脑卒中护理门诊偏瘫患者康复需求评估量表的编制和信效度检验

The development and test of reliability and validity on rehabilitation needs assessment scale for hemiplegia patients in stroke nursing clinic

目的编制并检验脑卒中护理门诊偏瘫患者康复需求评估量表,为有效评估患者康复需求提供适用性测评工具。方法采用文献分析、半结构访谈、专家函询、预调查形成初始量表。对重庆市3所三级甲等医院脑卒中护理门诊随访管理的430例脑卒中偏瘫患者开展调查,检验量表信效度,形成正式量表。结果康复需求评估量表包括5个维度31个条目,探索性因子分析提取5个公因子,累积方差贡献率为67.735%;总量表的内容效度为0.923;量表总的Cronbach'sα系数为0.960,折半信度为0.940,重测信度为0.953。结论脑卒中护理门诊偏瘫患者康复需求评估量表具有良好的信效度,可用于脑卒中护理门诊出诊护士评估偏瘫患者的康复需求。

Objective To develop and verify the reliabilitation needs assessment scale for hemiplegia patients in stroke nursing clinic,and provide applicability assessment tools for effectively evaluating the rehabilitation requirements on stoke patients with hemiplegia.Methods The initial scales were formed by using methods including literature analysis,semi-structured interviews,expert inquiries,and preliminary surveys.A formal scale was born from the investigation in 430 stroke hemiplegic patients who were follow-up management in stroke nursing clinics in 3 hospitals of Chongqing.Results The formal scale consisted 5 dimensions and 31 items.Five common factors were extracted in exploratory factor analysis with a cumulative variance contribution rate of 67.735%,content validity index was 0.923,the total Cronbach'sαcoefficient of the scale was 0.960,split-half reliability was 0.940 and the test-retest reliability was 0.953.Conclusion The rehabilitation needs assessment scale shows good reliability and validity,and which can be used for evaluating the rehabilitation requirements of hemiplegic patients in nursing outpatient department of stroke.