摘要
目的编制ICU护士对经口气管插管(orotracheal intubation,OTI)患者口腔黏膜压力性损伤(oral mucosal pressure injury,OMPI)预防及管理知信行问卷并检验其信效度。方法基于知信行理论,通过文献回顾、半结构访谈、2轮德尔菲专家函询、预调查,形成问卷初稿。2024年1月-2月,便利选取441名ICU护士进行调查,利用调查数据进行项目分析、信效度检验。结果最终形成包含3个维度、36个条目的问卷。探索性因子分析4个公因子累计方差贡献率为81.330%,验证性因子分析显示,卡方自由度比为2.557,近似误差均方根为0.084,均方根残差为0.040,增值拟合指数为0.912,比较拟合指数为0.912,非规范拟合指数为0.903,模型拟合良好。问卷平均内容效度为0.993,各条目内容效度为0.875~1.000。问卷总体的Cronbach’sα系数、分半信度、重测信度分别为0.965、0.730、0.981。结论该研究编制的问卷信效度良好,可用于调查ICU护士对OTI患者OMPI预防及管理的知识、态度、行为现状。
Objective To develop and test the Knowledge,Attitude and Practice Questionnaire for ICU Nurses on the Prevention and Management of Oral Mucosal Pressure Injuries(OMPI)in Orotracheal Intubation(OTI)Patients.Methods Based on the theory of knowledge,attitude and practice,the first draft of the questionnaire was developed through a literature review,semi-structured interviews,2 rounds of Delphi expert correspondence,and a pre-survey.441 ICU nurses were recruited to take the survey from January to February 2024,the items were analyzed and reliability and validity were tested.Results A final questionnaire consisting of 3 dimensions and 36 items was developed.The exploratory factor analysis revealed that the cumulative variance contribution rate of the four common factors was 81.330%.The confirmatory factor analysis demonstrated that the chi-square degrees of freedom ratio(χ^(2)/df)was 2.557,the root mean square error of approximation(RMSEA)was 0.084,the root mean square residual(RMR)was 0.040,the incremental fit index(IFI)was 0.912,the comparative fit index(CFI)was 0.912,and Tucker-Lewis Index(TLI)was 0.903,indicating good model fit.The average content validity index(CVI)of the questionnaire was 0.993,with item-level CVIs ranging from 0.875 to 1.000.The overall Cronbach’s alpha was 0.965,with split-half reliability of 0.730 and test-retest reliability of 0.981.Conclusion The questionnaire developed in this study has good reliability and validity and is suitable for investigating the current status of ICU nurses’knowledge,attitude and practices regarding the prevention and management of OMPI in OTI patients.
作者
任美霞
赵文芳
郝彬
袁丽荣
孟效红
李嘉琪
李育玲
REN Meixia;ZHAO Wenfang;HAO Bin;YUAN Lirong;MENG Xiaohong;LI Jiaqi;LI Yuling(School of Nursing,Shanxi Medical University,Taiyuan,030001,China;不详)
出处
《中华急危重症护理杂志》
2025年第4期396-402,共7页
Chinese Journal of Emergency and Critical Care Nursing
关键词
重症监护病房
气管插管
口腔黏膜
压力性损伤
护理
问卷
信度
效度
Intensive Care Unit
Endotracheal Intubation
Oral Mucosal
Pressure Injury
Nursing Care
Questionnaire
Reliability
Validity
