肝移植患儿家庭出院准备度测评量表的编制及信效度评价

doi:10.3761/j.issn.1672-9234.2024.11.015

摘要/Abstract

摘要：

目的编制肝移植患儿家庭出院准备度测评量表并检验其信效度。方法以出院准备度的概念分析研究为基础，通过文献分析、半结构化访谈法构建量表条目池。经专家函询、预调查形成量表。采用便利抽样法，2022年1月—2023年1月，选取浙江省某三级甲等医院肝移植中心210名肝移植患儿的家庭照顾者为调查对象，采用一般资料调查表、肝移植患儿家庭出院准备度测评量表对其进行调查，以检验量表的信效度。结果最终版量表包括个人状态、居家护理知识、居家护理能力、疾病应对、预期支持5个维度，共37个条目。量表的Cronbach’s α系数为0.923，各维度的Cronbach’s ɑ系数为0.683~0.900；折半信度系数为0.847。量表条目水平的内容效度指数为0.833~1.000，量表水平的内容效度指数为0.982。探索性因子分析结果显示，共提取5个公因子，累计方差贡献率为57.351%。结论本研究编制的肝移植患儿家庭出院准备度测评量表具有良好的信效度，可作为评估肝移植患儿家庭出院准备度的可靠工具。

关键词: 肝移植, 儿童, 家庭出院准备度, 量表, 编制, 信效度

Abstract:

Objective To develop the Readiness for Hospital Discharge Scale for Family of Children with Liver Transplantation，and to examine its reliability and validity. Methods Based on the concept analysis of discharge readiness，the item pool of the scale was constructed through literature analysis and semi-structured interview. Through expert consultation and pre-survey，the scale was formed preliminary. From January 2022 to January 2023，210 family caregivers of children with liver transplantation from a three grade A hospital in Zhejiang were recruited through convenient sampling method. General information questionnaire and Readiness for Hospital Discharge Scale for Family of Children with Liver Transplantation were issued to test the reliability and validity of the scale. Results The final version of the scale included five dimensions，namely personal status，home care knowledge，home care ability，disease coping and anticipatory support，with a total of 37 items. The Cronbach’s α coefficient of the whole scale was 0.923，with 0.683 to 0.900 for the dimensions. The split-half reliability coefficient was 0.847. The I-CVI ranged from 0.833 to 1.000，and the S-CVI/Ave was 0.982. The results of the exploratory factor analysis showed that a total of five common factors were extracted，with a cumulative variance contribution rate of 57.351%. Conclusion The Hospital Discharge Scale for Family of Children with Liver Transplantation holds good reliability and validity，which can be used as a reliable tool to assess the discharge readiness of family of children with liver transplantation.

Key words: Liver transplantation, Children, Family readiness for hospital discharge, Scale, Development, Reliability and validity

吕璐洋, 王华芬, 卢芳燕, 李志茹, 鲍瑞洁, 吴静韵, 饶雨欣. 肝移植患儿家庭出院准备度测评量表的编制及信效度评价[J]. 中华护理教育, 2024, 21(11): 1364-1370.

Luyang LÜ, Huafen WANG, Fangyan LU, Zhiru LI, Ruijie BAO, Jingyun WU, Yuxin RAO. Development and psychometric examination of the Readiness for Hospital Discharge Scale for Family of Children with Liver Transplantation[J]. Chinese Journal of Nursing Education, 2024, 21(11): 1364-1370.

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参考文献 16

[1]	高伟. 小儿肝移植的适应证[J]. 临床小儿外科杂志, 2017, 16(2):121-126.
[2]	Pham YH, Miloh T. Liver transplantation in children[J]. Clin Liver Dis, 2018, 22(4):807-821. doi: S1089-3261(18)30055-2 pmid: 30266163
[3]	夏强. 儿童肝移植[J]. 中华消化外科杂志, 2012, 11(6):504-506.
[4]	Meng XC, Gao W, Wang K, et al. Adherence to medical regi-men after pediatric liver transplantation:a systematic review and meta-analysis[J]. Patient Prefer Adherence, 2019,13:1-8.
[5]	黄莹, 杨巧玲, 张宇, 等. 儿童肝移植非计划再入院的影响因素分析及护理对策[J]. 循证护理, 2022, 8(9):1229-1232.
[6]	Vincenzi R, Fonseca EA, Roda KMO, et al. Current practice in immunosuppression in pediatric liver transplantation[J]. Curr Pharm Des, 2020, 26(28):3402-3405.
[7]	雷雪雪, 李京, 于颖. 儿童活体肝移植链式管理模式的构建及实施[J]. 护理学杂志, 2022, 37(20):1-4,22.
	Lei XX, Li J, Yu Y. Establishment and practice of chain management model for living donor liver transplantation in children[J]. J Nurs Sci, 2022, 37(20):1-4,22.
[8]	Weiss ME, Sawin KJ, Gralton K, et al. Discharge teaching,rea-diness for discharge,and post-discharge outcomes in parents of hospitalized children[J]. J Pediatr Nurs, 2017,34:58-64.
[9]	吕璐洋, 王华芬, 卢芳燕, 等. 住院患儿家庭出院准备度评估工具的研究进展[J]. 中华护理杂志, 2022, 57(4):507-512. doi: 10.3761/j.issn.0254-1769.2022.04.019
	Lü LY, Wang HF, Lu FY, et al. Research progress of discharge readiness assessment tools in family with hospitalized children[J]. Chin J Nurs, 2022, 57(4):507-512. doi: 10.3761/j.issn.0254-1769.2022.04.019
[10]	Galvin EC, Wills T, Coffey A. Readiness for hospital dischar-ge:a concept analysis[J]. J Adv Nurs, 2017, 73(11):2547-2557.
[11]	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):152-155.
[12]	吴明隆. 问卷统计分析务实:SPSS操作与应用[M]. 重庆: 重庆大学出版社,2010:160-257.
[13]	张宁, 孙小玲, 王静, 等. 多囊卵巢综合征患者健康促进生活方式量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(4):438-446. doi: 10.3761/j.issn.0254-1769.2024.04.008
	Zhang N, Sun XL, Wang J, et al. The development of a Health-promoting Lifestyle Scale for Patients with Polycystic- ovary Syndrome and the test of its reliability and validity[J]. Chin J Nurs, 2024, 59(4):438-446. doi: 10.3761/j.issn.0254-1769.2024.04.008
[14]	Meleis AI, Sawyer LM, Im EO, et al. Experiencing transitions:an emerging middle-range theory[J]. ANS Adv Nurs Sci, 2000, 23(1):12-28. doi: 10.1097/00012272-200009000-00006 pmid: 10970036
[15]	Franck LS, Kriz RM, Bisgaard R, et al. Parent readiness for their preterm infant’s neonatal intensive care unit discharge[J]. J Perinat Neonatal Nurs, 2023, 37(1):68-76. doi: 10.1097/JPN.0000000000000612 pmid: 36707751
[16]	Lu F, Zhang G, Zhao XF, et al. Readiness for hospital dischar-ge in primary caregivers for children with acute lymphoblas-tic leukaemia[J]. J Clin Nurs, 2022, 31(21/22):3213-3221.