Brito-Brito Pedro Ruymán, Rodríguez-Álvarez Cristobalina, Sierra-López Antonio, Rodríguez-Gómez José Ángel, Aguirre-Jaime Armando
Gerencia de Atención Primaria de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España.
Enferm Clin. 2012 May-Jun;22(3):126-34. doi: 10.1016/j.enfcli.2012.03.001. Epub 2012 May 2.
To develop a valid, reliable and easy-to-use questionnaire for a psychosocial nursing diagnosis.
The study was performed in two phases: first phase, questionnaire design and construction; second phase, validity and reliability tests. A bank of items was constructed using the NANDA classification as a theoretical framework. Each item was assigned a Likert scale or dichotomous response. The combination of responses to the items constituted the diagnostic rules to assign up to 28 labels. A group of experts carried out the validity test for content. Other validated scales were used as reference standards for the criterion validity tests. Forty-five nurses provided the questionnaire to the patients on three separate occasions over a period of three weeks, and the other validated scales only once to 188 randomly selected patients in Primary Care centres in Tenerife (Spain).
Validity tests for construct confirmed the six dimensions of the questionnaire with 91% of total variance explained. Validity tests for criterion showed a specificity of 66%-100%, and showed high correlations with the reference scales when the questionnaire was assigning nursing diagnoses. Reliability tests showed agreement of 56%-91% (P<.001), and a 93% internal consistency. The Questionnaire for Psychosocial Nursing Diagnosis was called CdePS, and included 61 items.
The CdePS is a valid, reliable and easy-to-use tool in Primary Care centres to improve the assigning of a psychosocial nursing diagnosis.
开发一种用于心理社会护理诊断的有效、可靠且易于使用的问卷。
该研究分两个阶段进行：第一阶段，问卷设计与构建；第二阶段，效度和信度测试。以北美护理诊断协会（NANDA）分类为理论框架构建条目库。每个条目采用李克特量表或二分法作答。对条目的回答组合构成诊断规则，用于分配多达28个标签。一组专家进行了内容效度测试。其他经过验证的量表用作效标效度测试的参考标准。45名护士在三周内分三次将问卷提供给患者，而其他经过验证的量表仅对西班牙特内里费岛初级保健中心随机抽取的188名患者使用了一次。
结构效度测试证实了问卷的六个维度，解释了91%的总方差。效标效度测试显示特异性为66% - 100%，并且在问卷进行护理诊断时与参考量表显示出高度相关性。信度测试显示一致性为56% - 91%（P <.001），内部一致性为93%。心理社会护理诊断问卷被称为CdePS，包含61个条目。
CdePS是初级保健中心用于改善心理社会护理诊断分配的有效、可靠且易于使用的工具。
