女性压力性尿失禁患者手术准备度量表的编制及信效度检验  

Development and psychometric test of the Surgical Readiness Scale for Female Patients with Stress Urinary Incontinence

作　　者：苏明阳[1] 陈亚丽[1] 张淑利[1] 丁清清[2] 李佳佳[3] Su Mingyang;Chen Yali;Zhang Shuli;Ding Qingqing;Li Jiajia(Surgical Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Fifth Ward of Urology Surgery Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Third Ward of Urology Surgery Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,郑州450052 [2]郑州大学第一附属医院泌尿外科五病区,郑州450052 [3]郑州大学第一附属医院泌尿外科三病区,郑州450052

出　　处：《中华现代护理杂志》2024年第33期4488-4494,共7页Chinese Journal of Modern Nursing

基　　金：河南省医学教育研究(WJLX2023027)。

摘　　要：目的编制女性压力性尿失禁(SUI)患者手术准备度量表,并检验其信效度。方法以围手术期"以患者为中心"为理论基础,通过文献回顾、半结构式访谈、专家函询法、预调查形成初始量表。采用便利抽样法,于2021年1月—2022年12月选取郑州大学第一附属医院行择期手术治疗的585例女性SUI患者为研究对象进行调查,检验量表的信效度。结果本研究共发放问卷585份,回收有效问卷560份,问卷有效回收率为95.73%(560/585)。编制的女性SUI患者手术准备度量表包括4个维度、28个条目。总量表的内容效度指数为0.975,总量表的Cronbach'sα系数为0.909,各维度的Cronbach'sα系数分别为0.928、0.822、0.958、0.880;总折半信度系数为0.712,各维度折半信度系数分别为0.921、0.808、0.941、0.841;2次探索性因子分析后结果显示,累计方差贡献率为64.25%;验证性因子分析显示,卡方自由度比为1.680,渐进残差均方和平方根为0.056,拟合优度指数为0.840,修正拟合优度指数为0.811,比较拟合指数为0.944,收敛效度和区别效度值在合理范围内,表示模型拟合度良好。结论本研究编制的女性SUI患者手术准备度量表信效度较好,可作为评估女性SUI患者手术准备状态的有效测评工具。ObjectiveTo develop the Surgical Readiness Scale for Female Patients with Stress Urinary Incontinence(SUI)and test its predictive performance.MethodsBased on the theory of"patient-centered"during the perioperative period,an initial scale was formed through literature review,semi-structured interviews,expert consultation,and pre-survey.From January 2021 to December 2022,convenience sampling was used to select 585 female SUI patients who underwent elective surgical treatment at the First Affiliated Hospital of Zhengzhou University as participants for a survey to test the reliability and validity of the scale.ResultsA total of 585 questionnaires were distributed,and 560 valid questionnaires were collected,with a valid response rate of 95.73%(560/585).The Surgical Readiness Scale for Female Patients with SUI included four dimensions and 28 items.The content validity index of the scale was 0.975.Cronbach'sαcoefficient of the total scale was 0.909,and Cronbach'sαcoefficients of each dimension were 0.928,0.822,0.958,and 0.880,respectively.The total split-half reliability coefficient was 0.712,and the split-half reliability coefficients for each dimension were 0.921,0.808,0.941,and 0.841,respectively.Two exploratory factor analysis showed a cumulative variance contribution rate of 64.25%.Confirmatory factor analysis showed that the chi-square degree of freedom ratio was 1.680,the mean square root of asymptotic residuals was 0.056,the goodness of fit index was 0.840,the modified goodness of fit index was 0.811,and the comparative goodness of fit index was 0.944.The convergence validity and discriminant validity values were within a reasonable range,indicating good fit of the model.ConclusionsThe Surgical Readiness Scale for Female Patients with SUI has good reliability and validity,and can be used as an effective evaluation tool for the surgical readiness of female SUI patients.

关 键 词：压力性尿失禁 女性 手术准备度 患者准备 量表 信度 效度 

分 类 号：R472.3[医药卫生—护理学]