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基层医疗中的患者-医生关系问卷(PDRQ-9):编制与心理测量学评估

A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation.

作者信息

Van der Feltz-Cornelis Christina M, Van Oppen Patricia, Van Marwijk Harm W J, De Beurs Edwin, Van Dyck Richard

机构信息

Vrije Universiteit Medical Department, Department of Psychiatry, Amsterdam, Netherlands.

出版信息

Gen Hosp Psychiatry. 2004 Mar-Apr;26(2):115-20. doi: 10.1016/j.genhosppsych.2003.08.010.

DOI:10.1016/j.genhosppsych.2003.08.010
PMID:15038928
Abstract

In health care research, the patient-doctor relationship as perceived by the patient is considered important. Our aim was to develop and validate a questionnaire that assesses the Patient-Doctor Relationship, the Patient-Doctor Relationship Questionnaire (PDRQ-9). The PDRQ-9 was developed out of the Helping Alliance Questionnaire of Luborsky, a scale that measures the therapeutic alliance in psychotherapy. Its psychometric qualities and validity in general practice were assessed, with the collaboration of 110 general practice patients and 55 patients in an Epilepsy Clinic. Principal components analysis demonstrates a two-factorial structure, one related to the doctor, and one related to the medical symptoms of the patient. Both show high reliability but as the second factor explains only 9% of the variance, it is eliminated from the questionnaire. The PDRQ-9 provides researchers a brief measure of the therapeutic aspects of the patient-doctor relationship in the primary care setting. It is a valuable tool for scientific and practical purposes involving the monitoring of the patient-doctor relationship.

摘要

在医疗保健研究中,患者所感知的医患关系被认为很重要。我们的目标是开发并验证一份评估医患关系的问卷,即医患关系问卷(PDRQ - 9)。PDRQ - 9是在鲁伯斯基的帮助联盟问卷基础上开发的,该量表用于测量心理治疗中的治疗联盟。我们与110名全科患者和55名癫痫诊所患者合作,评估了其心理测量特性及在全科医疗中的有效性。主成分分析显示出双因素结构,一个与医生相关,另一个与患者的医学症状相关。两者都显示出高信度,但由于第二个因素仅解释了9%的方差,因此从问卷中剔除。PDRQ - 9为研究人员提供了一种在初级保健环境中对医患关系治疗方面的简短测量方法。它是用于监测医患关系的科学和实际目的的宝贵工具。

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