Development and reliability and validity evaluation of the Knowledge-Attitude-Practice Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease
10.3760/cma.j.cn115682-20240627-03612
- VernacularTitle:老年心血管疾病住院患者跌倒预防知识-态度-行为量表的编制及信效度检验
- Author:
Zhengkun HE
1
;
Sumi ZHOU
;
Yi YU
;
Xizheng SONG
;
Lingxuan CHEN
Author Information
1. 厦门大学附属第一医院心脏外科，厦门 361003
- Publication Type:Journal Article
- Keywords:
Cardiovascular disease;
Fall;
Knowledge-Attitude-Practice;
Prevention;
Scale;
Reliability and validity
- From:
Chinese Journal of Modern Nursing
2025;31(6):813-817
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a Knowledge-Attitude-Practice (KAP) Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease and test its reliability and validity.Methods:Using the Knowledge-Attitude-Practice (KAP) framework, scale items were initially constructed through literature review, expert consultation, and a pilot survey. Totally 277 hospitalized cardiovascular patients from the cardiovascular surgery and cardiology departments of the First Affiliated Hospital of Xiamen University were recruited by convenience sampling from September to November 2023 to evaluate the reliability and validity of the scale.Results:A total of 277 questionnaires were distributed, with 254 valid responses, with a response rate of 91.70%. Exploratory factor analysis using principal component analysis and varimax rotation extracted four factors in each dimension (knowledge, attitude, and practice) , explaining 66.506%, 67.847%, and 69.241% of the variance, respectively. Confirmatory factor analysis demonstrated a stable and reliable factor structure. The overall Cronbach's α coefficient of the scale was 0.829, with Cronbach's α coefficients for the knowledge, attitude, and practice dimensions of 0.697, 0.756, and 0.726, respectively. The finalized KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease comprised 3 dimensions, 12 factors, and 32 items.Conclusions:KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease demonstrated good reliability, validity, and feasibility, making it a suitable tool for clinical nursing practice to better prevent fall incidents in hospitalized aged patients with cardiovascular disease.
