本文關鍵詞： 學齡前3-6歲兒童 燒燙傷 風險評估 信度 效度　出處：《中南大學》2012年碩士論文　論文類型：學位論文

【摘要】：目的：編制城市學齡前3-6歲兒童燒燙傷簡易風險評估問卷,評估其信度和效度,確定其風險評估標準。 方法：通過復習和總結燒燙傷流行病學調查、燒燙傷經典案例、風險評估量表,專題小組討論,提出條目庫。通過訪談法獲取家長意見,專家會議討論,確定了條目初稿。采用179名兒童進行預測試,經多種統(tǒng)計方法結果和專家意見,形成問卷正式版。采用分層整群抽樣調查了長沙市6所幼兒園468名兒童,醫(yī)院調查了50名燒燙傷陽性兒童。根據518名兒童調查結果,對問卷進行信度和效度評價,確定其風險評估標準。 結果：(1)學齡前兒童燒燙傷簡易風險評估問卷最終版由15個條目構成,分為“防護不當”、“照顧不當”、“器材使用不當”和“洗澡處置不當”四個維度。 (2)信度檢驗結果顯示：問卷各個維度和總的分半信度在0.706～0.759之間,Cronbach's a系數在0.638～0.773之間。 (3)效度檢驗結果顯示：探索性因子分析得到4個因子,4因子的累積貢獻率為57.69%。多特征／多條目相關分析顯示每一條目與所屬維度之間的相關系數介于0.493-0.879之間,與其他維度之間的相關系數介于0.033-0.475之間。各個維度間的相關系數在0.353～0.555之間(P0.05),各維度與總分的相關系數在0.630～0.828之間(P0.05)。各個維度的Cronbach's a系數均大于與其他維度間的相關系數,各個維度與總分的相關系數均大于各個維度間的相關系數。 驗證性因子分析的比較擬合指數(CFI)、近似誤差均方根(RMSEA)、規(guī)范擬合指數(NFI)、增值擬合指數(IFI)分別為0.070、0.887、0.856、0.889。效標效度比較結果顯示燒燙傷組比非傷害組在總分和第1、2維度得分上均顯著較高。 (4)518例兒童燒燙傷簡易風險評估問卷平均得分為25.8。采用百分位數法確定風險得分評估標準為：≤21分為存在低度風險；21～28分存在中度風險；28分為存在高度風險。分布法確定最小顯著改變值為5.10。 結論：本研究編制了城市學齡前3-6歲兒童燒燙傷簡易風險評估問卷并制定了評估標準。問卷具有較好的信度和效度,可用于我國城市學齡前兒童燒燙傷風險評估。
[Abstract]:Objective: to develop a simple risk assessment questionnaire for burn and scalding in urban preschool children, to evaluate its reliability and validity, and to determine its risk assessment criteria. Methods: by reviewing and summarizing the epidemiological investigation of burn and scalding, the classic cases of burn and scalding, the risk assessment scale, the panel discussion, the item library. The first draft of the item was determined. 179 children were pre-tested. Through the results of various statistical methods and expert opinions, a formal version of the questionnaire was formed. 468 children in 6 kindergartens in Changsha were investigated by stratified cluster sampling. According to the results of 518 children, the reliability and validity of the questionnaire were evaluated and the risk assessment criteria were determined. Results the final version of the simple risk Assessment questionnaire for Burn and Burn of Preschool Children was composed of 15 items, which were divided into four dimensions: "improper protection", "improper care", "improper use of equipment" and "improper bath disposal". 2) the results of reliability test showed that the Cronbachsa coefficient of the questionnaire was between 0.706 and 0.759, and the coefficient of Cronbachsa was between 0.638 and 0.773. The result of validity test showed that the cumulative contribution rate of four factors was 57.69. The correlation coefficient between each item and its dimension was between 0.493-0.879, the correlation coefficient between each item and its dimension was between 0.493-0.879, the correlation coefficient between each item and its dimension was 0.493-0.879, the correlation coefficient between each item and its dimension was 0.493-0.879. The correlation coefficient between each dimension and other dimensions was between 0.033-0.475, the correlation coefficient between each dimension and total score was 0.353n0.555 and the correlation coefficient between each dimension and total score was 0.6300.828. The Cronbach's a coefficient of each dimension was higher than that of other dimensions. The correlation coefficient between each dimension and total score is larger than that between each dimension. The comparative fitting index of confirmatory factor analysis (CFI), approximate error mean square root (RMSEAA), standard fitting index (NFI) and increment fitting index (IFI) were 0.070 / 0.887 / 0.8560.89 respectively. The results of comparison of validity of efficacy scale showed that the total score and the 12nd dimension of burn and scald group were higher than that of non-injury group. The scores were significantly higher. The average score of simple risk assessment questionnaire of 518 children with burn and scald was 25.8.The risk score assessment criteria determined by percentile method were as follows: 鈮，

本文編號：1521410