Construction of ICU nursing monitoring and evaluation scale for patients with multiple trauma and its reliability and validity test
10.3760/cma.j.cn115682-20191209-04491
- VernacularTitle:ICU多发伤患者护理监测评估量表的构建及信效度检验
- Author:
Fan ZHANG
1
;
Jingping ZHANG
Author Information
1. 贵州医科大学护理学院，贵阳 550025
- Keywords:
Intensive care unit;
Delphi method;
Patients with multiple trauma;
Assessment of severity;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2020;26(16):2157-2162
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an ICU nursing monitoring and evaluation scale for patients with multiple trauma and to test its reliability and validity.Methods:According to the literature review and semi-structured interview method, the item pool was developed, and the initial evaluation scale was established by Delphi method and analytic hierarchy process. A total of 180 patients with multiple trauma were selected for nursing monitoring and evaluation to verify the reliability and validity of the scale.Results:The ICU nursing monitoring and evaluation scale for patients with multiple trauma included 29 items in 5 dimensions including trauma assessment, relevant physiological scores, age, previous chronic diseases and treatment measures. The Cronbach's ɑ coefficient of total scale was 0.889 and the correlation coefficient of scorers was 0.942. The content validity index of all items in the scale ranged from 0.867 to 1.000 and the total content validity index was 0.948. Exploratory factor analysis extracted a total of 5 common factors and the cumulative variance contribution rate reached 65.878%. The area under the receiver operating characteristic curve was 0.894. When the cut off value was 21.5, the sensitivity of the scale was 0.855 and the specificity was 0.745.Conclusions:The scale has good reliability and validity, which can be used as a reference tool for the assessment of severe multiple trauma and prognosis prediction in ICU.
