外科护士围手术期血糖管理知识问卷的编制及信效度检验  

Development of the Perioperative Blood Glucose Management Knowledge Questionnaire for Surgical Nurses and its reliability and validity

作　　者：李蒙[1] 刘佳月 梁茜 赵梦 姚倩倩 施秉银[1] Li Meng;Liu Jiayue;Liang Qian;Zhao Meng;Yao Qianqian;Shi Bingyin(Department of Endocrinology and Metabolism,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院内分泌代谢科,西安710061

出　　处：《中华现代护理杂志》2024年第11期1450-1456,共7页Chinese Journal of Modern Nursing

基　　金：陕西省自然科学基金(2024JC-YBMS-765)。

摘　　要：目的编制外科护士围手术期血糖管理知识问卷,并检验其信效度。方法2019年1—6月通过文献回顾构建问卷条目池,采用目的抽样法纳入13名专家进行2轮德尔菲函询。2019年7月采用便利抽样法,选取西安交通大学第一附属医院外科病区的50名临床护士为研究对象,开展预调查,形成外科护士围手术期血糖管理知识问卷初始版。于2019年8—9月再次选取本病区的110名临床护士为研究对象,对问卷进行条目筛选及信效度检验。结果最终编制的外科护士围手术期血糖管理知识问卷包括血糖异常影响因素、血糖异常的危害、术前及术后护理观察要点、围手术期危急状况的紧急处理及围手术期血糖管理要点5个维度,共19个条目。2轮函询的专家积极系数均为100.00%(13/13),专家权威系数为0.88,2轮函询的变异系数分别为0~0.30、0~0.17;探索性因子分析提取5个公因子,累计方差贡献率为66.70%。问卷的总Cronbach’’sα系数为0.92,重测信度系数为0.97,量表水平的内容效度指数为0.98。结论本研究编制的外科护士围手术期血糖管理知识问卷具有良好的科学性及实用性,可作为评价外科护士围手术期血糖管理知识水平的有效工具。Objective To develop the Perioperative Blood Glucose Management Knowledge Questionnaire for Surgical Nurses and test its reliability and validity.Methods From January to June 2019,the questionnaire item pool was constructed through literature review,and 13 experts were included in two rounds of Delphi consultation using purposive sampling.In July 2019,convenience sampling was used to select 50 clinical nurses from the surgical ward of the First Affiliated Hospital of Xi'an Jiaotong University as the research subject.A preliminary survey was conducted to form an initial Perioperative Blood Glucose Management Knowledge Questionnaire for Surgical Nurses.From August to September 2019,110 clinical nurses from this ward were selected as the research subject again,and the questionnaire was subjected to item screening and reliability and validity testing.Results The final Perioperative Blood Glucose Management Knowledge Questionnaire for Surgical Nurses included five dimensions of factors influencing blood glucose abnormalities,hazards of blood glucose abnormalities,preoperative and postoperative nursing observation points,emergency treatment of perioperative critical conditions,and key points for perioperative blood glucose management,with a total of 19 items.In the two rounds of consultation,the positivity coefficients of experts were both 100.00%(13/13),the authority coefficient of experts was 0.88,and the coefficients of variation for two rounds of consultation were 0 to 0.30 and 0 to 0.17.Exploratory factor analysis extracted five common factors,with a cumulative variance contribution rate of 66.70%.The Cronbach's α coefficient of the total questionnaire was 0.92,the test-retest reliability coefficient was 0.97,and the scale-level content validity index was 0.98.Conclusions The Perioperative Blood Glucose Management Knowledge Questionnaire for Surgical Nurses has good scientific and practical significance,and can be used as an effective tool to evaluate the perioperative blood glucose management knowledge among sur

关 键 词：围手术期护理 外科护士 血糖管理知识 问卷编制 评估工具 信度 效度 

分 类 号：R473.6[医药卫生—护理学]