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目的:对危重患者肠内喂养障碍问卷(Barriers to Enteral Feeding Critically Ill Patients Questionnaire)进行汉化,并检验其信效度。方法:汉化英文版问卷,并经专家委员会及预实验调适条目形成最终的中文版问卷;抽取杭州市5家三级甲等医院的345名ICU护士和通过浙江省ICU护理公共平台抽取的200名浙江省ICU护士进行问卷调查,验证中文版问卷的信效度。结果:中文版问卷共包含19个条目,3个维度,累计方差贡献率为69.084%,Cronbach’sα系数为0.875,重测信度为0.825。条目水平的内容效度指数(I-CVI)为0.88~1.00,S-CVI/Ave为0.98。中文版问卷的各维度间及各维度与问卷总分间的相关系数(r值)为0.613~0.928。验证性因子分析结果χ~2/df=2.110、均方根残差(RMR)=0.150、渐进残差均方和平方根(RMSEA)=0.075、拟合优度指数(GFI)=0.853、调整拟合优度指数(AGFI)=0.812、非规范拟合指数(TLI)=0.835、增值拟合指数(IFI)=0.859、比较拟合指数(CFI)=0.856、简约拟合指数(PGFI)=0.669。结论:中文版ICU患者肠内喂养障碍问卷具有良好的信效度,可为我国ICU护理人员评估患者肠内营养的实施状况提供有效的检测工具。
Objective: To evaluate the validity of Barriers to Enteral Feeding Critically Ill Patients Questionnaire. Methods: The English version of the questionnaire was completed, and the final Chinese version of the questionnaire was formed by the expert committee and pre-experimental adaptation entries; 345 ICU nurses from 5 Grade-3 Hospitals in Hangzhou and 200 from the ICU Nursing Public Platform in Zhejiang Province Zhejiang ICU nurses conducted a questionnaire survey to verify the validity of the Chinese version of the questionnaire. Results: The Chinese version of the questionnaire consisted of 19 items and 3 dimensions. The cumulative variance contribution rate was 69.084%. The Cronbach’s α coefficient was 0.875 and the test-retest reliability was 0.825. The item-level content-validity index (I-CVI) was 0.88 to 1.00 and the S-CVI / Ave was 0.98. The correlation coefficient (r value) between the Chinese version of the questionnaire and each dimension and the total score of the questionnaire ranged from 0.613 to 0.928. The results of confirmatory factor analysis showed that χ ~ 2 / df = 2.110, root mean square error (RMR) = 0.150, RMSEA = 0.075 and GFI = 0.853. (AGFI) = 0.812, TLI = 0.835, IFI = 0.859, CFI = 0.856, PGFI = 0.669 . Conclusion: The questionnaire of enteral feeding disorder in Chinese patients with ICU has a good reliability and validity, which can provide an effective tool for assessing the implementation status of enteral nutrition in Chinese ICU nurses.