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一份用于衡量患者对参与心肌梗死护理看法的问卷的开发与评估

Development and evaluation of a questionnaire for measuring patient views of involvement in myocardial infarction care.

作者信息

Arnetz Judith E, Höglund Anna T, Arnetz Bengt B, Winblad Ulrika

机构信息

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

Eur J Cardiovasc Nurs. 2008 Sep;7(3):229-38. doi: 10.1016/j.ejcnurse.2007.11.003. Epub 2008 Feb 20.

Abstract

BACKGROUND

Patients' involvement in their healthcare has been associated with improved treatment outcomes in chronic illness. Less is known about the affects of patient involvement on the outcomes of acute illness, such as myocardial infarction. A better understanding of patients' views and behaviour during hospitalization might improve clinical practice and enhance patient involvement.

AIM

The aim of this study was to develop and evaluate a questionnaire for measuring patients' perceptions of their involvement during hospitalization for myocardial infarction care.

METHODS

Focus groups with myocardial infarction patients provided the basis for the construction of the questionnaire. Questionnaire validity and reliability were evaluated in a small pilot study and a larger cross-sectional study among myocardial infarction patients at eleven Swedish hospitals.

RESULTS

The questionnaire demonstrated good validity and reliability, with six factors measuring patient views and behaviour regarding involvement.

CONCLUSION

The questionnaire appears to be a useful tool for evaluating the perceptions and behaviour of patients regarding patient involvement in myocardial infarction care. Use of this questionnaire may provide insight regarding areas of patient-staff interaction that need improvement. Pinpointing such areas may lead to improved patient involvement, satisfaction with care, and treatment outcomes.

摘要

背景

患者参与自身医疗保健与慢性病治疗效果的改善相关。对于患者参与对急性病(如心肌梗死)治疗结果的影响,人们了解较少。更好地了解患者在住院期间的观点和行为可能会改善临床实践并增强患者参与度。

目的

本研究的目的是开发并评估一份问卷,以测量患者对其在心肌梗死护理住院期间参与情况的认知。

方法

与心肌梗死患者进行的焦点小组讨论为问卷的构建提供了基础。在瑞典11家医院对心肌梗死患者开展的一项小型试点研究和一项更大规模的横断面研究中,对问卷的效度和信度进行了评估。

结果

该问卷显示出良好的效度和信度,有六个因素用于衡量患者对参与情况的观点和行为。

结论

该问卷似乎是评估患者对参与心肌梗死护理的认知和行为的有用工具。使用这份问卷可能会提供有关患者与医护人员互动中需要改进领域的见解。确定这些领域可能会提高患者参与度、护理满意度和治疗效果。

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