临床护士糖尿病知识评估量表的研制及信效度检验
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摘要
[目的]研制临床护士糖尿病知识评估量表,并检验其信度和效度。[方法]结合访谈法结果和已有文献编制临床护士糖尿病知识评估初始量表,经2轮专家咨询后形成临床护士糖尿病知识评估量表,并对量表的信效度进行评价。[结果]临床护士糖尿病评估量表由糖尿病基本知识、糖尿病并发症、血糖监测、药物治疗、运动治疗、饮食治疗、注射技能7个维度100个条目组成,量表的条目内容效度为1,量表平均内容效度指数为1;总量表的重测信度系数为0.898,各维度的重测信度系数为0.578~0.802;总量表的Cronbach’sα系数为0.945,各维度的Cronbach’sα系数为0.727~0.890。[结论]编制的临床护士糖尿病知识评估量表信效度良好,能够用于评估临床护士对糖尿病知识的掌握水平。
Objective:To develop a clinical nurses diabetes knowledge assessment scale and examine its reliability and validity.Methods:Combined with the results of interviews and literature review,a clinical nurses diabetes knowledge assessment initial scale was established.After 2rounds of expert consultation,a clinical nurse diabetes knowledge assessment scale was established and the reliability and validity of the scale were evaluated.Results:Clinical nurse diabetes assessment scale consisted of 7dimensions and 100 basic items,including diabetes basic knowledge,diabetes complications,blood glucose monitoring,drug treatment,exercise therapy,diet treatment and injection skills.The scale item content validity was 1,average scale content validity index was 1,retest reliability coefficient of total scale was 0.898,retest reliability coefficient of each dimension was 0.578~0.802.Cronbach'sαcoefficient of total scale was 0.945,and Cronbach'sαcoefficient of each dimension was 0.727~0.890.Conclusions:The reliability and validity of clinical nurses diabetes knowledge assessment scale were good,which could reflect nurses mastery level about diabetes knowledge.
Objective:To develop a clinical nurses diabetes knowledge assessment scale and examine its reliability and validity.Methods:Combined with the results of interviews and literature review,a clinical nurses diabetes knowledge assessment initial scale was established.After 2rounds of expert consultation,a clinical nurse diabetes knowledge assessment scale was established and the reliability and validity of the scale were evaluated.Results:Clinical nurse diabetes assessment scale consisted of 7dimensions and 100 basic items,including diabetes basic knowledge,diabetes complications,blood glucose monitoring,drug treatment,exercise therapy,diet treatment and injection skills.The scale item content validity was 1,average scale content validity index was 1,retest reliability coefficient of total scale was 0.898,retest reliability coefficient of each dimension was 0.578~0.802.Cronbach'sαcoefficient of total scale was 0.945,and Cronbach'sαcoefficient of each dimension was 0.727~0.890.Conclusions:The reliability and validity of clinical nurses diabetes knowledge assessment scale were good,which could reflect nurses mastery level about diabetes knowledge.
引文
[1]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013版)[J].中国糖尿病杂志,2014,22(8):2-42.
[2]黄晓萍,杨涛,蔡娅,等.实施自我管理教育对妊娠糖尿病患者血糖与自护能力的影响[J].中华护理杂志,2011,46(6):566-568.
[3]Gaillard T,Amponsah G,Osei K.Patient-centered community diabetes education program improves glycemic control in African-American patients with poorly controlled type 2diabetes:importance of point of care metabolic measurements[J].J Natl Black Nurses Assoc,2015,26(1):50-57.
[4]中华医学会糖尿病学分会.中国糖尿病护理及教育指南(2009版)[J].中国糖尿病杂志,2010,18(4):310.
[5]许樟荣.护士在糖尿病教育和管理中承担着重大责任[J].中华护理杂志,2004,39(10):727-729.
[6]霍培霞,谭茜,姚秀丽,等.加强护士健康教育培训对2型糖尿病患者正确使用胰岛素笔技能的影响[J].现代临床护理,2010,9(5):25-27.
[7]董胜莲,邢凤梅,吴保平.农村Ⅱ型糖尿病患者糖尿病知识与自我管理现状调查[J].现代预防医学,2014,41(2):240-241;245.
[8]朱伟燕.糖尿病患者知识量表的汉化及在杭州市区三甲医院糖尿病人群中的调查[D].杭州:浙江大学,2010:1.
[9]闫杏娜,李娜,吴利敏,等.基层医院临床护士糖尿病知识掌握情况调查[J].护理实践与研究,2011,8(11):144-145.
[10]钱娟,沙莎,赵春艳,等.综合医院护士糖尿病知识掌握情况调查研究[J].护理研究,2011,25(6B):1530-1531.
