中国新生儿重症监护室父母部分陪伴情境下父母满意度测评量表的汉化及信效度研究  

Reliability and validity of Chinese EMPATHIC⁃N scale in the context of partial parental accompaniment in neonatal intensive care units in China

作　　者：李丽玲 刘婵 胡晓静 张舒文 Jos M.Latour LI Liling;LIU Chan;HU Xiaojing;ZHANG Shuwen;Jos MLatour(Neonatal Intensive Care Unit,Children's Hospital of Fudan University,Shanghai 201102,China;Nursing Department,Children's Hospital of Fudan University,Shanghai 201102,China;Faculty of Health,University of Plymouth,United Kingdom)

机构地区：[1]复旦大学附属儿科医院新生儿科,上海201102 [2]复旦大学附属儿科医院护理部,上海201102 [3]英国普利茅斯大学卫生学院

出　　处：《中国循证儿科杂志》2023年第6期447-451,共5页Chinese Journal of Evidence Based Pediatrics

基　　金：国家重点研发计划项目:2021YFC2701004;上海市“科技创新行动计划”长三角科技创新共同体领域项目:21002411900。

摘　　要：背景NICU住院患儿父母的满意度和体验是评估临床实践的效果和提高护理质量的基础,中国目前缺乏NICU患儿家长满意度的专业测评工具。目的通过汉化形成适合中国NICU的以家庭为中心的父母满意度评估工具(EMPATHIC-N)。设计横断面调查。方法遵循Wild归纳总结的量表翻译及文化调适的流程对原版EMPATHIC-N量表进行汉化,形成中文版EMPATHIC-N量表,行样本量估计,纳入复旦大学附属儿科医院NICU 2021年3月至2022年6月出院的出生胎龄<37周,出生体重<1500 g,首次入NICU且入住时间>72 h的患儿父母,剔除住院期间死亡的患儿。由经过培训的宣教护士向患儿父母解释研究的目的,每个家庭发放1份问卷。由父母当场填写,宣教护士通过问卷星后台检查数据。通过Cronbach’sα系数和折半信度系数检验中文版EMPATHIC-N量表的内部一致性信度和Spearman-Brown折半信度,通过探索因子分析和验证因子分析检验中文版EMPATHIC-N量表的结构效度。主要结局指标中文版EMPATHIC-N量表的信度和效度。结果发放和回收问卷330份。中文版EMPATHIC-N量表有57个条目。探索性因子分析中,主成分分析一共提取出5个因子(信息提供、照护治疗、父母参与、病房环境、专业态度),特征根值均>1,累积方差解释率为87.4%,各条目的因子载荷0.706~0.953。验证因子分析模型拟合结果显示,卡方自由度比(χ^(2)/df)=6.635,近似误差均方根(RMSEA)=0.131,比较拟合指数(CFI)=0.807,载荷因子数0.792~0.999;聚合效度评估显示,量表平均提取方差值(AVE)为0.757~0.964,组合信度值为0.974~0.996。区分效度评估显示,量表5个因子的AVE平方根值为0.870~0.982,各因子的AVE平方根值均大于该因子与其他因子间的相关系数绝对值。内部一致性:5个因子及总量表的Cronbach’sα系数为0.976、0.996、0.975、0.995、0.973、0.982。Spearman-Brown折半信度:5个因子及总量表折半信度系数依次Background The effectiveness of clinical practice and the improvement of care quality are evaluated based on the satisfaction and experience of parents whose infants have been admitted to the neonatal intensive care unit(NICU).Currently,there is a lack of a professional assessment tool in China for evaluating parental satisfaction in the NICU.Objective To translate the Empowerment of Parents in The Intensive Care⁃Neonatology(EMPATHIC⁃N)into Chinese to make it a family⁃centered parent satisfaction assessment tool appropriate for NICUs in China.Design Cross⁃sectional study.Methods The original version of the EMPATHIC⁃N scale was translated into Chinese using ten steps of scale translation and cultural adaptation summarized by Wild.The sample size was estimated to facilitate sampling methods.The parents were included for infants admitted to the NICU at Children's Hospital of Fudan University between March 2021 and June 2022,with a gestational age<37 weeks,the birth weight<1,500 g,and the length of stay>72 hours.Infants who passed away during their hospitalization were excluded.A nurse who has received training explained the purpose of the study to the parents and guided them to complete the questionnaire.Each family received one copy.The parent,either the mother or the father,filled out the questionnaire on the spot,and the data were checked by the nurse.The internal consistency reliability and Spearman⁃Brown split⁃half reliability of the Chinese version of the EMPATHIC⁃N scale were tested using Cronbach'sαcoefficients and split⁃half reliability coefficients.The construct validity of the Chinese version of the EMPATHIC⁃N scale was evaluated through exploratory factor analysis and confirmatory factor analysis.Main outcome measures Reliability and validity of EMPATHIC⁃N scale in Chinese.Results A total of 330 questionnaires were distributed and all were effectively collected.The Chinese version of the EMPATHIC⁃N scale comprises 57 items.During exploratory factor analysis,principal component an

关 键 词：EMPATHIC-N量表 满意度 信度 效度 父母 新生儿重症监护病房 

分 类 号：R473.72[医药卫生—护理学]