社区安宁疗护护士服务能力考评问卷的信效度研究  

Study on reliability and validity of service ability evaluation questionnaire for community hospice nurses

作　　者：张佳慧 唐琪 陈小玲 邹密亮 王晓芬 ZHANG Jiahui;TANG Qi;CHEN Xiaoling;ZOU Miliang;WANG Xiaofen(Department of Nursing,Medical School,Hunan Normal University,Changsha 410013,Hunan,China;Xianjia Lake Community Health Service Center,Changsha 410000,Hunan,China;Department of Oncology,the Second Xiangya Hospital,Central South University,Changsha 410011,Hunan,China)

机构地区：[1]湖南师范大学医学院护理系,湖南长沙410013 [2]咸嘉湖社区卫生服务中心,湖南长沙410000 [3]中南大学湘雅二医院肿瘤科,湖南长沙410011

出　　处：《护士进修杂志》2024年第23期2506-2510,共5页Journal of Nurses Training

基　　金：湖南省教育厅科学研究项目(编号:21B0079);湖南省基础教育教学改革研究项目(编号:Y20230728)。

摘　　要：目的编制社区安宁疗护护士服务能力考评问卷,并进行信效度检验。方法于2022年6-8月,通过德尔菲法编制问卷,随机抽取长沙市10所社区卫生服务中心的340名社区护士进行问卷调查,并进行信效度检测。结果最终形成的社区安宁疗护护士服务能力考评问卷包括安宁疗护基础知识、症状护理与舒适照护、心理支持与精神慰藉、沟通与交流、学科合作与自我发展5个维度,共44个条目,问卷总的Cronbach′sα系数为0.99;问卷总体内容效度指数为0.95,采用分层面因素分析,量表所形成的5个层面的累积方程贡献率分别为77%、81%、86%、84%、87%,各层面所提取的共同因素解释的变异量均>50%,各维度因素负荷均值≥0.70。结论编制的社区安宁疗护护士服务能力考评问卷具有较好的信度和效度,能够为社区安宁疗护护士服务能力评价提供一个科学的工具。Objective To develop the service ability evaluation questionnaire for community hospice nurses and test its reliability and validity.Methods From June to August 2022,the questionnaire was prepared by the Delphi method.A total of 340 community nurses from 10 community health service centers in Changsha were randomly selected to conduct a questionnaire investigation,and its reliability and validity were tested.Results The final community hospice nurse service ability evaluation questionnaire included 5 dimensions,including basic knowledge of hospice care,symptom nursing and comfort care,psychological support and spiritual comfort,communication and exchange,and disciplinary cooperation and self-development,with a total of 44 items,and the Cronbach'sαcoefficient of the questionnaire was 0.99.The overall content validity index of the questionnaire was 0.95.Using hierarchical factor analysis,the contribution rate of the cumulative equation of 5 levels formed by the scale was 77%,81%,86%,84%,and 87%,respectively.The variation of common factor explanations extracted from each level was>50%,and the mean factor load of each dimension was≥0.70.Conclusion The service ability evaluation questionnaire of community hospice nurses has good reliability and validity,which can provide a scientific tool for the service ability evaluation of community hospice nurses.

关 键 词：安宁疗护护士 社区 问卷 信度 效度 护理 

分 类 号：R471[医药卫生—护理学] R48[医药卫生—临床医学]