摘要
目的:对危重患者肠内喂养障碍问卷(Barriers to Enteral Feeding Critically Ill Patients Questionnaire)进行汉化,并检验其信效度。方法:汉化英文版问卷,并经专家委员会及预实验调适条目形成最终的中文版问卷;抽取杭州市5家三级甲等医院的345名ICU护士和通过浙江省ICU护理公共平台抽取的200名浙江省ICU护士进行问卷调查,验证中文版问卷的信效度。结果:中文版问卷共包含19个条目,3个维度,累计方差贡献率为69.084%,Cronbach’sα系数为0.875,重测信度为0.825。条目水平的内容效度指数(I-CVI)为0.88~1.00,S-CVI/Ave为0.98。中文版问卷的各维度间及各维度与问卷总分间的相关系数(r值)为0.613~0.928。验证性因子分析结果χ~2/df=2.110、均方根残差(RMR)=0.150、渐进残差均方和平方根(RMSEA)=0.075、拟合优度指数(GFI)=0.853、调整拟合优度指数(AGFI)=0.812、非规范拟合指数(TLI)=0.835、增值拟合指数(IFI)=0.859、比较拟合指数(CFI)=0.856、简约拟合指数(PGFI)=0.669。结论:中文版ICU患者肠内喂养障碍问卷具有良好的信效度,可为我国ICU护理人员评估患者肠内营养的实施状况提供有效的检测工具。
Objective： To translate Barriers to Enteral Feeding Critically Ill Patients Questionnaire, and to test its reliability and validity. Methods： English version of the questionnaire was translated and back-translated according to Brislin translation model. The reliability and validity of the final Chinese version of the questionnaire was tested on a sample of 545 ICU nurses （345 in Hangzhou tertiary grade A hospital） in Zhejiang Province. Results： Chinese version of the questionnaire included 19 items and 3 subscales. Three factors were extracted by exploratory factor analysis, which could explain 69.084% of total variance. The Cronbach＇s a coefficient （0.875） and test-retest reliability （0.825） was acceptable. The range of item-level content validity index （I-CVI） was from 0.88 to 1.00. The average of scale-level content validity index （S-CVI/Ave） was 0.98. The results of confirmatory factor analysis showed that all obtained fit values were satisfactory with Chi-square/degrees of freedom 2.110, Root Mean Square Residual 0.150, Root Mean Square Error of Approximation 0.075, Goodness-of-Fit Index 0.853, Adjusted Goodness-of-Fit Index 0.812, Tucker-Lewis Index 0.835, Incremental Fit Index 0.859, Comparative Fit Index 0.856, and Parsimony Goodness of Fit Index 0.669. Conclusions： Chinese version of the questionnaire is reliable and valid, and is an effective tool to assess enteral feeding among critically ill patients.
出处
《中国护理管理》
CSCD
2017年第5期592-597,共6页
Chinese Nursing Management
基金
浙江大学附属邵逸夫医院护理科研基金项目(201522HL)
关键词
肠内喂养障碍问卷
信度
效度
Barriers to Enteral Feeding Critically Ill Patients Questionnaire
reliability
validity
