儿科护士的慢性病患儿过渡期护理态度问卷编制及信效度检验

Development of questionnaire of attitude of pediatric nurses toward transitional nursing of children with chronic diseases and its reliability and validity

目的编制儿科护士对慢性病患儿过渡期护理态度问卷并检验其信效度。方法以态度理论为框架,结合文献回顾、专家咨询和预调查,形成初始问卷。2022年10—11月,采用便利抽样法选取武汉市某三级甲等医院299名符合纳排标准的儿科护士进行正式调查并进行信效度分析。采用SPSS 26.0和AMOS软件对问卷进行因子分析及信效度分析。结果构建的儿科护士对慢性病患儿过渡期护理态度问卷包括认知、情感、行为意向3个维度,29个条目。问卷总Cronbachα系数为0.973,折半信度为0.971,问卷总内容效度指数为0.984,各条目内容效度指数为0.875~1.000探索性因子分析共提取3个公因子,累积方差贡献率为89.472%,验证性因子分析结果显示模型拟合度良好(χ^(2)/df=2.845,χ^(2)=1063.937,df=374,P<0.001,RMSEA=0.077),问卷因子结构良好。结论研制的儿科护士对慢性病患儿过渡期护理态度问卷信效度良好,可作为儿科护士对慢性病患儿过渡期护理态度的评价工具,为慢性病患儿过渡期护理的实践提供参考。

Objective To develop a questionnaire of attitude of pediatric nurses to transitional nursing of children with chronic diseases and to test its reliability and validity.Methods Guided by attitude theory,after literature review,expert consultation and pilot survey,the initial questionnaire was developed.A total of 299 pediatric nurses in a tertiary grade-A hospital in Wuhan from October 2022 to November 2022 were conveniently sampled and investigated.SPSS and AMOS were used for factor analysis and reliability and validity test respectively.Results The final version of the questionnaire consisted of 29 items in 3 dimensions of cognition,affect and behavior tendency.Cronbach’sαcoefficient of the questionnaire was 0.973 and split-half reliability 0.971.Content validity index of the scale was 0.984,and that of the items ranged from 0.875 to 1.000.Exploratory factor analysis extracted 3 common factors,and the cumulative variance contribution rate was 89.472%.Confirmatory factor analysis showed that the model fit well(χ^(2)/df=2.845,χ^(2)=1063.937,df=374,P<0.001,RMSEA=0.077),indicating stable factor structure of the questionnaire.Conclusion The Questionnaire of Attitude of Pediatric Nurses to Transitional Nursing of Children with Chronic Diseases in this study has good reliability and validity,and it can be used as a tool to access the attitude of pediatric nurses toward transitional nursing of children with chronic diseases,and to provide reference for transitional nursing of children with chronic diseases.