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引用本文:黄敬英 庄一渝 陈香萍 杨丽黎.ICU患者肠内喂养障碍问卷的汉化及信效度检验[J].中国护理管理,2017,17(5):592-597 本文二维码信息
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ICU患者肠内喂养障碍问卷的汉化及信效度检验
Reliability and validity of Chinese version of Barriers to Enteral Feeding Critically Ill Patients Questionnaire
  
DOI:10.3969/j.issn.1672-1756.2017.05.006
中文关键词:  肠内喂养障碍问卷  信度  效度
English Keywords:Barriers to Enteral Feeding Critically Ill Patients Questionnaire  reliability  validity
基金项目:浙江大学附属邵逸夫医院护理科研基金项目(201522HL)
作者单位
黄敬英 庄一渝 陈香萍 杨丽黎 浙江大学附属邵逸夫医院ICU310020 杭州市(黄敬英庄一渝陈香萍)护理教育部(杨丽黎) 
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中文摘要:
      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’s α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χ2/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。
English Summary:
      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 α 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.
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