以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (23): 7-12.doi: 10.16460/j.issn1008-9969.2022.23.007

• 研究生园地 • 上一篇    下一篇

护士促进癌症幸存者体力活动知信行问卷的编制及信效度检验

柳云1, 田敏2a, 王亚菲2a, 刘峰2b, 李新3, 潘宁1   

  1. 1.山东第一医科大学(山东省医学科学院)护理学院,山东 济南 250117;
    2.山东第一医科大学第一附属医院(山东省千佛山医院) a.血液内科;b.创面诊疗中心,山东 济南 250014;
    3.潍坊医学院 护理学院,山东 潍坊 261053
  • 收稿日期:2022-05-13 出版日期:2022-12-10 发布日期:2023-01-13
  • 通讯作者: 刘峰（1963-）,女,山东济南人,本科学历,硕士研究生,主任护师。E-mail:fengliu0607@163.com
  • 作者简介:柳云（1992-）,女,山东聊城人,本科学历,硕士研究生在读,护师。

Development and Psychometric Testing of Knowledge-belief-practice Questionnaire for Nurses to Promote Physical Activity in Cancer Survivors

LIU Yun1, TIAN Min2a, WANG Ya-fei2a, LIU Feng2b, LI Xin3, PAN Ning1   

  1. 1. School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250117, China;
    2a. Dept. of Hematology; b. Wound Treatment Center, the First Affiliated Hospital of Shandong First Medical University &Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;
    3. School of Nursing, Weifang Medical University, Weifang 261053,China
  • Received:2022-05-13 Online:2022-12-10 Published:2023-01-13

PDF (PC)

516

赞

摘要： 目的 编制护士促进癌症幸存者体力活动知信行问卷并检验其信效度。方法 以知信行理论为指导,通过文献回顾、查阅指南、头脑风暴、专家函询、预调查后形成初始问卷,便利选取553名肿瘤相关科室护士进行调查,对问卷进行项目分析及信效度检验。结果 问卷由知识、信念、行为3个维度共30条目构成。总问卷的Cronbach α系数为0.950,折半信度为0.682,重测信度为0.900。探索性因子分析提取3个公因子,累计方差贡献率为58.252%。验证性因子分析显示：χ2/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906,模型拟合良好。内容效度分析显示,条目水平内容效度指数（I-CVI）为0.833~1.00,平均量表水平内容效度指数（S-CVI/Ave）为0.969,全体一致量表水平内容效度指数（S-CVI/UA）为0.800。结论 该问卷具有良好的信效度,可用于评估我国肿瘤科护士在促进癌症幸存者体力活动方面的知识、信念和实践水平。

关键词: 护士, 癌症幸存者, 体力活动, 知信行, 问卷开发, 信度, 效度

Abstract: Objective To develop and test the reliability and validity of a knowledge-belief-practice questionnaire for nurses to promote physical activity in cancer survivors. Methods Based on the KAP theory, the draft questionnaire was developed after literature review, guideline review, brainstorming, expert consultation and pilot survey. With convenient sampling, 553 nurses from oncology-related departments were selected and investigated to test the reliability and validity of the questionnaire. Results The questionnaire consisted of 30 items covering 3 dimensions: knowledge, belief and practice. The Cronbach's alpha coefficient of the total questionnaire was 0.950; the split-half reliability coefficient 0.682, and the retest reliability 0.900. Exploratory factor analysis extracted 3 common factors, which could explain 58.252% of the total variance. Confirmatory factor analysis showed that the fitting index of the scale structure model was good：χ2/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906. Content validity analysis showed that I-CVI was 0.833~1.000; S-CVI/Ave 0.969; and S-CVI/UA 0.800. Conclusion The questionnaire has good reliability and validity and can be used to evaluate the knowledge, belief and practice of oncology nurses to promote physical activity of cancer survivors in China.

