中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (04): 336-342.doi: 10.3969/j.issn.1671-4091.2025.04.017

• 护理研究 • 上一篇    下一篇

基于技术接受模型的血液透析护士动静脉内瘘超声技术接受度评估量表的编制与信效度检验

高玉梅    马峥嵘    吴桃峰    杨 群    蔡惠兰    姜小梅   

  1. 215129 苏州，1苏州高新区人民医院血液净化中心
    215002 苏州，2南京医科大学附属苏州医院(苏州市立医院)呼吸内科
    225000 扬州，3苏北人民医院血液净化中心
    215021 苏州，4上海交通大学医学院苏州九龙医院科教科
    215026 苏州，5苏州大学附属第二医院血液净化中心
  • 收稿日期:2024-09-18 修回日期:2025-01-05 出版日期:2025-04-12 发布日期:2025-04-12
  • 通讯作者: 吴桃峰 E-mail:526753944@qq.com
  • 基金资助:
    苏州市卫生健康委员会2023年度“科教兴卫”青年科技项目(KJXW2023038)；苏州市医学重点扶持学科建设项目(SZFCXK202110)；苏州高新区人民医院科学创新基金项目(SGY2021A03)

The development of an evaluation scale for acceptance of arteriovenous fistula ultrasound technology in hemodialysis nurses based on the technology acceptance model and tests for its reliability and validity

GAO Yu-mei, MA Zheng-rong, WU Tao-feng, YANG Qun, CAI Hui-lan, JIANG Xiao-mei   

  1. Department of Hemodialysis Center, The People’s Hospital of Suzhou New District, Suzhou 215129, China; 2Department of Respiratory Medicine, The Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital), Suzhou 215002, China; 3Department of Hemodialysis Center, Jiangsu Province Southwestern People's Hospital, Yangzhou 225009, China; 4Department of  Science and Education Section, Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, Suzhou 215101, China; 5Department of Hemodialysis Center, The Second Affiliated Hospital of Soochow University, Suzhou 215000, China
  • Received:2024-09-18 Revised:2025-01-05 Online:2025-04-12 Published:2025-04-12
  • Contact: 215002 苏州，2南京医科大学附属苏州医院(苏州市立医院)呼吸内科 E-mail:526753944@qq.com

摘要： 目的  编制血液透析护士动静脉内瘘超声技术接受度评估量表，并评价其信效度。 方法 基于技术接受模型，通过概念分析法、文献回顾、半结构式访谈，初步拟定量表的条目池；应用德尔菲法进行专家函询，形成初始版血液透析护士动静脉内瘘超声技术接受度评估量表；并对血液透析护士进行调查，评价信效度。 结果  共发放问卷440份，回收有效问卷430份，问卷有效回收率为97.73%。量表包含5个维度(38个条目)，分别为感知有用性、感知易用性、外部因素、使用者态度、行为意愿。总量表Cronbach's α系数为0.934，重测信度为0.875。量表水平的内容效度指数为0.978，条目水平的内容效度指数范围为0.800～1.000。 结论  血液透析护士动静脉内瘘超声技术接受度评估量表具有较好的信效度，可作为测量血液透析护士超声技术运用意愿及普及难度的工具。

关键词: 技术接受模型, 超声技术, 血液透析护士, 动静脉内瘘

Abstract: Objective  To develop and evaluate an acceptance scale for arteriovenous fistula (AVF) ultrasound technology in hemodialysis nurses.  Methods   Based on the technology acceptance model, the primary pool of items for the scale was initially developed through conceptual analysis, literature review, and semi-structural interviews. The primary version of the evaluation scale for acceptance of AVF ultrasound technology in hemodialysis nurses was then formed through the Delphi method of expert consultation. The reliability and validity of the scale were evaluated through a survey of hemodialysis nurses.  Results  A total of 440 questionnaires were distributed in this study, and 430 valid questionnaires were retrieved, with a valid recovery rate of  97.73%. The scale encompasses 5 dimensions (38 items), namely perceived usefulness, perceived ease of use, external factors, user attitudes, and behavioral intentions. The Cronbach's α coefficient of the total scale is 0.934, and the test-retest reliability is 0.875. The scale-level content validity index (Scale-Content Validity Index, S-CVI) is 0.978, and the item-level content validity index (Item-Content Validity Index, I-CVI) ranges 0.800 to 1.000.  Conclusion  The acceptance assessment scale for AVF ultrasound technology in hemodialysis nurses has a better reliability and validity, and can be used as a tool to measure the willingness and difficulties  to widely use AVF ultrasound technology in hemodialysis nurses.

Key words: Technology acceptance model, Ultrasonic technology, Hemodialysis nurse, Arteriovenous fistula

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