Nursing Grading Evaluation System for Patients with Stroke at Home: Construction, Validity and Reliability
10.3969/j.issn.1006-9771.2020.03.021
- VernacularTitle:居家脑卒中患者护理分级评估指标体系的构建和信效度检验
- Author:
Zhen-xiang ZHANG
1
;
Chun-ge DING
1
;
Chun-hui ZHANG
1
;
Yong-xia MEI
1
;
Bei-lei LIN
1
;
Shao-yang WANG
2
;
Sen YE
3
Author Information
1. Nursing College of Zhengzhou University,Zhengzhou,Henan450001,China
2. The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan450014,China
3. People's Hospital of Zhengzhou,Zhengzhou,Henan450003,China
- Publication Type:Research Article
- Keywords:
stroke;
nursing grading;
indicator system;
reliability;
validity
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(3):368-372
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a nursing grading evaluation indicator system for patients with stroke at home to provide a basis for graded care. Methods:Based on literature analysis, qualitative interviews and panel meeting, an evaluation indicator system was preliminarily drafted. June to September, 2018, the indicator system was consulted to experts three times. It was used to evaluate 210 patients with stroke at home from September to December, 2018 to test its reliability and validity. Results:The effective recovery rates of the three times of consultation were 85.00%, 89.47% and 100%, and the authority coefficient were 0.878, 0.879 and 0.879. The indicator system included four first-level indicators, 30 second-level indicators and 120 items. The scale-level content validity index (CVI) universal agreement was 0.733, average CVI was 0.927; the item-level CVIs were 0.83 to 1.00. For the overall level, the Cronbach's α coefficient was 0.928, and the Guttman Spilt half-factor coefficient was 0.794. For the dimensions, the Cronbach's α coefficient and the Guttman Spilt half-factor coefficients were all above 0.700. The correlated coefficients inter-evaluator of each indicators were 0.492 to 0.963 (P< 0.05). Conclusion:The nursing grading evaluation indicator system for patients with stroke at home is simple and operable, with satisfactory reliability and validity to grade the level of care for patients with stroke at home.
