在职医护人员呼吸康复培训知识需求问卷的编制及信度、效度检验

doi:10.3969/j.issn.1006-9771.2023.08.017

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (8): 985-992.doi: 10.3969/j.issn.1006-9771.2023.08.017

• 康复教育 • 上一篇

在职医护人员呼吸康复培训知识需求问卷的编制及信度、效度检验

易琦峰¹^,², 黄卓尔², 杨国莉¹, 谢丽华¹, 谢胜锋¹, 吴小霞¹^,²(), 严谨¹^,²

1.中南大学湘雅三医院，湖南长沙市 410013
2.中南大学湘雅护理学院，湖南长沙市 410013

收稿日期:2023-07-03 修回日期:2023-07-30 出版日期:2023-08-25 发布日期:2023-10-09
通讯作者: 吴小霞 E-mail:734591690@qq.com
作者简介:易琦峰(1977-)，女，汉族，湖南宁乡市人，博士，主任护师，主要研究方向：呼吸康复、慢病管理、临床护理教学。
基金资助:
湖南省卫生健康适宜技术推广项目(202218015835);湖南省自然科学基金项目(2019JJ40469)

Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers

YI Qifeng¹^,², HUANG Zhuoer², YANG Guoli¹, XIE Lihua¹, XIE Shengfeng¹, WU Xiaoxia¹^,²(), YAN Jin¹^,²

1. The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, China
2. Xiangya Nursing School, Central South University, Changsha, Hunan 410013, China

Received:2023-07-03 Revised:2023-07-30 Published:2023-08-25 Online:2023-10-09
Contact: WU Xiaoxia E-mail:734591690@qq.com
Supported by:
Hunan Health Appropriate Technology Promotion Project(202218015835);Natural Science Foundation of Hunan Province(2019JJ40469)

摘要/Abstract

摘要：

目的编制在职医护人员呼吸康复培训知识需求问卷，并对其信、效度进行检验。
方法参考美国心肺康复协会和美国呼吸治疗学会呼吸康复课程模块内容，构建理论模型。通过文献检索与分析、半结构式访谈、专家小组讨论编制问卷的初稿。通过访谈17名呼吸康复专业人员、函询16名呼吸康复专家，调查380例从事呼吸康复在职医护人员，检验问卷信、效度。
结果在职医护人员呼吸康复培训知识需求问卷包括呼吸康复进展、慢性肺疾病生理学基础与诊断、慢性肺疾病的个体化评估和处理原则、慢性肺疾病治疗与指南推荐用药、氧气治疗、运动评估与运动处方、烟草成瘾与戒烟、营养评估与体重管理、心理筛查与干预、自我管理与健康行为促进、呼吸康复的效果评估，共计11个维度，52个条目。总Cronbach α系数0.921，总折半信度0.904，总重测信度0.922，各维度Cronbach α系数0.909~0.953;折半信度0.882~0.924、重测信度0.908~0.950。问卷内容效度0.902;探索性因子分析中，共提取11个公因子，其累计方差贡献率75.324%。
结论在职医护人员呼吸康复培训知识需求问卷具有良好的信、效度，可用于对参与呼吸康复在职培训的医护人员开展知识需求评估与分析。

关键词: 呼吸康复, 在职培训, 知识需求, 信度, 效度

Abstract:

Objective To develop a questionnaire on the knowledge needs of respiratory rehabilitation training for in-service healthcare workers, and test its reliability and validity.
Methods A theoretical framework was constructed based on the contents of the respiratory rehabilitation course modules of American Association of Cardiopulmonary Rehabilitation and American Association for Respiratory Care. The first draft of the questionnaire was prepared through literature searches and analyses, semi-structured interviews, and expert group discussions. The reliability and validity of the questionnaire was tested by interviewing 17 respiratory rehabilitation professionals and 16 respiratory rehabilitation experts by correspondence, and investigating 380 cases of in-service healthcare workers engaged in respiratory rehabilitation.
Results The knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers included progress in respiratory rehabilitation, physiological basis and diagnosis of chronic lung diseases, individualized assessment and management principles of chronic lung diseases, treatment of chronic lung diseases and guideline-recommended medications, oxygen therapy, exercise assessment and exercise prescription, tobacco addiction and cessation, nutritional assessment and weight management, psychological screening and intervention, self-management and health behavior promotion, and effectiveness assessment of respiratory rehabilitation, totaling eleven dimensions and 52 items. The total Cronbach's α was 0.921, the total folded half reliability was 0.904, the total retest reliability was 0.922, and the Cronbach's α of each dimension ranged from 0.909 to 0.953; the folded half reliabilities ranged from 0.882 to 0.924, and the retest reliabilities ranged from 0.908 to 0.950. The validity of the questionnaire's content was 0.902. In exploratory factor analysis, eleven metric factors were extracted, and their cumulative variance contribution rate was 75.324%.
Conclusion The questionnaire on the knowledge needs of respiratory rehabilitation training for in-service healthcare workers is reliable and valid, and can be used to assess the knowledge needs of healthcare workers participating in in-service training in respiratory rehabilitation.

