首页|护士对吞咽障碍患者服药管理知信行问卷的编制及信效度检验

护士对吞咽障碍患者服药管理知信行问卷的编制及信效度检验

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目的 编制护士对吞咽障碍患者服药管理知信行问卷并检验其信效度。方法 基于循证总结吞咽障碍患者服药管理最佳证据，以知信行理论为指导，通过小组讨论、德尔菲专家函询、预调查后确定问卷基本维度和条目池，便利选取江苏省10所三级医院437名护士进行调查以修订问卷，根据调查结果检验问卷信效度。结果 护士对吞咽障碍患者服药管理知信行问卷包括3个维度共43个条目。分别将3个维度按探索性因子分析，共提取特征根>1的6个公因子，其中知识维度提取出2个因子，累积方差贡献率为74。958%;信念维度提取出1个因子，累积方差贡献率为77。655%;行为维度提取出3个因子，累积方差贡献率为72。274%。各条目因子载荷为0。618～0。902，总问卷Cronbach's α系数为0。949，重测信度为0。909。问卷整体水平内容效度为0。922，条目水平内容效度为0。800～1。000。结论 本研究编制的护士对吞咽障碍患者服药管理知信行问卷具有良好的信效度，可作为评估护士对吞咽障碍患者服药管理现状的有效工具。
Development,reliability and validity of nurses'knowledge,attitude and practice questionnaire on medication management for patients with dysphagia
Objective To develop nurses'knowledge,attitude and practice questionnaire on medication management for patients with dysphagia,and test its reliability and validity.Methods Based on the evidence-based summary of the best evidence of medication management for patients with dysphagia,guided by the the-ory of knowledge,attitude and practice,the basic dimensions and item pool of the questionnaire were deter-mined through group discussion,Delphi expert consultation and pre-investigation.In order to revise the ques-tionnaire,437 nurses from 10 tertiary hospitals in Jiangsu Province were conveniently selected for investigation,and the reliability and validity of the questionnaire were tested according to the survey results.Results The nurses'knowl-edge,attitude and practice questionnaire on medication management for patients with dysphagia included 43 items in three dimensions.The three dimensions were analyzed by exploratory factors,and six common factors with characteristic roots>1 were extracted.Two factors were extracted from the knowledge dimension,and the cumulative variance contribution rate was 74.958%,One factor was extracted from the attitude dimen-sion,and the cumulative variance contribution rate was 77.655%.Three factors were extracted from the prac-tice dimension,and the cumulative variance contribution rate was 72.274%.The factor load of each item was 0.618-0.902,Cronbach's α coefficient of the total questionnaire was 0.949,and the test-retest reliability was 0.909.The overall content validity coefficient of the questionnaire was 0.922,and the content validity coeffi-cient for each item was 0.800-1.000.Conclusion The nurses'knowledge,attitude and practice questionnaire on medication management for patients with dysphagia developed in this study has good reliability and validi-ty,and could be used as an effective tool to evaluate the status quo of nurses'medication management for pa-tients with dysphagia.

dysphagiamedication therapy managementnurseknowledge,attitude and practicesur-veys and questionnairesreliability and validity

刘艺、朱丽群、眭升、庄若、倪益益、米元元、包磊、厉丽、郑兰平、陈梦梦

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江苏大学附属医院神经科,江苏镇江 212002

江苏大学附属医院护理部,江苏镇江 212002

华中科技大学同济医学院附属协和医院重症医学科,武汉 430022

江苏大学附属医院手术室,江苏镇江 212002

江苏大学医学院,江苏镇江 212013

复旦大学附属肿瘤医院胰腺外科,上海 200032

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吞咽障碍 服药管理 护士 知信行 调查和问卷 信效度

江苏省老年健康科研项目2022年江苏省镇江市社会发展指导性科技项目2022年江苏大学临床医学专项基金项目复旦大学循证护理中心证据转化与临床应用项目

LK2021026FZ2022085JDLCHL202208Fudanebn202141

2024

10.3969/j.issn.1671-8348.2024.05.018

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子：1.797
ISSN：1671-8348
年,卷(期)：2024.53(5)
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