新生兒科護士哀傷護理知信行問卷的編制及信效度檢驗

Development of knowledge-attitude-practice questionnaire on grief nursing of neonatal nurse and its reliability and validity test

DING Yadan，HE Lilan，JIANG Chunming，GAO ZiyingZhuhai Center for Maternal and Child Health Care，Guangdong 519000 ChinaCorresponding Author HE Lilan，E-mail：helilan@yeah.net

Abstract Objective：To develop knowledge-attitude-practice（KAP）questionnaire on grief nursing of neonatal nurse，and to test itsreliability and validity.Methods：Guided by the theory framework of KAP，combining literature review，subject group discussion，semi-structured interview，the first draft of KAP questionnaire on grief nursing of neonatal nurse was formed.234 neonatal nurses that from 5 hospitals were selected for the survey by convenient sampling method，to test reliability and validity of the questionnaire.Results：Two rounds of expert consultations were conducted，19 samples were recovered in the first round with a recovery of 100.0%，and 17 samples were recovered in the second round with a recovery of 89.5%.The authority coefficients of experts on each item in the two rounds were 0.85 to 0.96 and 0.89 to 0.96，respectively.Finally，the KAP questionnaire on grief nursing of neonatal nurses included following 3 dimensions：knowledge，attitude and practice，involving 28 items.The Cronbach′s α coefficient of the questionnaire was 0.93 and the Cronbach′s α coefficients of grief nursing knowledge，attitude and behavior was 0.74 0.935 and 0.92 respectively.A total of 4 common factors were extracted from the questionnaire，and the cumulative explanatory variance contribution rate was 64.412%.Conclusion：The KAP questionnaire on grief nursing of neonatal nurse in this study has good reliability and validity，and can be used as a tool to evaluate the knowledge，attitude and practice of neonatal nurse.

Keywords neonatology department;nurse;grief nursing;reliability and validity；knowledge-attitude-practice，KAP

摘要 目的：編制新生兒科護士哀傷護理知信行調查問卷，并進行信效度檢驗。方法：以知信行理論為指導構建問卷框架，通過文獻回顧、課題小組討論、半結構式訪談、德爾菲專家函詢、預調查形成知信行問卷初稿。采用便利抽樣法，調查6所三級甲等醫院工作的234名新生兒科護士并進行信效度檢驗。結果：兩輪專家函詢均發放專家函詢表19份，第1輪函詢回收19份，回收率為100.0%，第2輪函詢回收17份，回收率為89.5%。兩輪專家對各條目的權威系數分別為0.85～0.96和0.89～0.96。最終形成的新生兒科護士哀傷護理知信行調查問卷包括知識、態度、行為3個維度，共28個條目。問卷總的Cronbach′s α系數為0.93 知識、態度、行為3個維度的Cronbach′s α系數分別為0.74 0.935，0.924。探索性因子分析共提取4個公因子，累計方差貢獻率為64.412%。結論：新生兒科護士哀傷護理知信行問卷具有良好的信效度，可作為評估新生兒科護士哀傷護理認知、態度、行為狀況的可靠工具。

關鍵詞 新生兒科；護士；哀傷護理；信效度；知信行

doi：10.12102/j.issn.2095-8668.2024.15.007

隨著醫學技術的迅速發展，新生兒的死亡率在逐年降低，但隨著二孩政策、三孩政策的相繼出臺，高齡產婦越來越多，面臨的分娩風險、胎兒出生缺陷、早產等情況也隨之增加［1］，新生兒死亡在新生兒重癥監護病房（NICU）也是常見的現象［2-3］。新生命的到來本該是值得慶祝的事件，但由于各種原因如早產、感染、窒息、呼吸窘迫綜合征、先天性畸形、染色體疾病、遺傳代謝疾病及其他出生并發癥等會發生不可避免的新生兒死亡，這種創傷性事件會給家庭造成巨大的傷害，尤其對母親來說，哀傷情緒更加明顯，甚至是毀滅性的打擊［4-5］。……