乡村医生脑卒中防治能力调查问卷的编制及信效度检验  

Development and reliability and validity testing of survey questionnaire on stroke prevention and treatment abilities of rural doctor

作　　者：郑雅兴 柳俊杰 杨德 隆军 陈长蓉 ZHENG Yaxing;LIU Junjie;YANG De;LONG Jun;CHEN Changrong(School of Nursing,North Sichuan Medical College,Sichuan Province,Nanchong637000,China;Department of Neurology,Chongqing University Fuling Hospital,Chongqin408000,China;Department of Nursing,Chongqing University Fuling Hospital,Chongqing408000,China)

机构地区：[1]川北医学院护理学院,四川南充637000 [2]重庆大学附属涪陵医院神经内科,重庆408000 [3]重庆大学附属涪陵医院护理部,重庆408000

出　　处：《中国医药导报》2025年第6期91-96,共6页China Medical Herald

基　　金：重庆市科卫联合医学科研面上项目(2025MSXM 002);重庆市科技传播与普及专项项目(cstc2023kpzx-kphd B0060);重庆市涪陵区科卫联合医学科研项目(2022KWLH013)。

摘　　要：目的编制乡村医生脑卒中防治能力调查问卷,科学测量乡村医生脑卒中防治能力。方法以知信行理论为框架,通过文献查阅、头脑风暴、半结构化访谈形成问卷初稿,通过德尔菲专家法进一步修订。预调查后,采用分层抽样法抽取重庆市299名乡村医生进行问卷调查,检验问卷的信效度。结果乡村医生脑卒中防治能力调查问卷包括知识、态度、行为3个维度,共计44个条目。两轮专家函询积极性系数、权威系数一致,分别为1.00、0.92,肯德尔和谐系数分别为0.247和0.198。调查回收有效问卷284份,有效回收率为94.98%。问卷内容效度为0.94,Cronbach’sα系数为0.974。采用探索性因子分析法并结合知信行理论框架抽取3个核心公因子,其累计方差贡献率为66.934%,每个问卷条目在各自对应的公因子上的载荷均超过0.5,且未出现双重因子载荷。结论编制的乡村医生脑卒中防治能力调查问卷具有良好的信效度,可推广应用于乡村医生脑卒中防治能力测量。Objective To develop survey questionnaire on stroke prevention and treatment abilities of rural doctor,scientifically measure stroke prevention and treatment abilities of rural doctor.Methods Based on the theory of knowledge-attitude-practice,preliminary questionnaire was developed through literature review,brainstorming,and semi-structured interviews,and further revised by using Delphi expert method.After pre-survey,stratified sampling method was used to select 299 rural doctors in Chongqing for questionnaire survey to test reliability and validity of the questionnaire,reliability and validity of questionnaire were tested.Results Survey questionnaire on stroke prevention and treatment abilities of rural doctor includes three dimensions:knowledge,attitude,and behavior,with a total of 44 items.The positive coefficients and authority coefficients for both rounds of expert consultation were consistent,with values of 1.00 and 0.92,respectively.The Kendall’s concordance coefficients were 0.247 and 0.198 for the two rounds.284 valid questionnaires were collected,with an effective response rate of 94.98%.The validity of questionnaire content was 0.94,and Cronbach’sαcoefficient was 0.974.Exploratory factor analysis and knowledge-attitude-practice theory framework were used to extract three common factors,with a cumulative variance contribution rate of 66.934%.The loadings of each item on each factor were all greater than 0.5,and no double factor loadings were observed.Conclusion Developed survey questionnaire on stroke prevention and treatment ability of rural doctors has good reliability and validity,can be widely applied to measure stroke prevention and treatment ability of rural doctor.

关 键 词：乡村医生 脑卒中 防治能力 知信行 信度 效度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]