ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
急症护理研究

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 ,
  • 许国栋 ,
  • 吴钰 ,
  • 耿晴晴
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  • 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
惠艳红:女,硕士,主管护师,E-mail:283968690@qq.com
第一联系人:

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

*耿晴晴,E-mail:358645021@qq.com

收稿日期: 2025-05-26

  网络出版日期: 2026-04-28

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 Yanhong ,
  • XU Guodong ,
  • WU Yu ,
  • GENG Qingqing
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  • 1 Department of Emergencythe 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation ArmyJinan 250031, China
    2 Department of General Practicethe 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation ArmyJinan 250031, China
    3 Department of Orthopedicsthe 960th Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation ArmyJinan 250031, China

Received date: 2025-05-26

  Online published: 2026-04-28

Supported by

Military Nursing Innovation and Cultivation Special Scientific Research Project Cultivation Program(2023HL074)

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。

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2026.05.011

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.

参考文献

[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.
[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.
  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, Ka?maz HY, et al. Artificial intelligence literacy levels of perioperative nurses:the case of türkiye[J]. Nurs Health Sci, 2025, 27(1):e70059.
[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.
[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.
[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.
  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.
[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.
[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.
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