社区护理人员健康教育能力测评量表的编制及其信效度检验

Development of Health Education Competency Scale of Community Nurses and Its Reliability and Validity Test

背景社区健康教育是健康促进体系中重要的组成部分。作为健康教育的主要实施者,护理人员的健康教育能力直接影响着健康教育的效果。因此,对社区护理人员进行健康教育能力的测评尤为重要。目前国内外尚未见针对社区护理人员健康教育能力的测评工具。目的编制社区护理人员健康教育能力测评量表,并检测其信效度。方法通过回顾相关文献、专家咨询、小样本预试验等方法形成量表初稿。采用方便抽样方法,于2017年3-6月选取广东省深圳市南山区、龙华区、罗湖区、宝安区、大鹏新区、龙岗区、福田区等区的172个社区医院的614名社区护理人员进行问卷调查,对量表进行信效度评价。结果社区护理人员健康教育能力测评量表包括4个维度、29个条目。探索性因子分析产生4个公因子,分别为评估能力、计划能力、实施与评价能力、沟通与学习能力,累积方差贡献率为66.256%。4个维度得分之间Pearson直线相关分析的r值为0.672~0.810,各维度得分与量表总分的r值为0.854~0.936。量表水平的内容效度指数(S-CVI)为0.933,条目水平的内容效度指数(I-CVI)为0.857~1.000。总量表Cronbach’sα系数为0.968,4个维度Cronbach’sα系数分别为0.887、0.907、0.943、0.906。结论社区护理人员健康教育能力测评量表信效度良好,可作为评价社区护理人员健康教育能力的工具。

Background Community health education is an important part of the health promotion system.As the main player in health education,the competency of community health nurses directly influences the effect of health education.Therefore,it is particularly important to evaluate the health education competency of community health nurses.However,there is no assessment tool for this at home and abroad.Objective To develop Health Education Competency Scale of Community Nurses and test its reliability and validity.Methods Literature review,expert consultations and pilot survey were used to develop the draft of the scale.A total of 614 community nurses were selected from Nanshan District,Longhua District Louhu District,Baoan District,Dapeng New District,Longgang District,Futian District in Shenzhen,Guangdong Province during March to June 2017 for investigation to test the reliability and validity.Results Four dimensions and 29 items were finally contained in the scale.The exploratory factor analysis identified 4 principal factors:assessment ability,planning ability,implementation and evaluation ability,and communication and learning ability,and explained for 66.256% variance.The r value of Pearson linear correlation analysis between the 4 dimensions was from 0.672 to 0.810.The r value of dimension score and the total score of the scale was from 0.854 to 0.936.The scale content validity index(S-CVI) was 0.933 and the item content validity index(I-CVI)ranged from 0.857 to 1.000.The Cronbach’s α coefficient of the scale was 0.968.The Cronbach’s α coefficients of 4 dimensions were 0.887,0.907,0.943 and 0.906,respectively.Conclusion The Health Education Competency Scale of Community Nurses has been proved to be reliable and valid,and can be used to evaluate the competency of community nurses in health education.