创伤预检评估量表的编制及信效度检验  

Establishment and validity testing of the trauma pre-triage assessment scale

作　　者：邹军 张宏宇[1] 陈胜 陈雯 ZOU Jun;ZHANG Hongyu;CHEN Sheng;CHEN Wen(The First People′s Hospital of Changzhou,Changzhou Jiangsu 213000)

机构地区：[1]常州市第一人民医院,江苏常州213000

出　　处：《天津护理》2024年第5期520-525,共6页Tianjin Journal of Nursing

基　　金：常州市第一人民医院护理专项预研基金项目(yy2020014,yy2021004)。

摘　　要：目的:编制创伤预检评估量表并对其信效度进行检验,旨在为创伤患者的预检评估提供高效、准确的科学测评工具。方法:采用德尔菲专家函询法构建条目池,形成初始评估量表。于2023年4月至5月选取江苏省14所三级甲等医院中参与创伤救治的612名急诊医护人员作为调查对象进行信效度分析,形成正式量表。2023年6月选择306名急诊医护人员作为调查对象进行验证性因子分析,评估量表的拟合程度。结果:创伤预检评估量表包括基础生命体征评估、损伤机制评估、就诊方式评估3个维度,26个条目。量表总的Cronbach′sα系数为0.941,折半信度为0.722,重测信度为0.932;条目水平的内容效度指数为0.846,量表水平的内容效度指数为0.975;探索性因子分析提取3个公因子,累计方差贡献率为68.595%;验证性因子分析结果显示,量表结构拟合指数良好,量表结构稳定。结论:创伤预检评估量表信效度良好,能快速、准确地评估创伤患者的伤情,适用于急诊创伤预检分诊。Objective:To develop a trauma pre-triage assessment scale and test its reliability and validity,aiming to provide an efficient and accurate scientific evaluation tool for pre-triage assessment of trauma patients.Methods:Items were developed using the Delphi expert consultation method to create an initial assessment scale.From April to May 2023,612 emergency medical staff involved in trauma treatment from 14 Class A tertiary hospitals in Jiangsu Province were selected for reliability and validity analysis,resulting in the formal scale.In June 2023,306 emergency medical staff were selected for confirmatory factor analysis to evaluate the scale′s fit.Results:The trauma pre-triage assessment scale includes basic vital signs assessment,injury mechanism assessment,and treatment mode evaluation,with a total of 26 items.The overall Cronbach′sαcoefficient of the scale is 0.941,the split-half reliability is 0.722,and the test-retest reliability is 0.932.The item-level Content Validity Index(I-CVI)is 0.846,and the scale-level Content Validity Index(S-CVI)is 0.975.Exploratory factor analysis extracted three common factors,with a cumulative variance contribution rate of 68.595%.Confirmatory factor analysis results indicate good structural fit and stability of the scale.Conclusion:The trauma pre-triage assessment scale demonstrates good reliability and validity,allowing for rapid and accurate evaluation of trauma patients′conditions.It is suitable for emergency trauma triage.

关 键 词：预检分诊 创伤 量表 信效度 

分 类 号：R459.7[医药卫生—急诊医学]