护士直觉患者病情恶化量表的汉化及信效度检验  

Translation of Nurse Intuition Patient Deterioration Scale and testing of reliability and validity

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作  者:陈恺悦 曾铁英 王颖[2] 林兴凤[3] Filip Haegdorens 龚蓉 张晓红[1] 张可 冯丹妮 Chen Kaiyue;Zeng Tieying;Wang Ying;Lin Xingfeng;Filip Haegdorens;Gong Rong;Zhang Xiaohong;Zhang Ke;Feng Danni(School of Nursing and Rehabilitation,Shandong University,Jinan 250000,China)

机构地区:[1]山东大学护理与康复学院,山东济南250000 [2]华中科技大学同济医学院附属同济医院护理部 [3]山东大学第二医院护理部 [4]Centre for Research and Innovation in Care(CRIC),Department of Nursing and Midwifery Sciences,University of Antwerp

出  处:《护理学杂志》2024年第20期25-29,共5页Journal of Nursing Science

基  金:山东大学第二医院资助项目(2022YP81)。

摘  要:目的汉化护士直觉患者病情恶化量表(Nurse Intuition Patient Deterioration Scale,NIPDS)并检验其信效度。方法通过邮件向原作者获取量表授权后,基于Brislin翻译模式对英文版NIPDS进行正译、综合及回译,通过专家函询、认知性访谈及预调查对量表进行文化调适和修订,形成中文版NIPDS施测版。采取便利抽样法,于2023年12月至2024年2月选取山东省某三甲医院302例住院患者进行测评,对中文版NIPDS信效度进行评价。结果中文版NIPDS共9个条目,量表Cronbach′sα系数为0.816,折半信度为0.795,评定者间信度为0.937;内容效度I-CVI为0.80~1.00,S-CVI/Ave为0.93。NIPDS的ROC曲线下面积为0.907(95%CI 0.873~0.941),最佳风险临界值为4分,Youden指数最大为0.716,灵敏度为0.938,特异度为0.778。结论中文版NIPDS在国内住院患者的应用具有良好的信效度,预测性能良好,可作为临床护士评估住院患者病情恶化风险的有效工具。Objective To translate the Nurse Intuition Patient Deterioration Scale(NIPDS)into Chinese and to test its reliability and validity.Methods After obtaining the authorization of the scale from the original author by email,the English version of the NIPDS was translated,synthesized and back-translated based on the Brislin translation model,and then scale was culturally adapted and revised through expert consultation,cognitive interviews and pre-survey to form the Chinese version of the NIPDS.A convenience sampling method was used to select 302 inpatients from a tertiary hospital in Shandong Province for NIPDS assessment from December 2023 to February 2024,and the reliability and validity of the Chinese version of the NIPDS was evaluated.Results The Chinese version of the NIPDS had 9 items,with a Cronbach′sαcoefficient of 0.816 and a split half reliability of 0.795 and an ICC value of 0.937;the item-level content validity index(I-CVI)ranged from 0.80 to 1.00,and the scale-level CVI,S-CVI/Ave was 0.93.The area under the ROC curve was 0.907(95%CI:0.873-0.941),the optimal risk threshold was 4 points,the maximum Youden′s index was 0.716,the sensitivity was 0.938,and the specificity was 0.778.Conclusion The Chinese version of the NIPDS has good reliability and validity in the application of domestic inpatients.With a good predictive performance,it can be used by nurses to assess the risk of deterioration in inpatients.

关 键 词:护士 直觉 住院患者 病情恶化 量表 汉化 信度 效度 

分 类 号:R472[医药卫生—护理学]

 

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