在职医护人员呼吸康复培训知识需求问卷的编制及信度、效度检验

Development,and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers

目的编制在职医护人员呼吸康复培训知识需求问卷,并对其信、效度进行检验。方法参考美国心肺康复协会和美国呼吸治疗学会呼吸康复课程模块内容,构建理论模型。通过文献检索与分析、半结构式访谈、专家小组讨论编制问卷的初稿。通过访谈17名呼吸康复专业人员、函询16名呼吸康复专家,调查380例从事呼吸康复在职医护人员,检验问卷信、效度。结果在职医护人员呼吸康复培训知识需求问卷包括呼吸康复进展、慢性肺疾病生理学基础与诊断、慢性肺疾病的个体化评估和处理原则、慢性肺疾病治疗与指南推荐用药、氧气治疗、运动评估与运动处方、烟草成瘾与戒烟、营养评估与体重管理、心理筛查与干预、自我管理与健康行为促进、呼吸康复的效果评估,共计11个维度,52个条目。总Cronbachα系数0.921,总折半信度0.904,总重测信度0.922,各维度Cronbachα系数0.909~0.953;折半信度0.882~0.924、重测信度0.908~0.950。问卷内容效度0.902;探索性因子分析中,共提取11个公因子,其累计方差贡献率75.324%。结论在职医护人员呼吸康复培训知识需求问卷具有良好的信、效度,可用于对参与呼吸康复在职培训的医护人员开展知识需求评估与分析。

Objective To develop a questionnaire on the knowledge needs of respiratory rehabilitation training for in-service healthcare workers,and test its reliability and validity.Methods A theoretical framework was constructed based on the contents of the respiratory rehabilitation course modules of American Association of Cardiopulmonary Rehabilitation and American Association for Respiratory Care.The first draft of the questionnaire was prepared through literature searches and analyses,semi-structured interviews,and expert group discussions.The reliability and validity of the questionnaire was tested by interviewing 17 respiratory rehabilitation professionals and 16 respiratory rehabilitation experts by correspondence,and investigating 380 cases of in-service healthcare workers engaged in respiratory rehabilitation.Results The knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers included progress in respiratory rehabilitation,physiological basis and diagnosis of chronic lung diseases,individualized assessment and management principles of chronic lung diseases,treatment of chronic lung diseases and guideline-recommended medications,oxygen therapy,exercise assessment and exercise prescription,tobacco addiction and cessation,nutritional assessment and weight management,psychological screening and intervention,self-management and health behavior promotion,and effectiveness assessment of respiratory rehabilitation,totaling eleven dimensions and 52 items.The total Cronbach'sαwas 0.921,the total folded half reliability was 0.904,the total retest reliability was 0.922,and the Cronbach'sαof each dimension ranged from 0.909 to 0.953;the folded half reliabilities ranged from 0.882 to 0.924,and the retest reliabilities ranged from 0.908 to 0.950.The validity of the questionnaire's content was 0.902.In exploratory factor analysis,eleven metric factors were extracted,and their cumulative variance contribution rate was 75.324%.Conclusion The questionnaire on the knowledge needs of respiratory rehabilitation training for in-service healthcare workers is reliable and valid,and can be used to assess the knowledge needs of healthcare workers participating in in-service training in respiratory rehabilitation.