Key words: respiratory rehabilitation, in-service training, knowledge needs, reliability, validity

中图分类号:

R49-4

易琦峰, 黄卓尔, 杨国莉, 谢丽华, 谢胜锋, 吴小霞, 严谨. 在职医护人员呼吸康复培训知识需求问卷的编制及信度、效度检验[J]. 《中国康复理论与实践》, 2023, 29(8): 985-992.

YI Qifeng, HUANG Zhuoer, YANG Guoli, XIE Lihua, XIE Shengfeng, WU Xiaoxia, YAN Jin. Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 985-992.

图/表 3

表1

表2

在职医护人员呼吸康复知识需求问卷旋转后的因子载荷矩阵(n = 360)"

条目	因子1	因子2	因子3	因子4	因子5	因子6	因子7	因子8	因子9	因子10	因子11
A2呼吸康复的适应证与禁忌证	0.756
A4重症呼吸康复策略	0.697
A8中医与呼吸康复	0.689
A1呼吸康复概念与国内外进展	0.688
A7外科围手术期的呼吸康复	0.676
A6病毒性肺炎呼吸康复	0.645
A9远程呼吸康复及应用	0.639
A3稳定期呼吸康复策略	0.632
A5非慢性阻塞性肺病的呼吸康复管理	0.629
B2呼吸系统疾病病理生理学基础		0.776
B1呼吸系统解剖学知识与呼吸康复		0.639
B4肺部影像与呼吸康复		0.625
B3 呼吸和心脏系统的体格检查		0.622
C8无创通气治疗			0.779
C3呼吸困难的评估与应对			0.773
C4肺功能评估及报告分析(含简易)			0.722
C6识别危及生命的紧急/不利事件			0.721
C1呼吸康复相关指南解读与实践			0.683
C2血气分析结果判读			0.668
C9人工气道管理与机械通气治疗			0.662
C7呼吸康复中紧急事件处理原则及措施			0.624
C5徒手心肺评估			0.613
D1指南推荐药物治疗方案				0.739
D2常用吸入制剂的使用				0.669
D3疫苗的使用				0.651
E3氧疗管理与健康教育					0.703
E1缺氧危害与评估					0.625
E2氧疗处方的制定					0.585
F5运动训练的方法与注意事项，如抗阻训练、耐力训练、柔韧性训练、呼吸肌训练等						0.721
F4呼吸训练与膈肌保护技巧						0.719
F1运动处方的制定与实施						0.701
F6气道廓清技术，如主动呼吸循环技术、体位引流技术的适应证/禁忌证及操作手法						0.697
F3正常/异常生理反应						0.649
F2运动的安全性监测						0.622
F7共病的运动限制						0.615
G3辅助治疗药物效果、风险和益处							0.711
G2戒烟的行为改变策略							0.643
G1烟草成瘾的心理、生理行为							0.639
H3营养咨询与指导								0.676
H2减肥与获重策略								0.661
H1患者营养评估与管理								0.637
I2肺部疾病对患者心理的影响									0.699
I1患者社会心理干预策略(自我效能感提升策略等)									0.672
I4终末期患者心理护理及安宁疗护									0.587
I3心理症状筛查									0.571
J2预防、识别和治疗COPD加重实践策略										0.721
J1自我效能感和健康行为促进技巧，包括促进运动、戒烟、用药依从性等										0.691
J3个案管理										0.663
K3心肺运动试验及报告解读											0.717
K4步行运动试验(如6分钟步行测试)											0.709
K2呼吸康复的效果评价											0.691
K1呼吸康复患者临床评估											0.687

表2

表3

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维度	第一轮			第二轮
维度	Mj	CV	Kj	Mj	CV	Kj
一级条目	4.33~4.78	0.00~0.20	0.45~1.00	4.41~4.83	0.00~0.17	0.58~1.00
二级条目	4.41~4.91	0.02~0.26	0.18~1.00	4.39~4.91	0.05~0.19	0.37~1.00

问卷维度	Cronbach α	折半信度	重测信度
A呼吸康复进展	0.912	0.895	0.932
B慢性肺疾病生理学基础与诊断	0.932	0.924	0.950
C慢性肺疾病的个体化评估和处理原则	0.923	0.922	0.908
D慢性肺疾病治疗与指南推荐用药	0.953	0.882	0.934
E氧气治疗	0.951	0.907	0.940
F运动评估与运动处方	0.909	0.913	0.911
G烟草成瘾与戒烟	0.935	0.885	0.921
H营养评估与体重管理	0.941	0.894	0.914
I心理筛查与干预	0.912	0.907	0.920
J自我管理与健康行为促进	0.922	0.893	0.911
K呼吸康复的效果评估	0.935	0.885	0.928

在职医护人员呼吸康复培训知识需求问卷的编制及信度、效度检验

Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers

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