Jing Lu, Xuan Yang, Shuangjiao Shi, Chun Sheng, Lian Mao, Lina Gong
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From April to October 2023, a convenient sample of informal caregivers for PI patients was recruited from an inpatient department of the Third Xiangya Hospital of Central South University, as well as its associated community and nursing homes. The first round included 186 participants, and the second round included 213 participants, who were used for item analysis and reliability and validity testing. After a 3-week interval, 20 participants from the initial group were randomly selected for a retest to assess the test-retest reliability of the scale.</p><p><strong>Results: </strong>The KAP Scale for informal caregivers of PI patients consists of 3 dimensions with 19 items. The overall internal consistency (Cronbach's α) of the scale was 0.916. The item-level content validity index (I-CVI) ranged from 0.826 to 1.000, and the scale level-content validity index/average (S-CVI/Ave) was 0.94. Exploratory factor analysis extracted 3 common factors, accounting for 64.643% of the total variance. Confirmatory factor analysis showed that the model fit the data well, with <i>χ</i><sup>2</sup>/<i>df</i>=2.54, root mean square error of approximation (RMSEA)=0.085, comparative fit index (CFI)=0.920, and standardized root mean square residual (SRMR)=0.059.</p><p><strong>Conclusions: </strong>The KAP scale for informal caregivers of PI patients demonstrates good reliability and validity and can be used to assess the KAP levels of informal caregivers regarding PI.</p>","PeriodicalId":39801,"journal":{"name":"中南大学学报(医学版)","volume":"49 6","pages":"972-980"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11420963/pdf/","citationCount":"0","resultStr":"{\"title\":\"Development and its reliability and validity of the Knowledge, Attitude and Practice Scale for Informal Caregivers of Pressure Injury Patients.\",\"authors\":\"Jing Lu, Xuan Yang, Shuangjiao Shi, Chun Sheng, Lian Mao, Lina Gong\",\"doi\":\"10.11817/j.issn.1672-7347.2024.240039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>There is a lack of scientifically validated tools to measure the knowledge attitude and practice (KAP) of informal caregivers for patients with pressure injury (PI). 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引用次数: 0
摘要
目的：目前缺乏经过科学验证的工具来测量压力损伤（PI）患者非正规护理人员的知识、态度和实践（KAP）。本研究旨在为压力性损伤（PI）患者的非正规护理者制定一个 KAP 量表，并评估其可靠性和有效性：方法：在 KAP 理论框架和相关文献的基础上，通过专家集思广益会议创建了初始项目库。经过德尔菲专家咨询和初步调查，形成了初始量表。2023 年 4 月至 10 月，我们在中南大学湘雅三医院住院部及其相关社区和养老院招募了 PI 患者非正式照护者的便利样本。第一轮包括 186 名参与者，第二轮包括 213 名参与者，用于项目分析及信度和效度测试。间隔 3 周后，从第一轮参与者中随机抽取 20 人进行重测，以评估量表的重测信度：针对 PI 患者非正式照顾者的 KAP 量表包括 3 个维度，共 19 个项目。量表的总体内部一致性（Cronbach's α）为 0.916。项目级内容效度指数（I-CVI）在 0.826 至 1.000 之间，量表级内容效度指数/平均值（S-CVI/Ave）为 0.94。探索性因子分析提取了 3 个共同因子，占总方差的 64.643%。确认性因素分析表明，模型与数据拟合良好，χ2/df=2.54，均方根近似误差（RMSEA）=0.085，比较拟合指数（CFI）=0.920，标准化均方根残差（SRMR）=0.059：针对肺结核患者非正规护理人员的 KAP 量表具有良好的信度和效度，可用于评估肺结核患者非正规护理人员的 KAP 水平。
Development and its reliability and validity of the Knowledge, Attitude and Practice Scale for Informal Caregivers of Pressure Injury Patients.
Objectives: There is a lack of scientifically validated tools to measure the knowledge attitude and practice (KAP) of informal caregivers for patients with pressure injury (PI). This study aims to develop a KAP Scale for Informal Caregivers of PI Patients and to evaluate its reliability and validity.
Methods: Based on the KAP theory framework and relevant literature, an initial pool of items was created through expert brainstorming sessions. The initial scale was formed after a Delphi expert consultation and a preliminary survey. From April to October 2023, a convenient sample of informal caregivers for PI patients was recruited from an inpatient department of the Third Xiangya Hospital of Central South University, as well as its associated community and nursing homes. The first round included 186 participants, and the second round included 213 participants, who were used for item analysis and reliability and validity testing. After a 3-week interval, 20 participants from the initial group were randomly selected for a retest to assess the test-retest reliability of the scale.
Results: The KAP Scale for informal caregivers of PI patients consists of 3 dimensions with 19 items. The overall internal consistency (Cronbach's α) of the scale was 0.916. The item-level content validity index (I-CVI) ranged from 0.826 to 1.000, and the scale level-content validity index/average (S-CVI/Ave) was 0.94. Exploratory factor analysis extracted 3 common factors, accounting for 64.643% of the total variance. Confirmatory factor analysis showed that the model fit the data well, with χ2/df=2.54, root mean square error of approximation (RMSEA)=0.085, comparative fit index (CFI)=0.920, and standardized root mean square residual (SRMR)=0.059.
Conclusions: The KAP scale for informal caregivers of PI patients demonstrates good reliability and validity and can be used to assess the KAP levels of informal caregivers regarding PI.
期刊介绍：
Journal of Central South University (Medical Sciences), founded in 1958, is a comprehensive academic journal of medicine and health sponsored by the Ministry of Education and Central South University. The journal has been included in many important databases and authoritative abstract journals at home and abroad, such as the American Medline, Pubmed and its Index Medicus (IM), the Netherlands Medical Abstracts (EM), the American Chemical Abstracts (CA), the WHO Western Pacific Region Medical Index (WPRIM), and the Chinese Science Citation Database (Core Database) (CSCD); it is a statistical source journal of Chinese scientific and technological papers, a Chinese core journal, and a "double-effect" journal of the Chinese Journal Matrix; it is the "2nd, 3rd, and 4th China University Excellent Science and Technology Journal", "2008 China Excellent Science and Technology Journal", "RCCSE China Authoritative Academic Journal (A+)" and Hunan Province's "Top Ten Science and Technology Journals". The purpose of the journal is to reflect the new achievements, new technologies, and new experiences in medical research, medical treatment, and teaching, report new medical trends at home and abroad, promote academic exchanges, improve academic standards, and promote scientific and technological progress.
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