摘要
目的 编制慢性伤口早期生物膜管理知信行量表并检验其信效度。方法 以知信行理论模型为框架,通过文献研究、质性访谈、专家函询和预调查形成量表初稿。并采用该量表对便利抽取的618名伤口专科护士或国际伤口治疗师进行调查,检验其信度和效度。结果 慢性伤口早期生物膜管理知信行量表包括知识、态度、行为3个维度,34个条目,累计方差贡献率为62.626%。量表的内容效度指数为0.951,各条目内容效度指数为0.800~1.000;验证性因子分析显示模型拟合良好。量表的内部一致性Cronbach α系数为0.970,折半信度值为0.901,重测信度组内相关系数值为0.957(95%CI:0.912~0.979,P<0.001)。结论 构建的慢性伤口早期生物膜管理知信行量表具有良好的信效度,可用于了解伤口护士识别和管理早期生物膜现状以及影响因素。
Objective To develop a Knowledge,Attitude and Practice Scale for Early Biofilm Management of Chronic Wounds and to test its reliability and validity.Methods Based on the theoretical model of Knowledge,Attitude and Practice model,the first draft of the scale was formed through literature review,qualitative interview,expert consultation and pre-investigation.With convenience sam⁃pling,618 wound specialist nurses or international wound therapists were selected to test its reliability and validity.Results The Knowledge,Attitude and Practice Scale for Early Biofilm Management of Chronic Wounds consisted of 34 items in three dimensions:knowledge,attitude and practice.The cumulative variance contribution rate was 62.626%;content validity index of the scale 0.951 and that of each item ranged from 0.800 to 1.000.Confirmatory factor analysis showed that the model was well-fitted.Internal consistency Cronbachsαcoefficient of the scale was 0.970,split-half reliability 0.901,and the intra-class correlation coefficient of test-retest reli⁃ability 0.957(95%CI:0.912~0.979,P<0.001).Conclusion The established scale has good reliability and validity,and it can be used for wound nurses to understand the current situation and influencing factors of early biofilm recognition and management.
作者
张煜
王晓春
张秋阳
任学华
靳羽西
杨子琦
ZHANG Yu;WANG Xiaochun;ZHANG Qiuyang;REN Xuehua;JIN Yuxi;YANG Ziqi(First School of Clinical Medicine,Harbin Medical University,Harbin 150000,China;Dept.of Nursing Administration,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《护理学报》
2025年第18期12-17,共6页
Journal of Nursing(China)
关键词
慢性伤口
早期生物膜
生物膜管理
知信行
信度
效度
chronic wounds
early biofilm
biofilm management
knowledge,attitude and practice
reliability
validity
作者简介
张煜(1999-),女,山东日照人,本科学历,硕士研究生在读,护师;通信作者:王晓春(1967-),女,黑龙江泰来人,硕士,教授,主任护师。E-mail:31555361@qq.com。
