重症急性胰腺炎患者转出ICU后支持性照护需求量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2026.10.014

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (10): 1229-1234.doi: 10.3761/j.issn.2096-7446.2026.10.014

重症急性胰腺炎患者转出ICU后支持性照护需求量表的编制及信效度检验

李雯¹(), 徐亦虹², 王佳楠², 杨志超², 徐虹霞², 潘红英²^,^*()

¹ 东南大学附属徐州市中心医院护理部徐州市 221000
² 浙江大学医学院附属邵逸夫医院护理部杭州市 310016

收稿日期:2025-11-28 出版日期:2026-10-10 发布日期:2026-10-14
通讯作者: *潘红英，E-mail：3191016@zju.edu.cn
作者简介:李雯：女，硕士，护师，E-mail：liwen2802@163.com
作者贡献声明
李雯：研究设计及实施、数据收集及整理、统计学分析、论文撰写；徐亦虹：研究设计、研究指导、论文审阅与修改；王佳楠、杨志超、徐虹霞：数据收集、论文指导；潘红英：研究指导、论文审阅与修改

Development and psychometric test of Supportive Care Needs Scale for patients with severe acute pancreatitis after intensive care unit discharge

LI Wen¹(), XU Yihong², WANG Jianan², YANG Zhichao², XU Hongxia², PAN Hongying²^,^*()

¹ Nursing Department， Xuzhou Central Hospital，Southeast University， Xuzhou 221000， China
² Nursing Department， Sir Run Run Shaw Hospital，Zhejiang University School of Medicine， Hangzhou 310016， China

Received:2025-11-28 Online:2026-10-10 Published:2026-10-14
Contact: *PAN Hongying，E-mail：3191016@zju.edu.cn

摘要/Abstract

摘要：

目的编制重症急性胰腺炎患者转出ICU后的支持性照护需求量表，并进行信效度检验。方法在支持性照护框架的指导下，通过文献回顾法、质性访谈、专家小组讨论、德尔菲专家函询，形成初始量表。采用便利抽样法，于2024年1月—10月根据纳入和排除标准对330例从ICU转出的重症急性胰腺炎患者进行调查，检验量表信效度。结果量表包含4个维度，38个条目。旋转后的累计方差贡献量为63.812%，量表内容效度指数为0.902；平均内容效度指数为0.989，条目的内容效度指数为0.875~1.000；量表Cronbach’s α系数为0.958，各维度Cronbach’s α系数为0.917~0.962；量表整体分半信度为0.976，重测信度为0.982；各维度分半信度为0.933~0.967，重测信度为0.803~0.954。结论该量表信效度良好，能够科学地评估重症急性胰腺炎患者转出ICU后的支持性照护需求内容和水平。

关键词: 重症急性胰腺炎, 支持性照护需求, 转出ICU后, 量表, 信度, 效度

Abstract:

Objective To develop a supportive care needs scale for patients with severe acute pancreatitis （SAP） after discharge from the ICU and to test its reliability and validity. Methods Guided by the supportive care framework，an initial scale was developed through literature review，qualitative interviews，expert panel discussions，and a Delphi expert consultation. Using convenience sampling，330 SAP patients transferred out of the ICU were surveyed with questionnaires based on inclusion and exclusion criteria from January to October 2024 to test the scale’s reliability and validity. Results The final Supportive Care Needs Scale for SAP patients after ICU discharge consisted of 38 items across 4 dimensions. The cumulative contribution rate of variance after rotation was 63.812%. The scale-level content validity index was 0.902 and the average was 0.989. The item-level content validity index ranged from 0.875 to 1.000. The overall Cronbach’s α coefficient for the scale was 0.958，with dimension-specific coefficients ranging from 0.917 to 0.962. The overall split-half reliability of the scale was 0.976，with dimension-specific values ranging from 0.933 to 0.967. The overall test-retest reliability was 0.982，with dimension-specific values ranging from 0.803 to 0.954. Conclusion The scale demonstrated good reliability and validity，indicating its suitability for scientifically assessing the content and level of supportive care needs in SAP patients after ICU discharge.

Key words: Severe Acute Pancreatitis, Supportive Care Needs, Post-ICU Discharge, Scale, Reliability, Validity

李雯, 徐亦虹, 王佳楠, 杨志超, 徐虹霞, 潘红英. 重症急性胰腺炎患者转出ICU后支持性照护需求量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(10): 1229-1234.

LI Wen, XU Yihong, WANG Jianan, YANG Zhichao, XU Hongxia, PAN Hongying. Development and psychometric test of Supportive Care Needs Scale for patients with severe acute pancreatitis after intensive care unit discharge[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(10): 1229-1234.

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参考文献 18

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重症急性胰腺炎患者转出ICU后支持性照护需求量表的编制及信效度检验

Development and psychometric test of Supportive Care Needs Scale for patients with severe acute pancreatitis after intensive care unit discharge

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