新生儿医用粘胶剂相关性皮肤损伤风险评估量表的编制与信效度检验

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英文篇名：Development of Neonate Medical Adhesive Related Skin Injury Risk Assessment Scale and assessment of its validity and reliability 作者：黄小夏 ; 张丽萍 ; 陈艳 ; 尹志勤 英文作者：HUANG Xiaoxia;ZHANG Liping;CHEN Yan;YIN Zhiqin; 关键词：新生儿护理 ; 医用粘胶 ; 皮肤损伤 ; 信度 ; 效度 英文关键词：Neonatal Nursing;;Medical Adhesive;;Skin Injury;;Reliability;;Validity 中文刊名：ZHHL 英文刊名：Chinese Journal of Nursing 机构：温州医科大学附属第一医院新生儿监护室;温州医科大学护理学院; 出版日期：2019-03-15 出版单位：中华护理杂志 年：2019 期：v.54 基金：浙江省温州市基础性科研项目(Y20170512) 语种：中文; 页：ZHHL201903012 页数：5 CN：03 ISSN：11-2234/R 分类号：62-66

摘要

目的研制新生儿医用粘胶剂相关性皮肤损伤风险评估量表,并评估其在新生儿中的应用效果。方法综合文献和12名新生儿科临床护士的访谈结果,结合现有的新生儿皮肤风险评估量表和新生儿皮肤状况评分表,通过2轮专家咨询,形成量表初稿,对102例新生儿进行粘胶剂相关性皮肤损伤风险的评估,检测量表的信效度。结果新生儿医用粘胶剂相关性皮肤损伤风险评估量表包括2个维度,7个条目,总量表的Cronbach'sα系数为0.808,重测信度为0.875,各条目内容效度指数为0.833～1.000,全体一致性量表水平的内容效度指数为0.875,平均量表水平的内容效度指数为0.980,探索因子分析共提取2个公因子,累计方差贡献率为69.984%。结论新生儿医用粘胶剂相关性皮肤损伤风险评估量表具有良好的信效度,适用于新生儿医用粘胶剂相关性皮肤损伤风险的评估。
        Objective To develop a risk assessment scale for neonatal medical adhesive related skin injury and evaluate its effect of application in neonatal department. Methods The draft scale was formed by combining results of literature review and interview results of 12 clinical nurses in neonatal department,the neonatal skin risk assessment scale and neonatal skin condition assessment scale,as well as results of two rounds of expert consultation. Totally 102 neonates were assessed for risk of skin injury associated with adhesive and the reliability and validity of the scale were tested. Results The neonatal medical adhesive related skin injury risk assessment scale consisted of 2 dimensions and 7 items. The Cronbach's α coefficient was 0.808 of the total scale,the test-retest reliability was 0.875,and the item content validity index ranged from 0.833 to 1.000. The content validity index of the overall consistency scale level(S-CVI/UA) was 0.875,and the content validity index of average scale level(SCVI/Ave) was 0.980. Exploratory factor analysis identified 2 principal factors and explained 69.984% of the total variance. Conclusion The Neonatal Medical Adhesive Related Skin Injury Risk Assessment Scale has good validity and reliability. It can be used as a tool to measure the risk of skin injury associated with neonatal medical adhesive.

引文

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