中文版职业坐姿及体力活动问卷在重症监护室护士中的信效度评价  

Validity and reliability of Chinese version of Occupational Sitting and Physical Activity Questionnaire among intensive care nurses

作　　者：黄康慧 李梦瑶 施澜 郑子一 温弗乐 章雅青[1] HUANG Kanghui;LI Mengyao;SHI Lan;ZHENG Ziyi;WEN Fule;ZHANG Yaqing(Shanghai Jiao Tong University School of Nursing,Shanghai 200025,China)

机构地区：[1]上海交通大学护理学院,上海200025

出　　处：《上海交通大学学报（医学版）》2022年第11期1582-1588,共7页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海市教育委员会护理高原学科项目(Hlgy1902pt);上海交通大学护理学院大学生创新项目(BJ1-7000-21-7215-04)。

摘　　要：目的·引入和汉化职业坐姿及体力活动问卷(Occupational Sitting and Physical Activity Questionnaire,OSPAQ),评估该问卷在重症监护室护士中的信效度。方法·将OSPAQ汉化后,于2021年3月—7月便利选取上海市2家综合性三级甲等医院113名重症监护室护士作为研究对象。护士佩戴ActiGraph wGT3X-BT三轴加速度计7 d后填写中文版OSPAQ,对其中30名护士间隔1周后进行重测。采用组内相关系数(ICC)评价重测信度。以ActiGraph三轴加速度计为校标,采用Spearman等级相关系数和Bland-Altman图评价校标效度。结果·共纳入113名重症监护室护士,其中20名护士不翻班,93名护士翻班。中文版OSPAQ在坐姿、站姿和步行上重测信度较好,ICC为0.766~0.882;重体力劳动上重测信度可接受,ICC=0.606。从全体样本上看,在坐姿和步行方面,中文版OSPAQ与加速度计测量值的Spearman相关系数分别为0.456和0.428,为中等相关;在站姿方面,Spearman相关系数为0.200,为弱相关。从2个亚组分析上看,坐姿和步行方面,不翻班护士的Spearman相关系数表现为强相关,而翻班护士的Spearman相关系数表现为中等相关;在站姿方面,两类护士的相关系数则表现为弱相关或无相关。Bland-Altman一致性分析显示,中文版OSPAQ和加速度计对113名护士坐姿、站姿、步行测量结果的一致性为93.8%~94.7%,使用中文版OSPAQ自评时会低估坐姿和站姿时间、高估步行时间。结论·中文版OSPAQ具有较好的重测信度,在坐姿和步行方面具有可靠的校标效度,是一种简便可靠的职业性体力活动评估工具。Objective·To introduce and translate the Occupational Sitting and Physical Activity Questionnaire(OSPAQ), and evaluate the reliability and validity of the Chinese version of OSPAQ among intensive care nurses. Methods·After the translation of OSPAQ,from March 2021 to July 2021, 113 intensive care nurses from two comprehensive tertiary first-class hospitals in Shanghai were conveniently selected as research objects. All participants wore Acti Graph w GT3X-BT accelerometer for 7 consecutive days, and then filled in the Chinese version of OSPAQ. Thirty nurses were retested after an interval of a week. Intraclass correlation coefficient was used to evaluate retest reliability. Criterion validity was assessed by using Spearman′s rank correlation coefficients and Bland-Altman plots.Results·The sample included 113 intensive care nurses(20 nurses working in day shifts, and 93 nurses working in rotating shifts). The test-retest intraclass correlation coefficients for occupational sitting, standing, and walking in OSPAQ ranged from 0.766 to 0.882, which was evaluated as excellent. The test-retest intraclass correlation coefficients for heavy labour were 0.606, which was evaluated as acceptable. Spearman′s rank correlation coefficients for sitting(0.456) and walking(0.428) showed moderate associations, and that for standing(0.200) showed weak associations. Based on the analysis of the two subgroups, the Spearman′s rank correlation coefficients for sitting and walking showed strong associations among day shifts nurses, while those showed moderate associations among rotating shifts nurses. The Spearman′s rank correlation coefficients for standing showed weak or no associations among day shifts nurses and rotating shifts nurses. Bland-Altman consistency analysis showed that the consistency between the results of sitting posture, standing posture and walking measured by Chinese version OSPAQ and accelerometer was 93.8% to 94.7% in 113 nurses. When using Chinese version OSPAQ self-assessment, the time of sitting postur

关 键 词：体力活动 信度 效度 评估工具 工作 加速度计 

分 类 号：R135[医药卫生—劳动卫生]