Preliminary Validation of the Postoperative Activity Questionnaire for Hepatobiliary Pancreatic Patients Based on the Theoretical Domain Framework
Objective To develop a questionnaire on influencing factors of early postoperative ambulatory activity and to test its reliability and validity.Methods Based on the theoretical framework and combined with qualitative research,a questionnaire on influencing factors of early postoperative ambulation activities was compiled.Patients who underwent laparoscopic surgery in the Department of hepatobiliary and pancreatic surgery of a third-class A hospital from May to December 2022 were selected in a fully included way(excluding daytime surgery).The structure and items of the questionnaire were determined by project analysis,reliability test and factor analysis.Results The initial questionnaire for factors related to early postoperative ambulation included 9 dimensions and 30 items.The statistical results of the project analysis show that there was no need to delete entries.The reliability analysis of the questionnaire showed that the overall Cronbach's α coefficient of the questionnaire was 0.959,and the Cronbach's α coefficient of each dimension ranged from 0.696 to 0.873,with good internal consistency.After factor analysis and model correction,the model T6 was obtained,and the fitting index x2/df,RMSEA,CFI,TLI,and SRMR were 1.98,0.079,0.891,0.877,and 0.064,respectively,indicating that the data and model fit were acceptable.Conclusion The questionnaire developed in this study has good reliability and validity,which can effectively and objectively evaluate the influencing factors of patients'health behavior changes,and can be used as a tool for rapid link theory.
Early postoperative ambulationTheoretical domain frameworkQuestionnaireFactor analysis