Morales Asencio José Miguel, Bonill de Las Nieves Candela, Celdrán Mañas Miriam, Morilla Herrera Juan Carlos, Martín Santos Francisco Javier, Contreras Fernández Eugenio, San Alberto Giraldos Mercedes, Castilla Soto José
Efectividad e Investigación, Distrito Sanitario Málaga, España.
Gac Sanit. 2007 Mar-Apr;21(2):106-13. doi: 10.1157/13101036.
To design and validate an instrument to assess satisfaction with home care services, in both self-administered and telephone versions.
We performed a cross-sectional observational study of the population using home care services in the health districts of Malaga, Costa del Sol, Almeria and Granada (Spain). A questionnaire was designed by an expert panel using a Deplhi technique. Reliability between the self-administered and telephone versions was analyzed. Finally, internal consistency and construct validity were assessed.
Reliability between the self-administered and telephone versions was high (intraclass correlation coefficient = 0.876; 95% CI, 0.726-0.941; p = 0.0001). Internal consistency was adequate (Cronbach's alpha: 0.853 and 0.799 for both versions, with or without caregiver, respectively). The factorial analysis explained 66.80% and 67.81% of the observed variance for the two versions (with or without caregiver, respectively). Two factors were isolated and related to interpersonal relationships, the role of the carer, and decision making.
Assessment of satisfaction with home care can be performed with the dimensions routinely used in satisfaction studies, but these should be evaluated with instruments designed ad hoc. Accessibility, communication and interpersonal relationships have a high explanatory value in satisfaction among this population.
设计并验证一种用于评估居家护理服务满意度的工具，该工具包括自行填写版和电话访谈版。
我们对西班牙马拉加、太阳海岸、阿尔梅里亚和格拉纳达等卫生区使用居家护理服务的人群进行了横断面观察研究。一个专家小组采用德尔菲技术设计了一份问卷。分析了自行填写版和电话访谈版之间的信度。最后，评估了内部一致性和结构效度。
自行填写版和电话访谈版之间的信度较高（组内相关系数=0.876；95%可信区间，0.726 - 0.941；p = 0.0001）。内部一致性良好（克朗巴哈系数：两个版本，无论有无照顾者，分别为0.853和0.799）。因子分析分别解释了两个版本（无论有无照顾者）观察到的方差的66.80%和67.81%。分离出两个与人际关系、照顾者角色和决策相关的因素。
居家护理满意度评估可以使用满意度研究中常用的维度进行，但这些维度应以专门设计的工具进行评估。可及性、沟通和人际关系在该人群的满意度中具有很高的解释价值。
