血液透析室医院感染控制管理规范依从性调查问卷的编制与信效度检验

Development of a questionnaire for compliance with the management standard of nosocomial infection control in hemodialysis rooms and its reliability and validity

目的编制血液透析室(中心)医院感染控制管理规范依从性调查问卷,并进行信效度评价。方法以知信行理论为基本框架,通过文献回顾法、头脑风暴法、专家函询形成初始问卷。经预调查、正式调查形成最终版问卷,并进行信效度检验。结果问卷包含知识、态度、行为3个分问卷共40个条目。知、信、行3个分问卷的内容效度分别为0.953、0.979、0.943,各条目内容效度均在0.867以上;探索性因子分析3个分问卷分别提取3、1、3个公因子,累积方差贡献率分别为47.178%、68.313%、62.271%。总问卷Cronbachα系数为0.906,3个分问卷Cronbachα系数分别为0.641、0.958和0.864;总问卷重测信度为0.954,3个分问卷重测信度分别为0.694、0.893和0.708。结论本问卷具有较好的信度和效度,可作为调查血液透析室医护人员对该规范依从情况的一个有效测评工具。

Objective To develop a questionnaire for compliance with the management standard of nosocomial infection control in hemodialysis rooms(centers),and to evaluate the reliability and validity.Methods Based on the Knowledge,Attitude/Belief,Practice(KAP)survey model,the initial questionnaire was formed by using literature review,the brainstorming and expert consultation.And the final questionnaire was developed by preliminary investigation and the formal investigation,and the reliability and validity test was carried out.Results The questionnaire consisted of 3 subscales of knowledge,attitude and practice,totaling 40 items.The S-CVI was 0.953,0.979,0.943 respectively and that of each item was above 0.867.In the exploratory factor analysis,3,1 and 3 common factors were extracted and the cumulative contribution rate was 47.178%,68.313%and 62.271%respectively.The Cronbach ct coefficient was 0.906 for the total questionnaire and 0.641,0.958 and 0.864 for 3 subscales.The retest reliability was 0.954 for the total questionnaire and 0.694,0.893 and 0.708 for 3 subscales.Conclusions The questionnaire had high reliability and validity,which can be used as an effective evaluation tool for the standard to investigate the compliance of medical staffs in hemodialysis rooms.