危重创伤患者早期康复准备度量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2026.05.011

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (5): 581-587.doi: 10.3761/j.issn.2096-7446.2026.05.011

危重创伤患者早期康复准备度量表的编制及信效度检验

惠艳红¹(), 许国栋², 吴钰¹, 耿晴晴³^,^*()

¹ 中国人民解放军联勤保障部队第九六〇医院急诊医学科济南市 250031
² 中国人民解放军联勤保障部队第九六〇医院全科医学科济南市 250031
³ 中国人民解放军联勤保障部队第九六〇医院骨科济南市 250031

收稿日期:2025-05-26 出版日期:2026-05-10 发布日期:2026-04-28
通讯作者: *耿晴晴，E-mail：358645021@qq.com
作者简介:惠艳红：女，硕士，主管护师，E-mail：283968690@qq.com
第一联系人：作者贡献声明
惠艳红：研究设计、实施研究、统计分析、论文撰写；许国栋、吴钰：实施研究、采集数据与分析；耿晴晴：研究设计、论文撰写、论文修改
基金资助:
军队护理创新与培育专项科研课题培育项目(2023HL074)

Development and psychometric testing of a scale for measuring early rehabilitation readiness of critical trauma patients

HUI Yanhong¹(), XU Guodong², WU Yu¹, GENG Qingqing³^,^*()

¹ Department of Emergency， the 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army， Jinan 250031， China
² Department of General Practice， the 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army， Jinan 250031， China
³ Department of Orthopedics， the 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army， Jinan 250031， China

Received:2025-05-26 Online:2026-05-10 Published:2026-04-28
Contact: *GENG Qingqing，E-mail：358645021@qq.com
Supported by:
Military Nursing Innovation and Cultivation Special Scientific Research Project Cultivation Program(2023HL074)

摘要/Abstract

摘要：

目的编制危重创伤患者早期康复准备度量表并检测其信效度。方法以健康信念模型为理论框架，通过文献分析、半结构访谈、理论分析形成条目池，经2轮德尔菲专家函询及小样本测试形成测试版量表。采用便利抽样法，选取山东省3所三级甲等综合医院住院治疗的危重创伤患者进行调查，筛选量表条目并检验量表信效度。结果量表包括6个维度、35个条目。探索性因子分析提取6个公因子，累计方差贡献率为74.175%；验证性因子分析显示，量表因素结构稳定。总量表Cronbach’s α系数为0.948，折半信度为0.925，重测信度为0.931；量表内容效度指数为0.982，各条目的内容效度为0.900~1.000。结论危重创伤患者早期康复准备度量表具有较好的信效度，可作为评估危重创伤患者早期康复准备度的工具。

关键词: 创伤, 早期康复, 健康信念模型, 量表, 信度, 效度, 准备度

Abstract:

Objective To develop a scale for early rehabilitation readiness of critically injured patients and test its reliability and validity. Methods Using the Health Belief Model as the theoretical framework，we developed an item pool through literature analysis，semi-structured interviews，and theoretical analysis. After two rounds of Delphi expert consultations and a pilot test with a small sample size，we finalized the preliminary questionnaire. Through convenience sampling，we recruited critically ill trauma patients hospitalized at three Grade III-A general hospitals in Shandong Province for investigation. The questionnaire items were then screened and validated for reliability and validity. Results The scale comprises six dimensions with 35 items. Exploratory factor analysis identified six common factors，accounting for a cumulative variance contribution rate of 74.175%. Confirmatory factor analysis demonstrated stable factor structure. The total scale showed Cronbach’s α coefficient of 0.948，with half-reliability at 0.925 and retest reliability at 0.931. Content validity index of the scale was 0.982，with individual items demonstrating content validity from 0.900 to 1.000. Conclusion The early rehabilitation readiness scale for critically injured patients has good reliability and validity，and can be used as a tool to evaluate the early recovery readiness of critically injured patients.

Key words: Trauma, Early Rehabilitation, Health Belief Model, Scale, Reliability, Validity, Readiness

惠艳红, 许国栋, 吴钰, 耿晴晴. 危重创伤患者早期康复准备度量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(5): 581-587.

HUI Yanhong, XU Guodong, WU Yu, GENG Qingqing. Development and psychometric testing of a scale for measuring early rehabilitation readiness of critical trauma patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 581-587.