[11]李梅,李亚洁.外科医务人员糖尿病知识知晓状况调查分析[J].护理学报,2010,17(4A):27-30.
[12]Zhang JJ,Ren JM,Huang J,et al.Reliability and validity of Resilience Scale for Adults(RSA)in military students[J].Chin J Behav Med&Brain Sci,2010,19(4):377-379.
[13]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):152-155.
[14]赵耐青.临床医学研究设计和数据分析[M].上海:复旦大学出版社,2005:292-295.
[15]Hambleton RK,Swaminathan H,Algina J,et al.Criterion-referenced testing and measurement:review of technical issues anddevelopments[J].Rev Educat Res,1978,48(1):11-22.
[16]Martuza VR.Applying norm-referenced and criterion referenced measurement in education[M].Boston:Allyn and Bacon,1977:275-293.
[17]Waltz CF,Strickland OL,Lenz ER.Measurement in nursing andhealth research[M].3rd ed.New York:Springer,2005:157.
[18]Lynn MR.Determination and quantification of content validity[J].Nursing Res,1986,35(6):382-385.
[19]蒋小花,沈卓之,张楠楠,等.问卷的信度和效度分析[J].现代预防医学,2010,37(3):429-431.
[20]张长宁,李静,陈立波,等.住院糖尿病患者情况分析与研究[J].医学研究杂志,2013,42(7):160-164.
[21]American Educational Research Association,American Psychological Association,National Council on Measurement in Education.Standards for educational and psychological testing[C].Washington,DC:American Psychological Association,1999:9-11.
[2]黄晓萍,杨涛,蔡娅,等.实施自我管理教育对妊娠糖尿病患者血糖与自护能力的影响[J].中华护理杂志,2011,46(6):566-568.
[3]Gaillard T,Amponsah G,Osei K.Patient-centered community diabetes education program improves glycemic control in African-American patients with poorly controlled type 2diabetes:importance of point of care metabolic measurements[J].J Natl Black Nurses Assoc,2015,26(1):50-57.
[4]中华医学会糖尿病学分会.中国糖尿病护理及教育指南(2009版)[J].中国糖尿病杂志,2010,18(4):310.
[5]许樟荣.护士在糖尿病教育和管理中承担着重大责任[J].中华护理杂志,2004,39(10):727-729.
[6]霍培霞,谭茜,姚秀丽,等.加强护士健康教育培训对2型糖尿病患者正确使用胰岛素笔技能的影响[J].现代临床护理,2010,9(5):25-27.
[7]董胜莲,邢凤梅,吴保平.农村Ⅱ型糖尿病患者糖尿病知识与自我管理现状调查[J].现代预防医学,2014,41(2):240-241;245.
[8]朱伟燕.糖尿病患者知识量表的汉化及在杭州市区三甲医院糖尿病人群中的调查[D].杭州:浙江大学,2010:1.
[9]闫杏娜,李娜,吴利敏,等.基层医院临床护士糖尿病知识掌握情况调查[J].护理实践与研究,2011,8(11):144-145.
[10]钱娟,沙莎,赵春艳,等.综合医院护士糖尿病知识掌握情况调查研究[J].护理研究,2011,25(6B):1530-1531.
[11]李梅,李亚洁.外科医务人员糖尿病知识知晓状况调查分析[J].护理学报,2010,17(4A):27-30.
[12]Zhang JJ,Ren JM,Huang J,et al.Reliability and validity of Resilience Scale for Adults(RSA)in military students[J].Chin J Behav Med&Brain Sci,2010,19(4):377-379.
[13]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):152-155.
[14]赵耐青.临床医学研究设计和数据分析[M].上海:复旦大学出版社,2005:292-295.
[15]Hambleton RK,Swaminathan H,Algina J,et al.Criterion-referenced testing and measurement:review of technical issues anddevelopments[J].Rev Educat Res,1978,48(1):11-22.
[16]Martuza VR.Applying norm-referenced and criterion referenced measurement in education[M].Boston:Allyn and Bacon,1977:275-293.
[17]Waltz CF,Strickland OL,Lenz ER.Measurement in nursing andhealth research[M].3rd ed.New York:Springer,2005:157.
[18]Lynn MR.Determination and quantification of content validity[J].Nursing Res,1986,35(6):382-385.
[19]蒋小花,沈卓之,张楠楠,等.问卷的信度和效度分析[J].现代预防医学,2010,37(3):429-431.
[20]张长宁,李静,陈立波,等.住院糖尿病患者情况分析与研究[J].医学研究杂志,2013,42(7):160-164.
[21]American Educational Research Association,American Psychological Association,National Council on Measurement in Education.Standards for educational and psychological testing[C].Washington,DC:American Psychological Association,1999:9-11.
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