专职陪护预防老年住院患者跌倒知信行量表的编制及信效度检验

Development of the Elderly Inpatient Falls Prevention Knowledge,Attitude and Practice Scale for Full-time Caregivers and its reliability and validity

目的编制评估专职陪护预防老年住院患者跌倒知信行量表,为调查专职陪护在预防老年住院患者跌倒知信行现状时提供测量工具。方法通过文献回顾、专家函询及预调查形成量表测试版。采用方便抽样法,于2022年1—4月选取青岛市6所三甲医院的5所陪护公司的312名专职陪护人员为研究对象进行调查,检测其信效度,修订成最终量表。本研究共发放问卷312份,回收有效问卷300份,有效回收率为96.154%(300/312)。结果专职陪护预防老年住院患者跌倒知信行量表共35个条目,包括3个维度,其中知识维度11个条目、信念维度10个条目、行为维度14个条目。总量表的Cronbach'sα系数为0.926,其中各维度的Cronbach'sα系数为0.914~0.944,量表的重测信度系数为0.998,分半信度系数为0.681,量表水平的内容效度指数为0.984,累计方差贡献率为59.688%。结论本研究研制的专职陪护预防老年住院患者跌倒知信行量表的信度、效度较好,可作为评价专职陪护预防老年住院患者跌倒预防知信行的工具。

Objective To develop the Elderly Inpatient Falls Prevention Knowledge,Attitude and Practice Scale for Full-time Caregivers,so as to provide a measurement tool for investigating the current situation of knowledge,attitude,and practice of full-time caregivers in preventing falls in elderly inpatients.MethodsA test version of the scale was formed through literature review,expert consultation,and pre investigation.From January to April 2022,convenience sampling was used to select 312 full-time caregivers from 5 accompanying companies in 6 ClassⅢGrade A hospitals in Qingdao as the research subject,to test the reliability and validity,and to revise the final scale.A total of 312 questionnaires were distributed,and 300 valid questionnaires were collected,with an effective response rate of 96.154%(300/312).ResultsThe Elderly Inpatient Falls Prevention Knowledge,Attitude and Practice Scale for Full-time Caregivers had a total of 35 items,including 3 dimensions,including 11 items in the knowledge dimension,10 items in the attitude dimension,and 14 items in the practice dimension.The total Cronbach'sαcoefficient of the scale was 0.926,with Cronbach'sαcoefficients of 0.914 to 0.944 for each dimension,0.998 for test-retest reliability coefficient,and 0.681 for split half reliability coefficient of the scale.The content validity index of the scale level was 0.984,and the cumulative variance contribution rate was 59.688%.ConclusionsThe reliability and validity of the Elderly Inpatient Falls Prevention Knowledge,Attitude and Practice Scale for Full-time Caregivers are good,and can be used as a tool to evaluate the full-time caregiver knowledge,attitude and practice for preventing falls in elderly inpatients.