图/表 3

参考文献 18

[1]	李晓雪, 郑德彬, 赵培, 等. 大规模伤亡事件创伤救治的现状与发展[J]. 中华灾害救援医学, 2025, 13(1):1-10.
	Li XX, Zheng DB, Zhao P, et al. Current status and develop-ment of trauma care for mass casualty incident[J]. Chin J Di-saster Med, 2025, 13(1):1-10.
[2]	彭博, 潘菲, 贺祯, 等. 现代战争战场高发致命伤情分析及应对策略[J]. 中国急救复苏与灾害医学杂志, 2020, 15(3):257-260.
	Peng B, Pan F, He Z, et al. Analysis and countermeasures of the high incidence of fatal injuries in modern war[J]. China J Emerg Resusc Disaster Med, 2020, 15(3):257-260.
[3]	刘才荣, 周浩, 季学丽, 等. 创伤复苏室结合信息化绿色通道在急诊危重创伤患者中的应用研究[J]. 中国急救复苏与灾害医学杂志, 2024, 19(5):573-576.
	Liu CR, Zhou H, Ji XL, et al. Study on the application of trauma resuscitation room combined with information green channel in emergency critical trauma patients[J]. China J Emerg Resusc Disaster Med, 2024, 19(5):573-576.
[4]	Van Ditshuizen JC, Sewalt CA, Palmer CS, et al. The definition of major trauma using different revisions of the abbreviated injury scale[J]. Scand J Trauma Resusc Emerg Med, 2021, 29(1):71. doi: 10.1186/s13049-021-00873-7
[5]	杨星雨, 王宁, 李桂芳, 等. 银川市ICU患者早期活动实施现状及影响因素的调查研究[J]. 中华急危重症护理杂志, 2025, 6(3):283-289. doi: 10.3761/j.issn.2096-7446.2025.03.004
	Yang XY, Wang N, Li GF, et al. Investigation on the implem-tation status and influencing factors of early mobilization in ICU patients in Yinchuan[J]. Chin J Emerg Crit Care Nurs, 2025, 6(3):283-289.
[6]	林玉云, 彭媛, 杨敬稀, 等. 重症监护患者早期活动现状及影响因素的Meta分析[J]. 四川医学, 2023, 44(11):1165-1172.
	Lin YY, Peng Y, Yang JX, et al. Participation rate of early mobilization and influencing factors among patients in inten-sive care units:a meta-analysis[J]. Sichuan Med J, 2023, 44(11):1165-1172.
[7]	Kahraman H, Akutay S, Kaçmaz HY, et al. Artificial intelligence literacy levels of perioperative nurses:the case of türkiye[J]. Nurs Health Sci, 2025, 27(1):e70059. doi: 10.1111/nhs.v27.1
[8]	曹慧丽, 何琨. 照顾者准备度的护理研究进展[J]. 解放军护理杂志, 2018, 35(7):41-44.
	Cao HL, He K. Research progress on caregiver readiness in nursing[J]. Nurs J Chin PLA, 2018, 35(7):41-44.
[9]	Wang XQ, Lv Y, Zhang CL, et al. Status quo and influencing factors of multiprofessional and multidisciplinary teamwork for early mobilization in mechanically ventilated patients in ICUs:a multi-centre survey study[J]. J Adv Nurs, 2024, 80(11):4550-4559. doi: 10.1111/jan.v80.11
[10]	Bento I, Ferreira B, Baixinho CL, et al. Effectiveness of early mobilization and bed positioning in the management of muscle weakness in critically ill people under invasive me-chanical ventilation in intensive care:a systematic review of intervention literature protocol[J]. Nurs Rep, 2025, 15(3):75. doi: 10.3390/nursrep15030075
[11]	何沙沙, 王志敏, 蒋丹丹, 等. 急诊严重创伤患者院前急救至院内康复全流程护理方案的构建及适用性分析[J]. 中华急危重症护理杂志, 2025, 6(3):275-282. doi: 10.3761/j.issn.2096-7446.2025.03.003
	He SS, Wang ZM, Jiang DD, et al. Construction and applica-bility analysis of whole-process nursing plan from pre-hospital first aid to in-hospital rehabilitation for emergency severe trauma patients[J]. Chin J Emerg Crit Care Nurs, 2025, 6(3):275-282.
[12]	Lim WC, Hill AM, Edgar DW, et al. Multidisciplinary staff per-ceived barriers and enablers to early mobilization of patients with burns in the ICU[J]. Burns, 2023, 49(7):1688-1697. doi: 10.1016/j.burns.2023.02.011 pmid: 36878735
[13]	Xu JY, Davoudpour S, Phillips G 2nd. Applying the health belief model(HBM) to understand COVID-19 vaccine uptake among youth and young adults:Findings from a 6-month follow-up study in the United States[J]. Vaccine, 2025, 54:127002. doi: 10.1016/j.vaccine.2025.127002
[14]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010:166-281.
	Wu ML. Practical Questionnaire Statistical Analysis:SPSS Ope-ration and Application[M]. Chongqing: Chongqing University Press, 2010:166-281.
[15]	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):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Cent South Univ Med Sci, 2012, 37(2):49-52.
[16]	吴明隆. 结构方程模型:AMOS的操作与应用[M]. 2版. 重庆: 重庆大学出版社, 2010.
	Wu ML. Structural equation model:operation and application of AMOS[M]. 2nd ed. Chongqing: Chongqing University Press, 2010.
[17]	向艳, 金静芬, 王丽竹, 等. ICU患者家属对早期活动的认知态度及影响因素研究[J]. 中华急危重症护理杂志, 2021, 2(4):344-347.
	Xiang Y, Jin JF, Wang LZ, et al. Analysis of perception and attitude of family members toward ICU patients’ early activi-ties and its influencing factors[J]. Chin J Emerg Crit Care Nurs, 2021, 2(4):344-347.
[18]	王海青, 刘莹莹, 杨富, 等. 重症监护室医护人员实施早期康复行为意向问卷的编制及信效度检验[J]. 军事护理, 2023, 40(6):13-16.
	Wang HQ, Liu YY, Yang F, et al. Development of behavioral intention questionnaire for intensive care unit medical staff to implement early rehabilitation protocols and its validity and reliability test[J]. Mil Nurs, 2023, 40(6):13-16.

