CAJ | 학술논문

目的以《2010美国心脏协会心肺复苏及心血管急救指南》为标准对课题组前期自行开发的知识测试卷和心肺复苏技能评价表进行修订及信效度分析,为今后公众心肺复苏培训的效果评价提供可靠的依据.方法在前期研制的2005版公众心肺复苏知识测试卷和心肺复苏技能评价表基础上,大量查阅中英文文献,根据2010美国心脏协会心肺复苏指南对其进行修订,通过专家法对新建立的公众心肺复苏知识测试卷和技能评价表的条目进行了内容效度的分析,公众心肺复苏知识测试卷和技能评价表又分别采用重测信度和评价者间信度分析法对该工具进行信度检验.结果公众心肺复苏知识测试卷和心肺复苏技能评价表中每个条目的内容效度指数CVI值为0.75～1.00;公众心肺复苏知识测试卷的重测信度为0.880；2位考核员CPR技能评价表评分的相关系数r值为0.861;操作评分的组内相关系数分析ICC值为0.916(P ＜0.01)；操作合格判定的一致性Kappa值为0.809(P ＜0.01).结论修订后的2010版公众心肺复苏知识测试卷和心肺复苏技能评价表具有良好的信效度,适合我国公众心肺复苏培训效果的评价测量.
목적 이《2010미국심장협회심폐복소급심혈관급구지남》위표준대과제조전기자행개발적지식측시권화심폐복소기능평개표진행수정급신효도분석,위금후공음심폐복소배훈적효과평개제공가고적의거.방법 재전기연제적2005판공음심폐복소지식측시권화심폐복소기능평개표기출상,대량사열중영문문헌,근거2010미국심장협회심폐복소지남대기진행수정,통과전가법대신건립적공음심폐복소지식측시권화기능평개표적조목진행료내용효도적분석,공음심폐복소지식측시권화기능평개표우분별채용중측신도화평개자간신도분석법대해공구진행신도검험.결과 공음심폐복소지식측시권화심폐복소기능평개표중매개조목적내용효도지수CVI치위0.75～1.00;공음심폐복소지식측시권적중측신도위0.880；2위고핵원CPR기능평개표평분적상관계수r치위0.861;조작평분적조내상관계수분석ICC치위0.916(P ＜0.01)；조작합격판정적일치성Kappa치위0.809(P ＜0.01).결론 수정후적2010판공음심폐복소지식측시권화심폐복소기능평개표구유량호적신효도,괄합아국공음심폐복소배훈효과적평개측량.
Objective To revise the self-developed knowledge test-paper and cardiopulmonary resuscitation (CPR) assessment scale according to 2010 ACC/AHA CPR guideline and analyze their reliability and validity,so as to provide reliable reference for the effect evaluation of public CPR training.Methods Testpaper of public knowledge on CPR and CPR skill assessment scale were revised on the base of 2005 version and literature review from home and abroad according to 2010 ACC/AHA CPR guideline.And their content validity was analyzed by expert method,and reliability was analyzed by test-retest reliability and inter-rater reliability analysis.Results Content validity index (CVI) of each entry in the test-paper of public knowledge on CPR and CPR skill assessment scale was 0.75-1.00,the test-retest reliability index of the test-paper was 0.880,interrater reliability on CPR skill assessment scale was 0.861,intra-class correlation coefficient (ICC) was 0.916 (P ＜ 0.01),and Kappa of the judgment was 0.809 (P ＜ 0.01).Conclusions Revised test-paper of public knowledge on CPR and CPR skill assessment scale has good validity and reliability,which is suitable as the appraisal tool for the effect of public training on cardiopulmonary resuscitation in our country.