社区实践者评估·深圳糖尿病问卷的构建

Construction of Community Practitioner Assessment·A Diabetes Questionnaire in Shenzhen

摘要:

〔摘 要〕 目的：为评价深圳社区医生糖尿病诊疗现状，构建社区实践者评估·深圳糖尿病问卷。方法：构建初版调查 问卷，采用德尔菲专家问询法进行专家问询，根据专家问询结果调整问卷条目。通过内容效度，内部一致性和重测信度评 价其信度效度。采用层次分析法对各维度权重赋值。结果：问卷由 28 个条目，5 个维度（社区糖尿病筛查、糖尿病并发症 筛查、糖尿病患者教育、糖尿病患者社区管理、糖尿病诊疗态度）构成。问卷的内容效度指数为 0.793，各条目内容效度指 数 I–CVI 范围是 0.50 ~ 0.93。问卷内部一致性 Cronbach’s α 系数为 0.925。问卷的重测信度为 0.956（P ＜ 0.05）。各维度 （社区糖尿病筛查、糖尿病并发症筛查、糖尿病患者教育、糖尿病患者社区管理、糖尿病诊疗态度）权重分别为 0.4、0.1、0.2、 0.2、0.1。结论：社区实践者评估·深圳糖尿病问卷具有良好的信度效度，可用以评价深圳社区医生防控糖尿病现状和能力。

Abstract:

〔Abstract〕 Objective In order to evaluate the status of diabetes of diagnosis and treatment for the General Practitioner in Shenzhen community, the community practitioner evaluation–a Shenzhen diabetes questionnaire was constructed. Methods A preliminary questionnaire was constructed, and Delphi expert inquiry method was used to conduct expert inquiry, and the questionnaire items were adjusted according to the results of expert inquiry. The reliability validity was evaluated by content validity, internal consistency and retest reliability. The weights of each dimension were assigned by analytic hierarchy process. Results The questionnaire consisted of 28 items and 5 dimensions (community diabetes screening, diabetes complication screening, diabetes patient education, community management of diabetes patients, attitudes towards diabetes diagnosis and treatment). The content validity index of the questionnaire was 0.793, and the i–CVI range of the content validity index of each item was 0.50 ~ 0.93. Cronbach's α coefficient of internal consistency was 0.925. The retest reliability of the questionnaire was 0.956 (P < 0.05). The weights of each dimension (community diabetes screening, diabetes complication screening, diabetes patient education, community management of diabetes patients, attitudes towards diabetes diagnosis and treatment) were 0.4, 0.1, 0.2, 0.2 and 0.1, respectively. Conclusion Community practitioner assessment · Shenzhen Diabetes Questionnaire has good reliability and validity, which can beused to evaluate the status and ability of prevention and control of diabetes among community doctors in Shenzhen.