摘要
目的:编制并评价早产儿出院后父母应对能力问卷。方法:运用文献分析法、半结构访谈法和德尔菲专家函询法形成初始问卷,采用方便抽样法选取257例早产儿父母进行调查,采用项目分析、相关性分析、探索性因子分析、内容效度、结构效度、内在一致性信度、折半信度对问卷进行评价。结果:初步形成55个条目的初始问卷,经问卷测评后删除15个条目;探索性因子分析提取了8个共同因子,累积解释变异量为59.864%;提取的共同因子作为问卷维度,分别为早产儿照护技能、父母角色适应、亲子关系、家庭功能、积极应对、消极应对、外界支持、早产儿保健知识;整个问卷的Cronbach’sα系数为0.916、折半信度为0.845,各维度的Cronbach’sα系数为0.724~0.906,折半信度为0.712~0.897;问卷整体的内容效度指数(S-CVI)为0.946,问卷各条目的内容效度指数(I-CVI)为0.824~1.000,校正后的Kappa值为0.823~1.000。结论:早产儿出院后父母应对能力问卷信度、效度良好,可作为评价我国早产儿出院后父母应对能力的工具,能在一定程度上反映早产儿父母院外存在的问题与困惑,为早产儿延续性护理实施方案的制定与评价提供参考。
Objective:To develop and evaluate validity and reliability of discharged premature infants’parents coping ability questionnaire.Methods:The questionnaire was preliminarily developed by literature analysis,semi-structured interview and Delphi consulting method.Convenience sampling method was used and totally 257 caregivers of premature infants were recruited.The questionnaire was evaluated by item analysis,correlation analysis,exploratory factor analysis,content validity,structure validity,internal consistency reliability and split-half reliability.Results:The questionnaire with 55 items was preliminarily developed,and 15 items were deleted after questionnaire evaluation.Eight common factors were extracted by exploratory factor analysis,and the cumulative explanatory variation was 59.864%.The common factors extracted as questionnaire dimensions are parenting skills,role adaptation of parents,parent-child relationship,family function,positive coping,negative coping,support,health care knowledge of premature infants.The Croanbach’s alpha was 0.916 for overall questionnaire and 0.724-0.906 for each dimension.The split-half reliability was 0.845 for overall questionnaire and 0.712-0.897 for each dimension.The content validity of the whole questionnaire(S-CVI)was 0.946,and the content validity(I-CVI)of each item was 0.824-1.000 with the corrected Kappa value 0.823-1.000.Conclusion:The questionnaire has good reliability and validity,which could be used as a tool to evaluate discharged premature infants’parents coping ability and to reflect the problems and confusion of parents to a certain extent,and to provide references for the formulation and evaluation of transitional care program for premature infants.
作者
余静
张先红
李禄全
付利珍
王琪
魏璐
YU Jing;ZHANG Xianhong;LI Luquan;FU Lizhen;WANG Qi;WEI Lu(Neonatal Clinic,Children Hospital,Chongqing Medical University,Chongqing,400014,China)
出处
《中国护理管理》
CSCD
北大核心
2020年第3期371-378,共8页
Chinese Nursing Management
关键词
早产儿父母
出院后
应对能力
德尔菲法
信度
效度
parents of premature infants
after discharge
coping ability
Delphi method
reliability
validity
