医护人员医疗告知知信行问卷的编制及信效度检验
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女,硕士在读,护师

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石河子大学研究生精品课程建设项目(2019Y-KCJP02)


Design, reliability and validity of a knowledge, attitude and practice questionnaire on disclosure of information to patients among medical staff
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    摘要:

    目的 编制和验证医护人员医疗告知知信行问卷,用于评估其现状,为针对性干预提供依据。 方法 以知信行理论为基础,通过文献回顾、质性访谈、小组讨论、德尔菲专家函询、预调查后形成初测问卷,对438名临床医护人员进行调查,修订问卷并进行信效度检验。 结果 问卷由知识、态度、行为3个维度共31个条目组成;探索性因子分析3个因子累积方差贡献率为71.906%,验证性因子分析各拟合指标均在可接受范围(χ2/df=3.108,RMSEA=0.098,RMR=0.023,IFI=0.924,CFI=0.924);问卷Cronbach′s α系数为0.948;重测信度为0.973;问卷的S-CVI为0.984,各条目的I-CVI为0.860~1.000。 结论 该问卷具有较好的信效度,适用于医护人员医疗告知知识、态度和行为现状的调查。

    Abstract:

    Objective To design and validate a knowledge, attitude and practice (KAP) questionnaire on disclosure of information to patients among medical staff, and to provide reference for assessment and intervention. Methods Based on the KAP theory, a draft questionnaire was formed through literature review, qualitative interview, group discussion, Delphi expert consultation, and pilot test. A total of 438 clinical medical staff were surveyed to test the reliability and validity of the questionnaire. Results A final questionnaire was produced with 31 items on 3 dimensions: knowledge, attitude and practice.Exploratory factor analysis identified 3 common factors, which could explain 71.906% of the total variance.Confirmatory factor analysis indicated the 3-factor model best matched the data: χ2/df=3.108,RMSEA=0.098,RMR=0.023,IFI=0.924, and CFI=0.924. The Cronbach′s alpha coefficient of the total questionnaire was 0.948 and the test-retest reliability was 0.973. The scale-level content validity index was 0.984, and the item-level CVI ranged from 0.860 to 1.000. Conclusion The questionnaire is reliable and valid for assessing medical staff′s KAP of disclosure of information to patients.

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杜广平,李萍,张示杰,高雅萱,钟红梅.医护人员医疗告知知信行问卷的编制及信效度检验[J].护理学杂志,2022,37(3):49-52

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  • 收稿日期:2021-07-10
  • 最后修改日期:2021-09-04
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  • 在线发布日期: 2023-08-28