Chinese Journal of Emergency and Critical Care Nursing >
Development and psychometric testing of a scale for measuring early rehabilitation readiness of critical trauma patients
Received date: 2025-05-26
Online published: 2026-04-28
Supported by
Military Nursing Innovation and Cultivation Special Scientific Research Project Cultivation Program(2023HL074)
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
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 . DOI: 10.3761/j.issn.2096-7446.2026.05.011
| [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. |
/
| 〈 |
|
〉 |