0.204;采用探索性因子分析评价问卷的结构效度,结果显示问卷KMO检验值为0.849,Bartlett球形度检验统计量为588.141(P<0.001),Cronbach'sα系数为0.905;最终问卷包括基础护理需求、专科护理需求、饮食指导需求、用药指导需求、健康知识需求、运动指导需求、心理辅导需求7个维度,共16个条目。结论中青年维持性血液透析患者护理服务需求问卷的可靠性高、信效度较好,可作为中青年维持性血液透析患者护理服务需求的测量工具。Objective To develop a nursing service demand questionnaire for young and middle-aged maintenance hemodialysis patients,and to test its reliability and validity.Methods On the basis of literature review and focus group discussion,the item pool of questionnaire was preliminarily drawn up.From March to April 2022,a total of 19 experts engaged in hemodialysis in Shenzhen were selected by convenient sampling as the subjects of letter consultation.Delphi method was used to conduct two rounds of expert letter consultation,and the positive coefficient,authority degree and coordination coefficient of experts were statistically analyzed.In May 2022,convenience sampling was used to select 50 young and middle-aged maintenance hemodialysis patients in Nephropathy Diagnosis and Treatment Center of Shenzhen Traditional Chinese Medicine Hospital as the subjects of pre-investigation.The dimensions and items of the self-made questionnaire for nursing service needs in young and middle-aged maintenance hemodialysis patients were pre-investigated and the reliability and validity were tested.Results The positive coefficients of the two rounds of expert consultation were 100.00%.The degree of expert authority was 0.882;the coordination coefficients were 0.619 and 0.204,respectively.Exploratory factor analysis was used to evaluate the construct validity of the questionnaire,thw results showed that the KMO test value of the questionnaire was 0.849,and the Bartlett sphericity test statistic was 588.141(P<0.001).The Cronbach'sαcoefficient of the total questionnaire was 0.905.The final questionnaire included 7 dimensions with basic nursing needs,specialist nursing needs,diet guidance needs,medication guidance needs,health knowledge needs,exercise guidance needs,and psychological counseling needs,with a total of 16 items.Conclusion The questionnaire of nursing service needs in young and middle-aged patients with maintenance hemodialysis has high reliability and good reliability and validity,which can be used as a measurement tool of nursin

关 键 词：中青年 维持性血液透析患者 德尔菲法 护理服务需求 

分 类 号：R459.5[医药卫生—治疗学]