CAJ | 학술논문

目的：编制适用于中国的具有良好信度和效度的危重症护士（ CCNs ）血压监测认知调查表，为将来全面知晓国内CCNs血压监测认知现状提供帮助。方法参照国际患者临床结局评价量表编制方法，采用结构化决策方式，以McGhee量表为基础、文献拓展、并经专家修善圈定原始条目池，以其组成预调查表现场调查70名CCNs和120名至少轮转过1个ICU的护理本科实习生，运用条目分布考察、离散程度、t检验及分辨力系数等方法结合核心小组讨论再次筛选条目、并行内部一致性信度和效度考评。结果原始条目池35条，专家修善3条，预调查后经上述条目筛选方法结合核心小组讨论删除5条。余留条目3个维度中血压监测生理12条、监测技术与应用8条、波形识别及数据解读10条，由其组成的调查表总Cronbach’sα系数为0．783，各维度Cronbach’sα系数分别为0．822，0．793，0．734，6个提取因子可解释总变异的82．57％，且在相应维度上载荷均＞0．55。结论筛选后条目组成的初始调查表比较全面地反映了血压监测的内涵，具有较好信度和效度，可试用于调查我国CCNs血压监测认知水平。
목적：편제괄용우중국적구유량호신도화효도적위중증호사（ CCNs ）혈압감측인지조사표，위장래전면지효국내CCNs혈압감측인지현상제공방조。방법삼조국제환자림상결국평개량표편제방법，채용결구화결책방식，이McGhee량표위기출、문헌탁전、병경전가수선권정원시조목지，이기조성예조사표현장조사70명CCNs화120명지소륜전과1개ICU적호리본과실습생，운용조목분포고찰、리산정도、t검험급분변력계수등방법결합핵심소조토론재차사선조목、병행내부일치성신도화효도고평。결과원시조목지35조，전가수선3조，예조사후경상술조목사선방법결합핵심소조토론산제5조。여류조목3개유도중혈압감측생리12조、감측기술여응용8조、파형식별급수거해독10조，유기조성적조사표총Cronbach’sα계수위0．783，각유도Cronbach’sα계수분별위0．822，0．793，0．734，6개제취인자가해석총변이적82．57％，차재상응유도상재하균＞0．55。결론사선후조목조성적초시조사표비교전면지반영료혈압감측적내함，구유교호신도화효도，가시용우조사아국CCNs혈압감측인지수평。
Objective To develop the suitable for our country , high reliability and validity of cognitive questionnaire about blood pressure monitoring in critical care nurses ( CCNs ) in order to provide the help for understanding the status of blood pressure monitoring in CCNs in our country .Methods The original entry pool was preliminarily established according the international assessment scale of clinical outcome in patients through the structured decision-making including the McGhee-items, references from databases and experts ’ modification.70 CCNs and 120 undergraduate nursing students with one ICU at least were surveyed by the preliminary questionnaire .The entries were screened again through the investigation of entry distribution , dispersion, t test, resolution coefficient and the discussion in core group again , and the reliability and validity of internal consistency were evaluated .Results The original entry pool was 35 items, and the items of experts ’ modification was 3;5 items were deleted through the item selection combined with the discussion in core group . The items of the remaining entries in three dimensions including the physiology of blood pressure monitoring , technical aspects of monitoring , wave distinguish and data interpretation were respectively 12, 8, 10 items.The total Cronbach ’ s αcoefficient of questionnaire was 0.783, and the Cronbach ’ s αcoefficient of different dimensions were respectively 0.822, 0.793 and 0.734.Six extracting factors explained 82.57% of the total variance, and the loads of the corresponding dimensions were more than 0.55.Conclusions The initial questionnaire which is consisted of items after selection can comprehensively reflect the connotation of blood pressure monitoring , and can be used for investigating the cognitive level of blood pressure monitoring in CCNs in our country due to high validity and reliability .