Key words: nurse, cancer survivors, physical activity, knowledge,belief and practice, questionnaire development, reliability, validity

中图分类号: 

  • R47
[1] World Health Organization.Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World[R]. Geneva:2018.
[2] Patel AV, Friedenreich CM, Moore SC, et al.American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control[J].Med Sci Sports Exerc, 2019,51(11):2391-2402.DOI: 10.1249/MSS.0000000000002117.
[3] Campbell KL, Winters-Stone KM, Wiskemann J,et al.Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable[J]. Med Sci Sports Exerc, 2019, 51(11):2375-2390. DOI:10.1249/MSS.0000000000002116.
[4] 刘旭,王文辰,马春艳.基于健康促进模型的结直肠癌永久性肠造口患者体力活动影响因素分析[J].护理学报,2022,29(11):59-64.DOI:10.16460/j.issn1008-9969.2022.11.059.
[5] Eng L, Pringle D, Su J, et al.Patterns, Perceptions, and Perceived Barriers to Physical Activity in Adult Cancer Survivors[J].Support Care Cancer,2018,26(11):3755-3763.DOI: 10.1007/s00520-018-4239-5.
[6] Tarasenko YN, Miller EA, Chen C, et al.Physical Activity Levels and Counseling by Health Care Providers in Cancer Survivors[J]. Prev Med,2017,99:211-217.DOI: 10.1016/j.ypmed.2017.01.010.
[7] Spence RR, Sandler CX, Newton RU, et al.Physical Activity and Exercise Guidelines for People with Cancer: Why Are They Needed, Who Should Use Them, and When?[J]. Semin Oncol Nurs,2020,36(5):151075-151079.DOI:10.1016/j.soncn.2020.151075.
[8] Haussmann A, Ungar N, Tsiouris A, et al.The Influence of Cancer Patient Characteristics on the Recommendation of Physical Activity by Healthcare Professionals[J]. Int J Behav Med,2020,27(1):65-78.DOI:10.1007/s12529-019-09833-z.
[9] 罗娜. 临床护士静脉输液港维护知信行问卷的编制及应用[D].济南:山东大学,2021.
[10] Keogh JW, Pühringer P, Olsen A,et al.Physical Activity Promotion, Beliefs, and Barriers Among Australasian Oncology Nurses[J]. Oncol Nurs Forum,2017,44(2):235-245.DOI: 10.1188/17.ONF.235-245.
[11] Nadler M, Bainbridge D, Tomasone J, et al.Oncology Care Provider Perspectives on Exercise Promotion in People with Cancer: An Examination of Knowledge, Practices, Barriers, and Facilitators[J]. Support Care Cancer,2017,25(7):2297-2304. DOI: 10.1007/s00520-017-3640-9.
[12] Hardcastle SJ, Kane R, Chivers P, et al.Knowledge, Attitudes, and Practice of Oncologists and Oncology Health Care Providers in Promoting Physical Activity to Cancer Survivors: An International Survey[J].Support Care Cancer,2018, 26(11):3711-3719.DOI:10.1007/s00520-018-4230-1.
[13] 亢东琴. 大肠癌患者体力活动现况及其影响因素的研究[D].北京:北京中医药大学,2018.
[14] Roberts AL, Potts HWW, Stevens C, et al.Cancer Specialist Nurses' Perspectives of Physical Activity Promotion and the Potential Role of Physical Activity Apps in Cancer Care[J].J Cancer Surviv, 2019, 13(5):815-828.DOI:10.1007/s11764-019-00801-w.
