中国大陆老年临终关怀需求问卷(HHCNQ-DE)的开发与验证。

Lei Wang, Yaru Li, Rui Zhao, Jiangxu Li, Xiangru Gong, Hongyu Li
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引用次数: 0

摘要

背景:家庭临终关怀需求评估是家庭临终关怀服务发展的关键。因此,有必要在中国大陆开发评估工具,以满足临终老人的全面需求。目的开发并验证中国大陆临终老年人居家姑息关怀需求评估工具。方法:采用 "和谐护理 "理论:以和谐护理理论为理论框架,通过参考中国居家临终关怀需求量表、文献研究、与临终老人深入交谈、课题组成员分组讨论等方式,初步拟定了43个原始问卷项目。通过2轮专家评审和小样本测试,形成了31个项目的预测性问卷。2023 年 4 月至 9 月,对辽宁省锦州市 199 名居家临终老人进行了问卷调查,以确定问卷的信度和效度。调查结果显示最终问卷包括 31 个条目。探索性因子分析提取了 5 个共性因子,累计方差贡献率为 68.811%;总问卷的 Cronbach's α 系数为 0.832,重测信度为 0.806;问卷的内容效度指数为 0.982,项目的内容效度指数为 0.83-1.00。结论HHCNQ-DE的构建方法科学可靠,具有良好的信度和效度,可作为未来测量中国大陆家庭临终关怀需求的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and Validation of the Home Hospice Care Needs Questionnaire for the Dying Old Adult (HHCNQ-DE) in Mainland China.

Context: Home hospice needs assessment is the key to the development of home hospice services. Therefore, there is a need to develop assessment tools in mainland China to meet the comprehensive needs of the old adult at the end of life. Objective: To develop and validate a tool to assess Chinese mainland palliative care needs of the dying old adult at home. Methods: Using the Harmony Nursing Theory as a theoretical framework, through reference to the China home hospice care needs scale, literature research, in-depth conversations with the dying old adult, and group discussions among members of the research team, 43 original questionnaire items were preliminarily drafted. A 31-item predictive questionnaire was formed through 2 rounds of expert review and small sample testing. From April to September 2023, 199 old adult at the end of life at home in Jinzhou, Liaoning Province were investigated to determine the reliability and validity of the questionnaire. Results: The final questionnaire included 31 items. Exploratory factor analysis extracted 5 common factors, and the cumulative variance contribution rate was 68.811%; the Cronbach's alpha coefficient of the total questionnaire was 0.832, and the re-test reliability was .806; the content validity index of the questionnaire was 0.982, and the content validity index of the items was 0.83-1.00. Conclusion: The construction method of the HHCNQ-DE is scientific and reliable, with good reliability and validity, and it can be used as a tool to measure the needs of home hospice care in mainland China in the future.

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