创面自体组织移植患者自我管理知信行问卷的编制与信效度检验

Development and validation of a knowledge,attitude and practice questionnaire towards self-management among patient receiving autologous skin grafting

目的编制创面自体组织移植患者自我管理知信行评估工具,为针对性干预提供依据。方法基于知信行理论,通过文献回顾、小组讨论、德尔菲专家咨询、患者调查、项目分析、探索性因子分析和信度检验,编制创面自体组织移植患者自我管理能力自评问卷。结果问卷包括知识、态度及行为3个维度共27个条目。探索性因子分析累计方差贡献率为66.271%;问卷内容效度指数0.972,条目内容效度指数为0.824~1.000;问卷总的Cronbach′α系数为0.934,分半信度为0.831,重测信度为0.810。结论创面自体组织移植患者自我管理知信行问卷信效度良好,经验证性检验后可用于创面自体组织移植术后患者自我管理知信行水平评价。

Objective To evaluate knowledge,attitude and practice(KAP)towards self-management among patients receiving auto-logous skin grafting,and to provide reference for targeted interventions.Methods Based on KAP theory,a KAP questionnaire regarding self-management was developed through literature review,group discussion,Delphi expert consultation,patient survey,item analysis,exploratory factor analysis,and reliability testing.Results The questionnaire included three dimensions:knowledge,attitudes,and practice,totaling 27 items.The results of exploratory factor analysis explained a variance of 66.271%.The scale le-vel content validity index(CVI)was 0.972,and the item-level CVI ranged from 0.824 to 1.000.The overall Cronbach′sαcoefficient was 0.934,the split-half reliability was 0.831,and the test-retest reliability was 0.810.Conclusion The questionnaire has good reliability and validity,and can be used to measure KAP on self-management among patients receiving autologous skin graf-ting after further validation.