心房颤动导管消融围手术期患者体验测量工具的信效度检验
作者:
作者单位:

作者简介:

女,硕士,副主任护师,总护士长

通讯作者:

基金项目:

上海市第一人民医院特色研究项目(CTCCR-2021C06)


Reliability and validity testing of the Measurement Tool for Atrial Fibrillation Patient Experience of Catheter Ablation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 对前期开发的心房颤动导管消融围手术期患者体验测量工具进行信效度检验。方法 对上海市2所三甲医院收治的469例心房颤动患者使用心房颤动导管消融围手术期患者体验测量工具进行调查。结果 探索性因子分析提取5个公因子(舒适度管理体验、信息与沟通交流体验、操作及技术质量体验、情感支持体验、服务流程与响应体验),累计方差贡献率为67.533%。验证性因子分析构建一阶5因子模型,修正后的模型总体拟合效果良好(χ2/df=1.544,RMSEA=0.046,GFI=0.824,RMR=0.050,CFI=0.940,NFI=0.849,IFI=0.941,TLI=0.934)。测量工具总的Cronbach′s α系数为0.918,Guttman折半信度为0.944,重测信度为0.996;各维度的Cronbach′s α系数为0.896~0.944,Guttman折半信度为0.869~0.957。结论 心房颤动导管消融围手术期患者体验测量工具具有较好的信效度,可作为心房颤动导管消融围手术期患者体验评价工具,为专科性干预措施效果评估提供依据。

    Abstract:

    Objective To evaluate the reliability and validity of the previously developed Measurement Tool for Atrial Fibrillation Patient Experience of Catheter Ablation.Methods A survey was conducted using the previously developed Measurement Tool for At-rial Fibrillation Patient Experience of Catheter Ablation among 469 atrial fibrillation patients admitted to two tertiary hospitals in Shanghai.Results Exploratory factor analysis extracted five common factors (comfort management experience, information and communication experience, operational and technical quality experience, emotional support experience, and service process and responsiveness experience), explaining 67.533% of the total variance. Confirmatory factor analysis established a first-order five-factor model with satisfactory fit indices after modification (χ2/df=1.544, RMSEA=0.046, GFI=0.824, RMR=0.050, CFI=0.940, NFI=0.849, IFI=0.941, TLI=0.934).The overall Cronbach′s α coefficient of the tool was 0.918, the Guttman split-half reliability coefficient was 0.944, and the test-retest reliability coefficient was 0.996; the Cronbach′s α coefficients of each dimension ranged from 0.896 to 0.944, and Guttman split-half reliability coefficients ranged from 0.869 to 0.957.Conclusion The measurement tool has good reliability and validity. It can be used as a specialized tool for evaluating patient experience, providing a basis for the assessment of the effectiveness of specialized intervention measures.

    参考文献
    相似文献
    引证文献
引用本文

笃铭丽,叶磊,姚娴凤,陈松文,朱丽.心房颤动导管消融围手术期患者体验测量工具的信效度检验[J].护理学杂志,2025,(17):36-40

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2025-02-20
  • 最后修改日期:2025-05-25
  • 录用日期:
  • 在线发布日期: 2025-10-10