NICU终末期患儿安宁疗护质量评价量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2024.12.004

Abstract

Abstract: Objective To develop the Neonatal Intensive Care Unit-Palliative Care Quality Assessment Scale（NICU-PCQAS） and evaluate its reliability and validity,with the aim of providing an appropriate tool for assessing the quality of palliative care in NICU infants. Methods Guided by the conceptual model of a good death in the NICU,and referring to the Adult Quality of Dying and Death Questionnaire,the initial item pool was constructed through literature review and semi-structured interviews. The draft of the NICU-PCQAS was developed using a Delphi methodology and pre-investigation. Convenient sampling was used to investigate and evaluate the quality of palliative care of 344 neonates in 3 general hospitals,9 maternal and child health hospitals,and 6 children‘s hospitals in Jiangsu Province,Zhejiang Province,and Sichuan Province from July 2021 to July 2023. The data were then analyzed for item analysis,testing of reliability and validity. Results A 5-domain,20-item NICU-PCQAS was developed. Exploratory factor analysis identified five factors accounting for 76.35% of the variance. Confirmatory factor analysis showed a good fit（χ²/df=1.25,RMR=0.03,IFI=0.99,CFI=0.99,RMSEA=0.03）. The I-CVI ranged from 0.78 to 1.00,and the S-CVI was 0.97. The Cronbach‘s α was 0.92,and the Spearman-Brown coefficient was 0.75. Domain-specific Cronbach‘s α ranged from 0.86 to 0.93,and Spearman-Brown coefficients ranged from 0.87 to 0.92. Conclusion The NICU-PCQAS is reliable and valid,suitable for assessing the quality of palliative care in NICU infants,and supports the development of palliative care in NICUs.

Key words: Palliative Care, Quality of Dying and Death, Intensive Care Units,Neonatal, Scale Development, Reliability, Validity

WANG Caoyuan, REN Yimei, CHEN Fangyuan. Development and psychometric tests of the Palliative Care Quality Assessment Scale in the neonatal intensive care setting[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(12): 1081-1087.

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Development and psychometric tests of the Palliative Care Quality Assessment Scale in the neonatal intensive care setting

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