[15] Jones LW, Courneya KS, Peddle C, et al.Oncologists' Opinions Towards Recommending Exercise to Patients with Cancer: A Canadian National Survey[J]. Support Care Cancer, 2005, 13(11):929-937.DOI:10.1007/s00520-005-0805-8.
[16] Avancini A, D'Amico F, Tregnago D, et al. Nurses' Perspectives on Physical Activity Promotion in Cancer Patients: A Qualitative Research[J].Eur J Oncol Nurs,2021,55:102061-102066.DOI:10.1016/j.ejon.2021.102061.
[17] National Comprehensive Cancer Network (NCCN). Clinical Practice Guideline in O-ncology:Survivorship,version3.2021[EB/OL].(2021-08-23)[2022-04-15].https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf.
[18] World Health Organization. Who Guidelines on Physical Activity and Sedentary Behaviour[EB/OL].(2020-11-26)[2022-04-15].https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y.
[19] Segal R, Zwaal C, Green E, et al.Exercise for People with Cancer: A Clinical Practice Guideline[J]. Curr Oncol,2017,24(1):40-46.DOI:10.3747/co.24.3376.
[20] 王孟成. 潜变量建模与Mplus应用·基础篇[M].重庆:重庆大学出版社,2014.
[21] 刘瑜,周春兰,周君桂,等.神经源性膀胱患者自我管理量表的编制及信效度检验[J].护理学报,2021, 28(7):64-68.DOI:10.16460/j.issn1008-9969.2021.07.064.
[22] 王琦,李领侠,和巾杰,等.医护人员低血糖症知信行问卷的编制及信效度检验[J].护理学报,2021,28(9):9-13.DOI:10.16460/j.issn1008-9969.2021.09.009.
[23] 史静琤,莫显昆,孙振球. 量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.DOI:10.3969/j.issn.1672-7347.2012.02.007.
[24] Elshahat S, Treanor C, Donnelly M.Factors Influencing Physical Activity Participation among People Living with or Beyond Cancer: A Systematic Scoping Review[J].Int J Behav Nutr Phys Act,2021,18(1):50-69.DOI:10.1186/s12966-021-01116-9.
[1] 张玺, 黄静, 汪天华, 李燕, 曹沅, 李明惠, 余立平. 发育障碍儿童养育心理韧性量表的汉化及信效度检验[J]. 护理学报, 2025, 32(4): 6-11.
[2] 田美雨, 王翠玲, 高若男, 田佳, 刘怡. 妇科肿瘤科护士性健康照护培训方案的构建[J]. 护理学报, 2025, 32(4): 18-23.
[3] 彭琦, 吴婉英, 谢玲女. 造口伤口失禁专科护士培训中基于ADDIE模型案例教学的实践及效果评价[J]. 护理学报, 2025, 32(4): 24-27.
[4] 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[5] 郝瑞霞, 王秀梅, 蔚玲, 郭越, 张学. 磁性医院管理理念对手术室护士出勤主义行为的影响[J]. 护理学报, 2025, 32(3): 27-31.
[6] 杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[7] 李雪, 廖常菊, 张健, 丁娟, 陈晓丽, 胡玉庭. 三级甲等医院ICU护士睡眠障碍的风险预测模型构建及验证[J]. 护理学报, 2025, 32(2): 63-69.
[8] 李静依, 梁冠冕, 缪群芳, 赵月琰, 王晓宁, 钱萍萍. 临床护士死亡工作自我应对能力潜在剖面及影响因素研究[J]. 护理学报, 2025, 32(1): 13-18.
[9] 王子萱, 原振青, 赵一鋆, 王惠平, 洪菲菲, 邹敏. 体面劳动感在三级甲等医院手术室护士反思能力与创新行为的中介效应[J]. 护理学报, 2025, 32(1): 62-67.
[10] 徐晓东, 刘顺梅, 赵瑄, 丁秀娜. 显微根尖外科手术护士核心能力评价指标的构建[J]. 护理学报, 2024, 31(8): 69-73.
[11] 马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11.
[12] 丁心舒, 孙乐菲, 高伟, 鲁琦, 闫畅, 刘德山. 矛盾年龄歧视量表在社区老年人中的信效度检验[J]. 护理学报, 2024, 31(7): 12-16.
[13] 龙瑶, 卢春凤, 冯志仙. 临床护士对横向领导者特质感知的质性研究[J]. 护理学报, 2024, 31(7): 27-31.
[14] 张颖, 车晓艳, 万婠, 秦雪, 张恩思, 崇武, 郑淑娟. 我国性治疗护士工作范畴和核心能力的质性研究[J]. 护理学报, 2024, 31(7): 68-72.
[15] 王静, 李萍, 王妍, 张琴, 侯铭, 王孜凡. 2 050名三级甲等医院护士组织公民行为现状及影响因素分析[J]. 护理学报, 2024, 31(6): 67-72.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!