中华护理杂志 ›› 2021, Vol. 56 ›› Issue (1): 39-45.DOI: 10.3761/j.issn.0254-1769.2021.01.006
收稿日期:
2020-03-22
出版日期:
2021-01-15
发布日期:
2021-01-15
通讯作者:
许勤
作者简介:
花红霞:女,本科(硕士在读),E-mail: 基金资助:
HUA Hongxia(),XU Qin(),CHEN Li,LU Jinling,ZHU Hanfei
Received:
2020-03-22
Online:
2021-01-15
Published:
2021-01-15
Contact:
Qin XU
摘要:
目的 对患者参与的主观全面评定(Patient-generated Subjective Global Assessment,PG-SGA)量表进行改良,检验改良版PG-SGA的信效度及条目质量。 方法 基于项目反应理论筛选出PG-SGA中质量不佳的条目,修订后形成改良版PG-SGA。2019年9月—2020年2月纳入江苏省某三级甲等医院收治的281例胃癌围手术期患者,利用因子分析法确定改良版PG-SGA的条目权重并赋予相应分值。以主观全面评定(Subjective Global Assessment,SGA)为参照,根据受试者操作特征曲线划分改良版PG-SGA营养评定的截断值。最后评价信效度及条目质量。 结果 经统计测试,确定了11个条目,总分为0~33分。营养评定的截断值如下:评分≥11分表示营养不良,评分<11分表示营养良好。信效度分析示,改良版PG-SGA用于营养评定的准确性高于PG-SGA,约登指数为0.844;总量表的内容效度指数为0.910;探索性因子分析提取4个公因子,累计方差贡献率为83.494%;Cronbach’s α系数为0.707。项目反应理论分析显示,修订后的条目质量显著改善。 结论 形成的改良版PG-SGA信效度良好,条目质量佳,临床可用该量表进行营养评定。
花红霞,许勤,陈丽,陆金玲,朱涵菲. 患者参与的主观全面评定量表改良及在胃癌患者中的验证[J]. 中华护理杂志, 2021, 56(1): 39-45.
HUA Hongxia,XU Qin,CHEN Li,LU Jinling,ZHU Hanfei. Modification and evaluation of a patient-generated subjective global assessment among gastric cancer patients[J]. Chinese Journal of Nursing, 2021, 56(1): 39-45.
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