收稿日期: 2024-08-21
网络出版日期: 2025-07-04
基金资助
浙江省医药卫生科技计划(2023KY724)
Development and validation of a Knowledge-Attitude-Practice Questionnaire on Enteral Nutrition Care for Patients Undergoing Prone Position Ventilation
Received date: 2024-08-21
Online published: 2025-07-04
目的 编制俯卧位通气患者肠内营养护理知信行问卷并检验信效度。 方法 以知信行理论为框架，经文献分析、半结构式访谈构建条目池，通过专家函询和预调查形成俯卧位通气患者肠内营养护理知信行初始问卷。2024年1月—6月，采用便利抽样法，选取浙江省3所医院的ICU护士进行问卷调查，开展信度检验、条目分析、探索性因子分析和验证性因子分析。 结果 最终问卷包含3个维度（知识、态度和行为）共43个条目。问卷总的Cronbach’s α系数为0.957，表明该问卷具有较高的内部一致性。探索性因子分析的累计方差贡献率为72.128%，验证性因子分析的拟合指标（比较拟合指数=0.952，均方根残差=0.054）显示模型拟合良好；问卷的内容效度指数为0.978，条目水平的内容效度指数为0.820~1.000，提示该问卷内容效度较好。 结论 该研究编制的问卷具有良好的信度和效度，可作为评估ICU护士对俯卧位通气患者肠内营养护理知信行水平的有效工具。
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 . DOI: 10.3761/j.issn.2096-7446.2025.07.007
Objective To develop a Knowledge-Attitude-Practice（KAP） Questionnaire on Enteral Nutrition Care for Patients Undergoing Prone Position Ventilation（PPV） and to evaluate its reliability and validity. Methods Based on the KAP theory，an initial pool of items was created through literature review and semi-structured interviews. The initial version of the questionnaire was finalized after expert consultation and a pilot study. From March to June 2024，a convenience sampling method was used to select ICU nurses from three hospitals in Zhejiang Province for survey. The reliability，item analysis，exploratory factor analysis（EFA），and confirmatory factor analysis（CFA） of the questionnaire were conducted. Results The final questionnaire consisted of three dimensions，including knowledge，attitude，and practice，with a total of 43 items. The overall Cronbach’s α coefficient of the questionnaire was 0.957，indicating high internal consistency. The cumulative variance contribution rate from the EFA was 72.128%. The indices of CFA showed good model fit（CFI=0.952，RMSEA=0.054）. The content validity index was 0.978 and the content validity index ranged from 0.820 to 1.000，suggesting that the questionnaire has good content validity. Conclusion The developed questionnaire demonstrated good reliability and validity，making it a reliable tool for assessing ICU nurses’ knowledge，attitudes，and practices regarding enteral nutrition care for PPV patients.
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