本文選題：失禁相關(guān)性皮炎 + 嚴(yán)重程度�。� 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的在國內(nèi)腫瘤失禁相關(guān)性皮炎(IAD)患者中應(yīng)用中文版IAD嚴(yán)重度分類工具,檢驗(yàn)針對國內(nèi)腫瘤失禁相關(guān)性皮炎患者使用時(shí)的信度和效度。方法通過查閱文獻(xiàn),選擇并引進(jìn)由失禁相關(guān)性皮炎專家小組于2015年共同制訂的目前最新的失禁相關(guān)性皮炎評估工具中文版IAD嚴(yán)重度分類工具,于2016年04月-2016年05月隨機(jī)選取20例患有失禁相關(guān)性皮炎或存在患失禁相關(guān)性皮炎風(fēng)險(xiǎn)的腫瘤失禁患者進(jìn)行預(yù)調(diào)查,應(yīng)用中文版IAD嚴(yán)重度分類工具評估腫瘤失禁患者。然后于2016年06月至2016年10月采用便利抽樣方法選取80名患有失禁相關(guān)性皮炎或存在患失禁相關(guān)性皮炎風(fēng)險(xiǎn)的腫瘤失禁患者,應(yīng)用中文版IAD嚴(yán)重度分類工具對所有腫瘤失禁患者進(jìn)行評估,并收集患者基本信息和失禁相關(guān)性皮炎照片,繼而采用條目敏感性分析、效度(內(nèi)容效度、校標(biāo)關(guān)聯(lián)效度、結(jié)構(gòu)效度)、信度(內(nèi)部一致性信度、評定者間信度、重測信度)等對中文版IAD嚴(yán)重度分類工具進(jìn)行信效度評價(jià)。結(jié)果(1)條目敏感性分析:各個(gè)條目除了“嚴(yán)重程度”和“處理措施1”與部分其他條目間呈現(xiàn)較強(qiáng)的相關(guān)性外,其他均相關(guān)性較弱;8個(gè)條目中分別去掉當(dāng)前條目后的Cronbach’sα系數(shù)為0.770~0.834。(2)效度分析:內(nèi)容效度分析顯示,經(jīng)5名專家評定的中文版IAD嚴(yán)重度分類工具的內(nèi)容效度指數(shù)(平均S-CVI)為0.925;進(jìn)行因子分析得出KMO值為0.773,Bartlett球形檢驗(yàn)值為252.618(p0.001),表明適合作因子分析后,采用探索性因子分析最大變異法提取了2個(gè)公因子,累積方差貢獻(xiàn)率為60.954%,且每個(gè)條目的因子負(fù)荷均大于0.5;以IADS量表為效標(biāo)檢驗(yàn)同時(shí)效度得相關(guān)系數(shù)r=0.891(p0.001);對54例失禁患者進(jìn)行3個(gè)月后回訪并再次評估,得預(yù)測效度相關(guān)系數(shù)r=0.793(p0.001)。(3)信度分析:中文版IAD嚴(yán)重度分類工具總的Cronbach’sα系數(shù)為0.839;A、B兩位評估者評估結(jié)果有較大相關(guān)關(guān)系,評定者間信度ICC=0.979(p0.001);重測信度ICC=0.989(p0.001),接近100%。以上結(jié)果差異均有統(tǒng)計(jì)學(xué)意義。結(jié)論本研究表明中文版IAD嚴(yán)重度分類工具在國內(nèi)腫瘤失禁相關(guān)性皮炎患者中具有良好的信度和效度,可用于評估我國腫瘤失禁相關(guān)性皮炎患者。
[Abstract]:Objective to evaluate the reliability and validity of IAD severity classification tool in patients with tumor incontinence associated dermatitis. Methods to select and introduce the latest incontinent-associated dermatitis assessment tool, IAD severity classification tool, which was developed by the incontinent-associated dermatitis expert group in 2015. From April 2016 to May 2016, 20 patients with incontinence associated dermatitis or at risk of incontinence associated dermatitis were randomly selected for pre-investigation. The Chinese version of IAD severity classification tool was used to evaluate the patients with tumor incontinence. Then, from June 2016 to October 2016, a convenient sampling method was used to select 80 patients with or at risk of incontinence associated dermatitis. The Chinese version of IAD severity classification tool was used to evaluate all patients with tumor incontinence, and to collect basic information and incontinence related dermatitis photos. Then, item sensitivity analysis, validity (content validity, calibration correlation validity) were used. Structural validity and reliability (internal consistency reliability, inter-evaluator reliability, test-retest reliability) were used to evaluate the reliability and validity of the Chinese version of IAD severity classification tools. Results (1) item sensitivity analysis: except for "severity" and "treatment measure 1", each item showed a strong correlation with some other items, The Cronbach's 偽 coefficient of the eight items after removing the current item was 0.770,0.834.42) validity analysis: the content validity analysis showed that, The content validity index (S-CVI) of the Chinese version of the IAD severity classification tool evaluated by five experts was 0.925, and the KMO value of 0.773- Bartlett spherical test was 252.618p0.001g, which indicated that it was suitable for factor analysis. Two common factors were extracted by exploratory factor analysis. The contribution rate of cumulative variance was 60.954, and the factor load of each item was greater than 0.5. The correlation coefficient (r = 0.891p 0.001) was obtained by using IADS scale as a criterion. 54 incontinence patients were visited back after 3 months and evaluated again. The reliability analysis showed that the total Cronbach's 偽 coefficient of the Chinese version of the IAD severity classification tool was 0.839 Agna B, and there was a significant correlation between the two evaluators' evaluation results. The reliability of the two evaluators was 0.979 p0.001C, and the test-retest reliability of ICC0.989 p0.001 was close to 100.1%. The differences were statistically significant. Conclusion the Chinese version of IAD severity classification tool has good reliability and validity in patients with tumor incontinence associated dermatitis and can be used to evaluate patients with tumor incontinence associated dermatitis in China.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.73

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