危重创伤患者早期康复准备度量表的编制及信效度检验

Development and psychometric testing of a scale for measuring early rehabilitation readiness of critical trauma patients

RichHTML

PDF下载

可视化

摘要/Abstract

引用本文

使用本文

图/表 3

参考文献 18

相关文章 15

编辑推荐

Metrics

本文评价

[1]	肖艳萍, 陈香萍, 劳月文, 喻薇, 刘沛奇, 朱冰燕, 胡心茹. 家属版重症监护疼痛观察工具的汉化及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(3): 337-343.
[2]	石敏, 翟怀香, 张星星, 徐萍, 李晓青. ICU经历机械通气的中青年患者创伤后成长水平及潜在剖面分析[J]. 中华急危重症护理杂志, 2026, 7(2): 182-189.
[3]	应陈娴, 程鹏飞, 王海珍. 创伤性尿胸患者的早期识别及护理[J]. 中华急危重症护理杂志, 2026, 7(2): 190-192.
[4]	陈祎兰, 唐佳迎, 张巧玲, 王萍, 黄科儿, 何姣, 封秀琴. 创伤暴露心理预期量表的汉化及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(2): 216-222.
[5]	程晓英, 舒琪, 赵益晟, 朱怀宇, 陈朔晖. 个性化新生儿脸谱疼痛量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(1): 49-53.
[6]	王伶俐, 刘小琴, 陈天喜, 赵旭东, 冒飒娴, 薛施霞, 姜慧. 急诊严重创伤患者救治时效质量评价指标的构建及应用研究[J]. 中华急危重症护理杂志, 2025, 6(9): 1061-1066.
[7]	杨云利, 张晓峰, 刘亚楠, 王华荣. 急诊老年创伤患者分诊标准研究的范围综述[J]. 中华急危重症护理杂志, 2025, 6(9): 1074-1081.
[8]	金丁萍, 王飒, 王钰炜, 封秀琴, 许书荣, 闫丹萍. 创伤患者低体温影响因素及管理策略的范围综述[J]. 中华急危重症护理杂志, 2025, 6(9): 1082-1088.
[9]	刘海金, 吴碧瑜, 林彩霞, 徐敏君, 余晓岚. 基于二元疾病管理理论的ICU患者出科准备护理方案的实施效果评价[J]. 中华急危重症护理杂志, 2025, 6(8): 923-929.
[10]	汪依佳, 潘爱红, 刘芮, 陈倩, 王铖琛. ICU患者家属创伤后应激障碍影响因素的Meta分析[J]. 中华急危重症护理杂志, 2025, 6(8): 938-944.
[11]	张晶, 王丽竹, 黄晓霞, 封秀琴. 重度肥胖患者严重创伤后合并急性呼吸窘迫综合征的护理[J]. 中华急危重症护理杂志, 2025, 6(8): 957-959.
[12]	陈盈, 唐佳迎, 郭芝廷, 封秀琴. ICU患者家属风险沟通和治疗决策有效性综合评估量表的汉化及信效度检验[J]. 中华急危重症护理杂志, 2025, 6(8): 975-981.
[13]	许士海, 杨秀芬, 张薇薇, 邹林, 王丙栋, 管穗丽, 关欣, 成守珍. 急诊科护士岗位胜任力评估量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2025, 6(8): 982-987.
[14]	黄晓霞, 唐佳迎, 王丽竹, 王飒, 夏一兰, 张巧玲, 封秀琴. 俯卧位通气患者肠内营养护理知信行问卷的编制及信效度检验[J]. 中华急危重症护理杂志, 2025, 6(7): 812-818.
[15]	中华护理学会急诊护理专业委员会, 浙江大学医学院附属第二医院护理部/急诊医学科, （执笔：王飒，王钰炜，闫丹萍，武作家，封秀琴，兰美娟，金静芬）. 急诊室创伤复苏单元护理管理专家共识[J]. 中华急危重症护理杂志, 2025, 6(7): 830-836.