住院患者护理存在量表的汉化及信度效度检验

Sinicization,reliability and validity of The Nursing Presence Scale for Hospitalized Patients

目的:对英文版住院患者护理存在量表进行汉化,并进行信度、效度检验,为调查患者对护理存在的感受提供可靠有效的测评工具。方法:对英文版住院患者护理存在量表进行翻译及回译,并进行文化调试,采用便利抽样法对武汉市某三级甲等医院530例住院患者进行正式问卷调查。结果:中文版住院患者护理存在量表共33个条目,分为4个维度,量表总体Cronbach’sα系数为0.931,各维度Cronbach’sα系数在0.738~0.852之间,量表水平内容效度指数为0.98。验证性因子分析显示卡方/自由度(χ2/df)为1.897,拟合优度指数(GFI)为0.812、比较拟合指数(CFI)为0.869、增值拟合指数(IFI)为0.871、Tucker-Lewis指数(TLI)为0.859、均方根残差(RMR)为0.024、近似误差均方根(RMSEA)为0.062,均达到拟合标准。结论:中文版住院患者护理存在量表有较好的信度、效度,适合用于评价我国住院患者对护理存在的感受与体验。

Objective:To sinicize The Nursing Presence Scale for Hospitalized Patients and test its reliability and validity,so as to provide a reliable and effective evaluation tool for clinical investigation of patients'nursing experience.Methods:After obtaining authorization from the original author of the scale,we translated the English version of The Nursing Presence Scale for Hospitalized Patients and conducted back-translated,and carried out cultural adaptation.Formal questionnaire survey were conducted among the 530 inpatients of a tertiary grade A hospital in Wuhan by convenience sampling.Results:The Chinese version scale contains 33 items and was divided into 4 dimensions.The Cronbach'sαfor the total scale was 0.931,and for the dimensions ranged from 0.738 to 0.852.The content validity index of the scale was 0.98.Confirmatory Factor Analysis(CFA)showed thatχ2/df was 1.897,GFI was 0.812,CFI was 0.869,IFI was 0.871,TLI was 0.859,RMR was 0.024,RMSEA was 0.062,which indicated that the four-factor model provided the best fit.Conclusion:The Chinese version of The Nursing Presence Scale for Hospitalized Patients has good reliability and validity,and is suitable for evaluating Chinese inpatients'feelings and experience of nursing presence.