淋巴瘤病人化疗间歇期延续性护理需求调查表的编制及信效度检验

Establishment and reliability and validity test of a questionnaire on continuous nursing needs of lymphoma patients during intermittent chemotherapy

目的:编制淋巴瘤病人化疗间歇期延续性护理需求调查表并检验其信效度。方法:基于生存-关系-成长需求理论(existence-relatedness-growth,ERG),采用文献回顾、半结构式访谈初步确定调查表的条目池,通过德尔菲专家函询、预调查筛选并修订条目内容,对186例淋巴瘤病人进行问卷调查,经项目分析和信效度检验形成正式版调查表。结果:淋巴瘤病人化疗间歇期延续性护理需求调查表包括症状管理需求、疾病治疗信息需求、日常生活指导需求、静脉通路护理知识需求、关系的需求、自我实现需求6个维度,共28个条目,条目水平内容效度指数为0.88~1.00,量表水平内容效度指数为0.86。该调查表的Cronbach′sα系数为0.737,折半信度为0.725,重测信度为0.716。结论:构建的淋巴瘤病人化疗间歇期延续性护理需求调查表具有良好的信效度,可作为淋巴瘤病人化疗间歇期护理需求研究的测评工具。

Objective:To develop a questionnaire on continuous care needs of lymphoma patients during intermittent chemotherapy and to test its reliability and validity.Methods:Based on the existence-relatedness-growth(ERG)theory,the article pool of the questionnaire was preliminatively determined by literature review and semi-structured interview,and the contents of the items were screened and revised by Delphi expert correspondence and pre-survey.A questionnaire survey was conducted on 186 patients with lymphoma.Through project analysis and reliability and validity test,the official version of the questionnaire was formed.Results:The questionnaire on continuous care needs of lymphoma patients during the intermittent chemotherapyincluded 6 dimensions,symptom management needs,disease treatment information needs,daily life guidance needs,venous access nursing knowledge needs,relationship needs,and self-realization needs,with a total of 28 items.The item level content validity index was 0.88~1.00,the scale level content validity index was 0.86.The content validity of each item was≥0.88.The Cronbach′sαcoefficient of the questionnaire was 0.737,the broken half reliability was 0.725,and the retest reliability was 0.716.Conclusions:The established questionnaire of continuous nursing needs of lymphoma patients during intermittent chemotherapy has good reliability and validity,and can be used as an evaluation tool for the study of nursing needs of lymphoma patients during intermittent chemotherapy.