手卫生行为量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.09.018

摘要/Abstract

摘要：

目的对手卫生行为量表（Hand Hygiene Behaviour Questionnaire,HHBQ）进行汉化,并检验其信效度。方法根据跨文化调试指南,对HHBQ进行前译、前译综合、回译、回译综合、原作者审核、专家咨询、预测试,形成中文版HHBQ。2021年7月—10月对杭州市3所三级甲等医院的537名医务人员进行调查,评价中文版HHBQ的信效度。结果中文版HHBQ包含3个维度,分别是手卫生能力（5个条目）、手卫生机会（7个条目）、手卫生动机（5个条目）。总量表内容效度指数为0.995,量表各条目内容效度指数为0.923~1.000。探索性因子分析共提取3个公因子,累计方差贡献率为68.741%。验证性因子分析显示模型拟合度良好。总量表的Cronbach’s α系数为0.918,各维度的Cronbach’s α系数为0.871~0.906。量表的重测信度为0.739。结论中文版HHBQ具有良好的信效度,可全面评估医务人员手卫生的影响因素。

关键词: 医务人员, 手卫生行为, 量表, 信度, 效度, 护理

Abstract:

Objective To translate and revise Hand Hygiene Behaviour Questionnaire（HHBQ） based on COM-B （capability,opportunity,motivation-behaviour） model,and to test its reliability and validity. Methods According to the intercultural debugging guidelines,the Chinese version of HHBQ was prepared by pre-translation,pre-translation synthesis,back-translation,back-translation synthesis,original author review,expert consultation and pre-test. The reliability and validity of Chinese version of HHBQ were evaluated by a survey of 537 medical staff from 3 tertiary A hospitals in Hangzhou from July to October 2021. Results The Chinese version of HHBQ contained 3 dimensions,namely,hand hygiene ability（5 items）,hand hygiene opportunity（7 items）,and hand hygiene motivation （5 items）. The content validity of the total scale was 0.995,and the content validity of each item in the questionnaire was 0.923~1.000. 3 common factors were extracted from exploratory factor analysis,and the cumulative variance contribution rate was 68.741%. Confirmatory factor analysis showed that the model fit well. The Cronbach’s α coefficients of the total amount table are 0.918,and the Cronbach’s α coefficients of each dimension are 0.871~0.906. The retest reliability of the questionnaire was 0.739. Conclusion The Chinese version of HHBQ has good reliability and validity,and it can be used to comprehensively evaluate the influencing factors of medical staff’s hand hygiene.

Key words: Medical Staff, Hand Hygiene Behaviour, Questionnaire, Reliability, Validity, Nursing Care

陶娟, 陈慧颖, 蓝莹, 王晶晶, 黄维, 艾芳宇, 张文, 郭佳, 潘红英. 手卫生行为量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(9): 1147-1152.

TAO Juan, CHEN Huiying, LAN Ying, WANG Jingjing, HUANG Wei, AI Fangyu, ZHANG Wen, GUO Jia, PAN Hongying. The cross-cultural adaptation and reliability and validity evaluation of hand hygiene behaviour questionnaire[J]. Chinese Journal of Nursing, 2022, 57(9): 1147-1152.

