儿科ICU护士预防气管插管非计划性拔管的知信行调查问卷编制及信效度检验  

The preparation and reliability and validity test of the knowledge-attitude-practice questionnaire for pediatric ICU nurses to prevent unplanned extubation of tracheal intubation

作　　者：肖杭 刘丹[1] 李杨燕[1] 陈新红[1] XIAO Hang;LIU Dan;LI Yangyan;CHEN Xinhong(Department of Neonatology,Children’s Hospital of Chongqing Medical University/The Ministry of Education Key Laboratory of Child Developmental Disease Research/National Clinical Research Center for Child Health and Diseases/Chongqing Key Laboratory of Pediatrics/China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院新生儿科/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿科学重庆市重点实验室/儿童发育重大疾病国家国际科技合作基地,重庆400014

出　　处：《重庆医学》2024年第10期1531-1536,共6页Chongqing medicine

基　　金：重庆医科大学附属儿童医院护理学科院内课题(CHCQMU2021.06)。

摘　　要：目的编制儿科ICU护士预防气管插管非计划性拔管(UEX)的知识、态度及行为调查问卷。方法通过文献综述和专家函询相结合的方法编制预测试问卷。采取便利抽样方法,选取4所三级甲等医院(其中1所儿童专科医院、3所综合医院)的237名儿科ICU护士进行调查,对预测试问卷进行项目分析和信效度检验,形成正式调查问卷。结果调查问卷包括41个条目,其中知识维度13个条目、态度维度9个条目、行为维度19个条目。知识、态度、行为维度平均内容效度指数分别为0.921、0.996、0.998,各条目的内容效度指数为0.852~1.000;知识、行为、态度维度Cronbach’s α系数分别为0.911、0.946、0.944,问卷总Cronbach’s α系数为0.953;知识、行为、态度维度折半信度为0.710、0.931、0.859,问卷总折半信度为0.695。结论儿科ICU护士预防气管插管UEX的知识、态度及行为调查问卷具有良好的信效度,可作为儿科ICU护士对预防气管插管UEX的认知程度及行为依从性的评估工具。Objective To investigate the knowledge,attitude and behavior of pediatric ICU nurses on preventing unplanned extubation(UEX).Methods The pre-test paper was prepared by the combination of literature review and expert consultation.The convenience sampling method was used to select 237 pediatric ICU nurses from four tertiary hospitals(including one children’s hospital and three general hospitals)to conduct a survey.The project analysis and reliability and validity test of the pre-test questionnaire were carried out to form a formal questionnaire.Results The questionnaire included 41 items,including 13 items of knowledge dimension,nine items of attitude dimension and 19 items of behavior dimension.The average content validity index of knowledge,attitude and behavior dimensions was 0.921,0.996 and 0.998,respectively,and the content validity index of each item was 0.852-1.000.The Cronbach’s α coefficients of knowledge,behavior and attitude were 0.911,0.946 and 0.944 respectively,and the total Cronbach’s α coefficient of the questionnaire was 0.953.The split-half reliability of knowledge,behavior and attitude dimensions was 0.710,0.931 and 0.859,and the total split-half reliability of the questionnaire was 0.695.Conclusion The questionnaire of knowledge,attitude and behavior of pediatric ICU nurses in preventing tracheal intubation UEX has good reliability and validity,and can be used as an evaluation tool for pediatric ICU nurses’cognition and behavior compliance in preventing tracheal intubation UEX.

关 键 词：儿科 ICU护士 气管插管 非计划性拔管 信度 效度 

分 类 号：R471[医药卫生—护理学]