心肌梗死患者出院准备服务需求指标体系的构建与信效度检验  

Construction of a System of Discharge Preparation Service Demand Indicators for Patients with Myo⁃cardial Infarction and Testing of Reliability and Validity

作　　者：胡娜妞[1] 李春燕[1] 虎银凤 李转珍[1] HU Naniu;LI Chunyan;HU Yinfeng;LI Zhuanzhen(The First Affiliated Hospital of Henan Universi-ty of Science and Technology,Luoyang,Henan 471000;School of nursing,Henan University of Science and Te-chology,Luoyang,Henan 471003)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000 [2]河南科技大学护理学院,河南洛阳471003

出　　处：《上海护理》2023年第4期28-33,共6页Shanghai Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20190576)。

摘　　要：目的构建心肌梗死患者出院准备服务需求指标体系并检验其信效度,以期为心肌梗死患者出院服务评估工具的编制及延续护理的开展提供参考。方法以奥马哈问题分类系统为指导,在文献分析、半结构式访谈及小组讨论的基础上,构建心肌梗死患者出院准备服务指标体系初稿,并经过2轮德尔菲专家咨询形成最终指标体系。2021年6-11月通过调查389例洛阳市某三级甲等医院住院心肌梗死患者,验证该指标体系的信效度。结果最终形成的心肌梗死患者出院准备服务需求指标体系包含4项一级指标(即环境、健康相关行为、社会心理及生理)、13项二级指标及55项三级指标。该指标体系整体的Cronbarh’sα系数为0.944,量表水平的平均内容效度指数为0.985。经探索性因子分析,得到4个公因子,即累积方差贡献率为75.20%。结论基于科学方法构建的心肌梗死患者出院准备服务需求指标体系具有较好的信效度,可作为发展心肌梗死患者出院准备服务需求评估工具的有价值参考。Objective To construct a system of discharge preparation service demand indicators for patients with myocardial infarction and test their reliability and validity,providing a reference for the compilation of discharge service assessment tools for patients with myocardial infarction and the development of transitional care.Methods Under the guidance of the Omaha Problem Classification System,on the basis of literature analysis,semi-structured interviews and group discussions,a draft system of discharge preparation service demand indicators for patients with myocardial infarction was constructed,and then a final indicator system was formed after two rounds of Delphi expert consultation.From June to November 2021,the reliability and validity of the indicator system were validated by investigating 389 inpatients with myocardial infarction in a GradeⅢ⁃A hospital in Luoyang City.Results The final system of discharge preparation service demand indicators for patients with myocardial infarction consisted of 4 first-level indicators(namely,environment,health⁃related behaviors,social psychology and physiology),13 second⁃level indicators and 55 third-level indicators.As a whole,Cronbarh'sαwas 0.944 and the average scale⁃level content validity index was 0.985 for the indicator system.Four common factors were obtained from exploratory factor analysis,meaning the cumulative variance contribution rate was 75.20%.Conclusion The system of discharge preparation service demand indicators for patients with myocardial infarction was constructed based on scientific methods and thus has good reliability and validity.It can provide a valuable reference for developing discharge preparation service demand assessment tools for patients with myocardial infarction.

关 键 词：心肌梗死 患者 出院准备 服务 需求 德尔菲法 信效 效度 

分 类 号：R473.54[医药卫生—护理学]