摘要
目的研制护理人员安宁疗护知信行问卷,为全方位了解护理人员对安宁疗护知识、态度及安宁疗护实践情况提供新的测评工具。方法以知信行理论模式为指导框架,通过文献回顾、小组讨论及德尔菲专家函询形成问卷初稿。采用便利抽样法,对湖北省10所综合医院的575名护理人员进行问卷调查,对问卷进行项目分析及信效度检验。结果护理人员安宁疗护知信行问卷共39个条目,探索性因子分析提取3个公因子,累计方差贡献率为80.885%,验证性因子分析各拟合指标均在可接受范围(χ^(2)/df=2.835,RMSEA=0.078,IFI=0.918,CFI=0.918,TLI=0.912)。总问卷Cronbach′sα为0.976,折半信度为0.808;问卷各条目内容效度指数0.875~1.000,问卷平均内容效度指数为0.965。结论编制的护理人员安宁疗护知信行问卷具有良好的信效度,可作为评价综合医院护理人员安宁疗护知识、态度、行为水平的有效工具。
Objective To develop and provide a new evaluation tool to comprehensively understand the knowledge,attitudeand practice(KAP)of palliative care for nurses.Methods With the theoretical model of knowledge-attitude-practice as the guiding framework,the first draft of the questionnaire was formed after literature review,group discussion and Delphi expert correspondence.Questionnaire survey was conducted to analysis the item and reliability and validity of the tool among the 575 nursing staffs of 10 general hospitals in Hubei Province by the convenience sampling method.Results There were 39 items in the KAP questionnaire on hospice and palliative care for nurses.Three common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 80.885%.The fitting indicators of confirmatory factor analysis were all within the acceptable range(χ^(2)/df=2.835,RMSEA=0.078,IFI=0.918,CFI=0.918,TLI=0.912),the Cronbach′s α was 0.976,and the half-time reliabilitywas 0.808;the content validity indexs of each item of the questionnaire were 0.875-1,the average scale-level content validity index was 0.965.Conclusion The KAP questionnaire on hospice and palliative care for general hospital nurses has good reliability and validity,and can be used as an effective tool to evaluate the knowledge,belief and practice of general hospital nursesfor palliative care.
作者
王佳庆
胡德英
胡洁
胡龙霞
成芳
胡雪芝
丁小萍
刘义兰
Wang Jiaqing;Hu Deying;Hu Jie;Hu Longxia;Cheng Fang;Hu Xuezhi;Ding Xiaoping;Liu Yilan(Department of Thoracic Oncology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
北大核心
2025年第4期106-110,共5页
Journal of Nursing Science
基金
国家重点研发计划项目(2020YFC2006000)。
关键词
护理人员
安宁疗护
问卷
知识
信念
行为
信度
效度
nursing staff
palliative care
questionnaire
knowledge
belief
behavior
reliability
validity
作者简介
通信作者:胡德英,hudeying2006@126.com;王佳庆:男,硕士,护师,2718141171@qq.com。
