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骨搬运患者出院准备度评估量表的编制及信效度检验OACSTPCD

Development of Discharge Readiness Assessment Scale for patient with bone transport and its reliability and validity

中文摘要英文摘要

目的 编制骨搬运患者出院准备度评估量表,并检验其信效度.方法 参考Meleis转变理论,在文献回顾、半结构式访谈的基础上初步形成条目池,通过德尔菲专家函询法对条目进行修订.2023年 9月在广州市三级甲等医院选取 20例骨搬运术后预出院患者进行预调查,检验量表的可读性.2023 年 9-11月选取广州市三级甲等医院的 527例搬运术后预出院患者作为调查对象,对量表进行项目分析和信效度检验.结果 骨搬运患者出院准备度评估量表包括 5个维度、30个条目.量表水平内容效度指数为 0.951,条目水平的内容效度指数为 0.790~1.000;探索性因子分析共提取 5 个公因子,累计方差贡献率为 66.963%;验证性因子分析结果显示,模型拟合程度良好.量表各维度的平均方差抽取量分别为 0.563、0.615、0.592、0.614、0.572,组合信度为 0.885、0.827、0.941、0.905、0.842.量表总的Cronbach α系数为 0.941.结论 骨搬运患者出院准备度评估量表信效度良好,可作为评估骨搬运患者出院准备度的工具.

Objective To develop a Discharge Readiness Assessment Scale for Patients with Bone Transport and to test its reliability and validity.Methods Meleis transformation theory was referenced,item pool was initially formed through literature review and semi-structured interviews.The items were revised by Delphi expert consultation and pre-survey.In September 2023,20 patients with bone transport in tertiary grade-A hospital in Guangzhou were selected for a pre-survey to test the readability of the scale.From September to November 2023,a total of 527 patients with bone transport in hospitals in tertiary grade-A hospitals in Guangzhou were selected as the investigation subjects.Item analysis and reliability and validity test of the scale were conducted.Results The Discharge Readiness Assessment Scale for Patients with Bone Transport consisted of 5 dimensions and 30 items.The scale-level content validity index of the scale was 0.951 and the item-level content validity index was 0.790~1.000.Five common factors were extracted by exploratory factor analysis and the cumulative variance contribution rate was 66.963%;confirmatory factor analysis showed that the scale fit well.The average variance extracted of each dimension was 0.563,0.615,0.592,0.614 and 0.572,respectively,and composite reliability 0.885,0.827,0.941,0.905 and 0.842 respectively.The Cronbach's α coefficient of the scale was 0.941.Conclusion Discharge Readiness Assessment Scale for Patients with Bone Transport has good reliability and validity,and can be used as a tool to evaluate discharge readiness of patients with bone transport.

杨晨;宋慧娟;覃承诃;杨静华;龚雪;黄文嫣

南方医科大学南方医院 护理部,广东 广州 510515||南方医科大学 护理学院,广东 广州 510515南方医科大学南方医院 护理部,广东 广州 510515南方医科大学南方医院 创伤骨科,广东 广州 510515

临床医学

骨搬运出院准备度德尔菲法信度效度护理

bone transportreadiness for hospital dischargeDelphi methodreliabilityvaliditynursing

《护理学报》 2024 (014)

1-5 / 5

国家重点研发计划(2023YFC2507602);南方医科大学南方医院院长基金(2023H009)

10.16460/j.issn1008-9969.2024.14.001

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