护士安宁疗护知识量表的编制及信效度检验

doi:10.3761/j.issn.1672-9234.2022.12.011

摘要/Abstract

摘要：

目的编制护士安宁疗护知识量表并检验其信效度。方法通过文献回顾法、专家访谈法和德尔菲法形成量表初稿。采取整群抽样法选取沈阳市三级甲等医院肿瘤病房、ICU及安宁疗护专科病房中的335名护士进行调查，评价护士安宁疗护知识量表的内在一致性和结构效度，并选择8名专家进行内容效度评价。结果最终版护士安宁疗护知识量表共包括7个维度，34个条目。总量表的Cronbach’s α系数为0.947，内容效度指数为0.92，探索性因子分析共提取出7个公因子，累计方差贡献率为85.04%。结论护士安宁疗护知识量表具有较好的信效度，可用于衡量护士的安宁疗护知识水平。

关键词: 姑息疗法, 护士, 知识, 因素分析, 统计学, 可靠性, 有效性

Abstract:

Objective To develop the Nurses’ Hospice Knowledge Scale and to test its reliability and validity. Methods The scale was developed through literature review，experts consultation and Delphi method. The cluster sampling was adopted to recruit 335 nurses in tumor ward，ICU and hospice care specialized ward of Shenyang hospital. Eight experts were invited to evaluate the content validity of the scale. Results The Nurses’ Hospice Knowledge Scale had 7 dimensions and 34 items. The Cronbach’s α of the total table was 0.947，and the content validity index was 0.92. A total of 7 common factors were extracted by exploratory factor analysis，and the cumulative variance contribution rate was 85.04%. Conclusion The Nurses’ Hospice Knowledge Scale has good reliability and validity and can be used to measure nurses’ hospice knowledge level.

Key words: Palliative Care, Nurses, Knowledge, Factor Analysis, Statistical, Reliability, Validity

沈阳, 李小寒. 护士安宁疗护知识量表的编制及信效度检验[J]. 中华护理教育, 2022, 19(12): 1109-1113.

SHEN Yang, LI Xiaohan. Nurses’ Hospice Knowledge Scale：development，reliability and validity[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1109-1113.

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参考文献 16

[1]	D’ Antonio J. End-of-life nursing care and education:end-of-life nursing education:past and present[J]. J Christ Nurs, 2017, 34(1):34-38.
[2]	和芳, 何瑞仙. 安宁疗护专科护士认证和再认证发展现状[J]. 中华护理杂志, 2021, 56(4):623-628. doi: 10.3761/j.issn.0254-1769.2021.04.025
	He F, He RX. Reflections on the current status of certification and re-certification of specialist nurses in palliative care[J]. Chin J Nurs, 2021, 56(4):623-628. doi: 10.3761/j.issn.0254-1769.2021.04.025
[3]	孙静, 朱海华, 郭丽贞. 厦门市三级综合医院医护人员临终关怀知识、态度、行为现况调查及相关因素分析[J]. 中国卫生标准管理, 2019, 10(17):11-14.
[4]	王莉, 杨洪菊. 泰安市综合医院肿瘤医护人员临终关怀知信行现状调查及影响因素研究[J]. 泰山医学院学报, 2018, 39(4):417-420.
[5]	赵敬, 张艳, 田雨同, 等. 三级甲等综合医院护士安宁疗护知信行现况及其影响因素分析[J]. 现代临床护理, 2020, 19(8):13-19.
	Zhao J, Zhang Y, Tian YT, et al. Current situations and influencing factors of hospice care-related knowledge,attitude and practice of nurses in general hospitals[J]. Mod Clin Nurs, 2020, 19(8):13-19.
[6]	李梦奇, 王颖, 谢海燕, 等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(8):930-934.
	Li MQ, Wang Y, Xie HY, et al. Research on the status and influencing factors of spiritual nursing needs of cancer patients[J]. Chin J Nurs, 2017, 52(8):930-934.
[7]	Cobb M, Dowrick C, Lloyd-Williams M. What can we learn about the spiritual needs of palliative care patients from the research literature?[J]. J Pain Symptom Manage, 2012, 43(6):1105-1119. doi: 10.1016/j.jpainsymman.2011.06.017
[8]	周逸平, 单芳. 临终关怀[M]. 北京: 科学出版社, 2018.
[9]	国家卫生和计划生育委员会. 国家卫生计生委办公厅关于印发安宁疗护实践指南(试行)的通知[EB/OL].(2017-02-08)[2020-12-10]. http://www.nhc.gov.cn/yzygj/s3593/201702/3ec857-f8c4a244e69b233ce2f5f270b3.shtml.
[10]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012.
[11]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010:161-298.
[12]	李灿, 辛玲. 调查问卷的信度与效度的评价方法研究[J]. 中国卫生统计, 2008, 25(5):541-544.
[13]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Central South Univ Med Sci, 2012, 37(2):49-52.
[14]	陈林, 潘晓, 李小红, 等. 广西护理工作者对安宁疗护的认知态度及从业意愿调查研究[J]. 广东医学, 2022, 43(2):248-253.
[15]	姚娟, 莫霖, 刘倩, 等. 31省份儿科护士安宁疗护知识与态度现状调查[J]. 解放军护理杂志, 2022, 39(2):12-16.
[16]	罗明琴, 潘世琴. 青海省护理人员安宁疗护知识与死亡态度的现状调查研究[J]. 青海医药杂志, 2021, 51(10):19-21.