首页|危重症患者重症监护病房后综合征评估量表的构建及信效度检验

危重症患者重症监护病房后综合征评估量表的构建及信效度检验

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目的 构建危重症患者重症监护病房(ICU)后综合征的本土化特异性评估工具,并对其信效度展开评估分析。方法 本研究于2022年10月至2023年2月采用文献调研法、半结构化访谈法及德尔菲专家函询法初步拟定量表原始条目池。于2023年3~7月抽取四川大学华西医院、浙江大学医学院附属第二医院、湖州市中心医院、湖州市第一人民医院、自贡市第四人民医院、德阳市人民医院等国内多所三级综合医院内,从ICU转出的393例危重症患者进行多中心调查分析。随后采用条目分析法和探索性因子分析法对数据进行分析计算形成正式量表,并进行信效度检验。结果 危重症患者ICU后综合征初始评估量表共包含16个条目,经过筛选分析后形成包括生理功能、心理功能、认知功能、社会功能4个维度,共计13个条目的最终量表。量表的Cronbach's α系数为0。824,折半信度为0。759,重测信度系数为0。821。量表水平的内容效度指数为0。846,量表各条目水平的内容效度指数均在0。800~1。000。探索性因子分析提取出4个公因子,累积方差贡献率为67。2%。结论 本研究编制的危重症患者ICU后综合征评估量表条目简洁、信效度良好,可以作为评估工具在危重症患者ICU后综合征的评估中推广使用。
Construction and reliability and validity test of post-intensive care syndrome assessment scale for critically ill patients
Objective To construct and verify the reliability and validity of localized post-intensive care syndrome evaluation scale for critically ill patients.Methods The initial scale was developed by literature survey,qualitative interview and Delphi expert letter consultation from October 2022 to February 2023.From March to July 2023 convenience sampling method was used to select 393 people from multiple tertiary general hospitals in China,such as West China Hospital,The Second Affiliated Hospital of Zhejiang University,Huzhou Central Hospital,The First People's Hospital of Huzhou,Zigong Fourth People's Hospital and Deyang People's Hospital,to carry out a multi-center survey.Formal scales were formed through item analysis and exploratory factor analysis,and the reliability and validity of the scales were tested.Results There were 16 items in the initial scale for the post-intensive care syndrome for critically ill patients.After screening,there were 13 items in four dimensions,namely,physiological function,psychological functions,cognitive functions,and social functions.The Cronbach's α coefficient of the scale was 0.824,and the half-fold reliability was 0.759.The content validity index of each item level of the scale was 0.800~1.000,and the content validity index of the scale level was 0.846.Four common factors were extracted from exploratory factor analysis,and the cumulative variance contribution rate was 67.2%.Conclusion The evaluation scale for symptoms of post-intensive care syndrome in critically ill patients developed in this study has good reliability and validity and can be promoted and applied in the evaluation of symptoms of post-intensive care syndrome in critically ill patients in China.

Critical care nursingPrognosisPersmality inventory

叶天、杜金磊、叶群、聂臣聪、胡中华、王红梅、张继权

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643000 四川省自贡市第四人民医院重症医学科

浙江大学附属第二医院护理部

湖州师范学院医学院护理系

四川大学华西医院重症医学科

德阳市人民医院重症医学科

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危重症护理 预后 个性量表

自贡市科技局重点科技计划项目自贡市社会民生科技项目自贡市卫生健康委员会科研课题自贡市卫生健康委员会科研课题

2022ZCY-GY302023YKY1021zd01022yb047

2024

山西医药杂志
山西医药卫生传媒集团有限责任公司

山西医药杂志

影响因子:0.504
ISSN:0253-9926
年,卷(期):2024.53(8)