Steinsbekk Aslak
Institutt for samfunnsmedisin Norges teknisk-naturvitenskapelige universitet 7489 Trondheim.
Tidsskr Nor Laegeforen. 2008 Oct 23;128(20):2316-8.
Patient education is a mandatory activity for Norwegian hospitals, but its effects have not been possible to assess properly due to lack of suitable instruments in Norwegian. This article describes the work undertaken to find a suitable questionnaire, translate it to Norwegian and validate it.
The heads of centres for patient education in the hospitals in Central Norway were presented with 15 different questionnaires measuring various areas - for example quality of life and coping. They were then asked to pick out the/those instruments which in their opinion best captured the aim of patient education. The unanimously chosen questionnaire was translated from English to Norwegian and back and was then validated in two samples of patients.
The American "Patient Activation Measure (PAM)" was chosen because it focused on the patients' own efforts, was viewed as respectful and patient-oriented and emphasised self- management skills, knowledge and ability to choose. The correlation between PAM score and a question about ability to take care of own health was good (r = 0.477, p = 0.018) and the test-retest showed good reliability.
The Norwegian version of PAM is suitable as a measure of knowledge, skills, and ability to cope with own health and use of health services. The questionnaire is suitable for evaluation of interventions aimed at activating patients' ability to take care of their own health.
患者教育是挪威医院的一项强制性活动，但由于挪威缺乏合适的工具，其效果无法得到恰当评估。本文描述了寻找合适问卷、将其翻译成挪威语并进行验证的工作。
向挪威中部医院的患者教育中心负责人展示了15种不同的问卷，这些问卷测量了各个领域，例如生活质量和应对能力。然后要求他们挑选出他们认为最能体现患者教育目标的工具。一致选定的问卷从英语翻译成挪威语，再翻译回英语，然后在两组患者样本中进行验证。
选择了美国的“患者激活量表（PAM）”，因为它关注患者自身的努力，被视为尊重患者且以患者为导向，并强调自我管理技能、知识和选择能力。PAM得分与一个关于自我健康护理能力的问题之间的相关性良好（r = 0.477，p = 0.018），重测显示出良好的可靠性。
挪威版的PAM适合作为衡量应对自身健康和使用医疗服务的知识、技能和能力的指标。该问卷适用于评估旨在激活患者自我健康护理能力的干预措施。
