【摘要】 目的编制支气管哮喘患者疾病知识问卷,为测量哮喘患者疾病知识水平提供客观测评工具。方法问卷以加拿大安大略护士学会(Registered Nurses’Association of Ontario,RNAO)发布的临床最佳实践指南"成人哮喘护理:促进哮喘控制(第二版)"中的哮喘教育模块为框架,结合我国支气管哮喘防治指南(2016年版)及文献回顾形成问卷初稿,通过两轮专家函询对问卷进行修改,最后预调查形成问卷终稿;采用便利抽样法调查北京市某三级甲等综合医院呼吸内科173例住院哮喘患者疾病知识水平。了解问卷的信度、效度及问卷应用情况。结果疾病知识问卷包括疾病性质、治疗药物、避免哮喘发作、自我监测4个维度,共30个条目。两轮函询专家积极系数均为100.00%;两轮专家权威系数Cr均为0.921;问卷各条目水平的内容效度指数(item-level CVI,I-CVI)在0.800～1.000之间,问卷水平内容效度指数(scale-level,S-CVI)为0.930;总问卷Cronbach’sα系数为0.866,各维度Cronbach’sα系数分别在0.621～0.683之间。173例患者调查结果显示,疾病知识得分为(16.94±5.45)分,其中"疾病性质""避免哮喘发作"维度正确回答率较高,"药物治疗""自我监测"维度正确回答率较低。结论该问卷初步显示具有较好的信度与效度,适用于评估哮喘患者疾病知识水平,可为医护人员评估哮喘患者疾病知识水平提供科学客观的测评工具。更多还原

【Abstract】 Objective To develop a questionnaire and provide an evaluation tool for the measurement of disease knowledge of patients with asthma. Methods Based on the clinical practice guidelines on the asthma education by the Registered Nurses’ Association of Ontario(RNAO), the China Asthma Prevention and Treatment Guidelines(2016) and literature review, the first draft of the questionnaire was worked out. After two rounds of modification upon expert consultation, the final draft of the questionnaire was made by pre-investigation. A hundred and seventy-three asthmatic inpatients were engaged in the investigation. The validity and reliability of the questionnaire were calculated according to the results of expert consultation and investigation. Results The final version of the questionnaire included four dimensions: disease nature, treatment drugs, prevention of asthma attack and self-monitoring,with a total of 30 items. The positive coefficient of experts was 100.0%; and the authority coefficient of experts in both rounds was 0.921.The item-level CVI(I-CVI) of each item was between 0.800-1.000, the scale-level of the questionnaire was 0.930 and the Cronbach’s α of each dimension was between 0.621-0.683. When used in the survey among the 173 patients, the questionnaire showed the score of disease knowledge was(16.94 ± 5.45). Among the items of the dimension of disease knowledge, the disease quality and prevention of asthma onset were scored higher as compared to the other two items of therapeutic medicines and self-monitoring. Conclusions The questionnaire has good reliability and validity, suitable for investigation of asthma-related knowledge among asthmatic patients. It is accessible for doctors and nurses to apply it in the assessment over the asthma-related knowledge of patients.更多还原