《疼痛知信行调查问卷》的研制及信效度检验

ESTABLISHMENT AND TEST OF THE RELIABILITY AND VALIDITY OF KNOWLEDGEATTITUDE-PRACTICE QUESTIONNAIRE

目的:编制适合全髋关节置换术患者疼痛知识、疼痛信念、疼痛控制行为问卷,检测其信效度。方法:采用知信行理论为问卷构架,在文献阅读、专家咨询、专题小组讨论的基础上初步编制疼痛知信行问卷。采取方便抽样法抽取盐城某三甲医院骨科75名拟行全髋关节置换术的患者,并进行问卷调查。采用Cronbach'α系数、分半信度进行信度检测,选用内容效度、探索因子分析检验问卷效度。结果:本问卷编制了36个条目,包括疼痛知识、疼痛信念、疼痛控制行为三个子问卷。问卷总的内部一致性信度为0.853,子问卷的内部一致性信度分别为0.817、0.814、0.919,子问卷的内容效度系数分别为0.837、0.946、0.902。对子问卷进行因子分析,累积贡献率分别为53.33%、61.26%、71.33%,每个项目的共性方差均超过0.4。结论:编制的《疼痛知信行调查问卷》具有良好的信效度,可以作为评鉴全髋关节置换术患者疼痛认知、疼痛信念、疼痛控制行为现状以及调查影响因素的可靠工具。

Objective：To develop the knowledge-attitude-practice （KAP） questionnaire for the assessment of the the KAP status of pain after hip replacement,and to evaluate the reliability and validity of KAP questionnaire.Methods：The KAP was established based on literature review,expert consultation and group discussion.75 patients undergoing hip replacement in Yancheng No.1 people＇s hospital were recruited by convenience sampling.SPSS was employed to measure the reliability and validity of collected data.Results：This 36-item questionnaire contained three sub-scales adapted from knowledge,belief and behavior.The total internal consistency reliability of the questionnaire was 0.864.The Cronbach＇s a coefficient in these three sub-scales were 0.817,0.814 and 0.919,respectively.The validities in these three domains were 0.837,0.946 and 0.902 and the cumulative contribution rates were 53.33％,61.26％ and 71.33％,separately.The common variance of each project was greater than 0.4.Conclusions：The questionnaire is a reliable and valid tool for evaluating the health-related KAP of the pain for patients with hip replacement.