Freedman Stephen B, Deiratany Samir, Goldman Ran D, Benseler Susa
Department of Pediatrics, Division of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Ambul Pediatr. 2008 Jul-Aug;8(4):261-5. doi: 10.1016/j.ambp.2008.02.003. Epub 2008 Apr 11.
Because caregiver knowledge deficiencies are associated with the development of dehydration and nonurgent emergency department visits, we sought to develop and describe the characteristics of a Caregiver Gastroenteritis Knowledge Questionnaire.
We conducted a cross-sectional, associational analysis with a questionnaire consisting of 38 true/false questions covering signs of dehydration, indications to see a physician, oral rehydration therapy, solid intake and refeeding, medication use, and disease transmission. After completing initial validation procedures, 80 caregivers of children with gastroenteritis, 25 nurses, and 22 pediatric emergency medicine physicians completed the questionnaire.
Content validity was confirmed qualitatively. Construct validity was demonstrated by incremental increases (P < .001) in mean total scores from caregivers to nurses to physicians. Multiple regression analysis revealed the reported number of prior visits for gastroenteritis was inversely associated with overall caregiver score (beta coefficient, -0.26; 95% confidence interval, -3.04, -0.28; P = .02). Internal consistency was demonstrated with a Cronbach's alpha of 0.67 at time 0.
The Caregiver Gastroenteritis Knowledge Questionnaire may have application in identifying knowledge gaps in gastroenteritis management and measuring improvement following educational interventions. Future uses may focus on individual knowledge deficits or serve to document larger community educational needs.
由于照顾者的知识缺陷与脱水的发生及非紧急情况下的急诊科就诊相关，我们试图开发并描述一份照顾者胃肠炎知识问卷的特征。
我们进行了一项横断面关联分析，使用一份包含38道是非题的问卷，内容涵盖脱水迹象、就医指征、口服补液疗法、固体食物摄入与再喂养、药物使用以及疾病传播。在完成初始验证程序后，80名患胃肠炎儿童的照顾者、25名护士和22名儿科急诊医学医生完成了该问卷。
定性确认了内容效度。从照顾者到护士再到医生，平均总分逐步增加（P <.001），证明了结构效度。多元回归分析显示，报告的既往胃肠炎就诊次数与照顾者总体得分呈负相关（β系数，-0.26；95%置信区间，-3.04，-0.28；P =.02）。在时间0时，Cronbach's α系数为0.67，证明了内部一致性。
照顾者胃肠炎知识问卷可能在识别胃肠炎管理中的知识差距以及衡量教育干预后的改善情况方面具有应用价值。未来的用途可能集中在个体知识缺陷上，或用于记录更大的社区教育需求。