图/表 1

参考文献 27

[1]	WHO患者安全10个事实[J]. 中国卫生质量管理, 2020, 27(1):56.
	10 facts on WHO patient safety[J]. Chin J Health Qual Manag, 2020, 27(1):56.
[2]	张园. 扎根理论视角下的公立医院感染管理影响因素研究[D]. 合肥: 安徽财经大学, 2021.
	Zhang Y. Study on the influencing factors of infection manage-ment in public hospitals based on grounded theory[D]. Hefei: Anhui University of Finance and Economics, 2021.
[3]	付强, 董宏亮, 樊静. 患者安全目标:预防和减少卫生保健相关感染[J]. 中国卫生质量管理, 2020, 27(6):1-4.
	Fu Q, Dong HL, Fan J. Patient safety goals:prevention and reduction of healthcare-related infection[J]. Chin J Health Qual Manag, 2020, 27(6):1-4.
[4]	Bearman G, Doll M, Cooper K, et al. Hospital infection prevention:how much can we prevent and how hard should we try?[J]. Curr Infect Dis Rep, 2019, 21(1):2. DOI URL
[5]	de Arriba-Fernández A, Molina-Cabrillana MJ, Serra Majem L. Evolution of adherence to hand hygiene in health care professionals in a third level hospital in relation to the SARS-CoV-2 pandemic[J]. Rev Esp Quimioter, 2021, 34(3):214-219. DOI URL
[6]	李颖, 吴晓春, 周耀勇, 等. 智能控制管理系统对手卫生依从性的影响[J]. 中国消毒学杂志, 2021, 38(1):73-74.
	Li Y, Wu XC, Zhou YY, et al. Influence of intelligent control management system on hand hygiene compliance[J]. Chin J Disinfect, 2021, 38(1):73-74.
[7]	van de Mortel TF, Apostolopoulou E, Petrikkos G, et al. Healthcare students’ hand hygiene knowledge,beliefs and practices[J]. BMC Proc, 2011, 5(S6):P113.
[8]	陈细曲, 王惠婷, 骆俊宏. 护士手部卫生意识量表的编制与信效度研究[J]. 中华现代护理杂志, 2018, 24(35):4239-4242.
	Chen XQ, Wang HT, Luo JH. Development and assessment of clinical nurses Hand Hygiene Awareness Scale[J]. Chin J Mod Nur, 2018, 24(35):4239-4242.
[9]	Michie S, van Stralen MM, West R. The behaviour change wheel:a new method for characterising and designing behaviour change interventions[J]. Implement Sci, 2011, 6:42. DOI PMID
[10]	Lydon S, Greally C, Tujjar O, et al. Psychometric evaluation of a measure of factors influencing hand hygiene behaviour to inform intervention[J]. J Hosp Infect, 2019, 102(4):407-412. DOI PMID
[11]	Sousa VD, Rojjanasrirat W. Translation,adaptation and validation of instruments or scales for use in cross-cultural health care research:a clear and user-friendly guideline[J]. J Eval Clin Pract, 2011, 17(2):268-274. DOI URL
[12]	郭金玉, 李峥. 量表引进的过程及评价标准[J]. 中华护理杂志, 2012, 47(3):283-285.
	Guo JY, Li Z. The introduction process of scale and its evaluation standards[J]. Chin J Nurs, 2012, 47(3):283-285.
[13]	Lynn MR. Determination and quantification of content validity[J]. Nurs Res, 1986, 35(6):382-385. PMID
[14]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Cent South Univ(Med Sci), 2012, 37(2):49-52.
[15]	Comrey AL, Lee HB. A First Course in Factor Analysis[M]. Newyork: Psychology Press, 2013.
[16]	WHO,WPS. WHO guidelines on hand hygiene in health care[Z]. Geneva:World Health Organization,World Health Organization, 2009.
[17]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Statistical analysis of questionnaires:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[18]	张晨, 周云仙. 我国护理测量工具文献中内容效度指数应用误区分析[J]. 护理学杂志, 2020, 35(4):86-88,92.
	Zhang C, Zhou YX. Analysis on errors regarding content validity index used in evaluation of measurement tools in Chinese nursing literature[J]. J Nurs Sci, 2020, 35(4):86-88,92.
[19]	Wachira J, Busakhala A, Chite F, et al. Refining a questionnaire to assess breast cancer knowledge and barriers to scree-ning in Kenya:psychometric assessment of the BCAM[J]. BMC Health Serv Res, 2017, 17(1):110. DOI PMID
[20]	Heidari Z, Feizi A. Transcultural adaptation and validation of the Persian version of the breast cancer awareness measure (BCAM) questionnaire[J]. Cancer Med, 2018, 7(10):5237-5251. DOI URL
[21]	Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis:conventional criteria versus new alternatives[J]. Struct Equ Model Multidiscip J, 1999, 6(1):1-55. DOI URL
[22]	McNeish D. Thanks coefficient alpha,we’ll take it from here[J]. Psychol Methods, 2018, 23(3):412-433. DOI PMID
[23]	DeVon HA, Block ME, Moyle-Wright P, et al. A psychometric toolbox for testing validity and reliability[J]. J Nurs Scholarsh, 2007, 39(2):155-164. DOI URL
[24]	蔡丹丹, 李茹芳, 汤秋芳. 新型冠状病毒肺炎患者的院内感染预防措施[J]. 中华护理杂志, 2020, 55(S1):772-774.
	Cai DD, Li RF, Tang QF. Nosocomial infection prevention measures for patients with 2019 novel coronavirus pneumonia[J]. Chin J Nurs, 2020, 55(S1):772-774.
[25]	McArthur C, Ziebart C, Papaioannou A, et al. “We get them up,moving,and out the door. How do we get them to do what is recommended?”using behaviour change theory to put exercise evidence into action for rehabilitation professionals[J]. Arch Osteoporos, 2018, 13(1):7. DOI PMID
[26]	倪东方, 郑丽平, 吴午音, 等. 新型冠状病毒肺炎的院内感染防控措施[J]. 中华护理杂志, 2020, 55(S1):777-779.
	Ni DF, Zheng LP, Wu WY, et al. Nosocomial infection prevention and control measures for 2019 novel coronavirus pneumonia[J]. Chin J Nurs, 2020, 55(S1):777-779.
[27]	李雯, 魏丽丽, 张艳, 等. 产妇出院指导质量量表的汉化及信效度检验[J]. 中华护理杂志, 2021, 56(2):315-320.
	Li W, Wei LL, Zhang Y, et al. The Chinese version translation of the quality scale of maternal discharge guidance and its reliability and validity test[J]. Chin J Nurs, 2021, 56(2):315-320.