患者对癌症相关护理措施满意度的结构和可靠性分析：一项多地点患者导航研究计划研究。
Structural and reliability analysis of a patient satisfaction with cancer-related care measure: a multisite patient navigation research program study.
机构信息
Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA.
出版信息
Cancer. 2011 Feb 15;117(4):854-61. doi: 10.1002/cncr.25501. Epub 2010 Oct 4.
BACKGROUND
Patient satisfaction is an important outcome measure of quality of cancer care and 1 of the 4 core study outcomes of the National Cancer Institute (NCI)-sponsored Patient Navigation Research Program to reduce race/ethnicity-based disparities in cancer care. There is no existing patient satisfaction measure that spans the spectrum of cancer-related care. The objective of this study was to develop a Patient Satisfaction With Cancer Care measure that is relevant to patients receiving diagnostic/therapeutic cancer-related care.
METHODS
The authors developed a conceptual framework, an operational definition of Patient Satisfaction With Cancer Care, and an item pool based on literature review, expert feedback, group discussion, and consensus. The 35-item Patient Satisfaction With Cancer Care measure was administered to 891 participants from the multisite NCI-sponsored Patient Navigation Research Program. Principal components analysis (PCA) was conducted for latent structure analysis. Internal consistency was assessed using Cronbach coefficient alpha (α). Divergent analysis was performed using correlation analyses between the Patient Satisfaction With Cancer Care, the Communication and Attitudinal Self-Efficacy-Cancer, and demographic variables.
RESULTS
The PCA revealed a 1-dimensional measure with items forming a coherent set explaining 62% of the variance in patient satisfaction. Reliability assessment revealed high internal consistency (α ranging from 0.95 to 0.96). The Patient Satisfaction With Cancer Care demonstrated good face validity, convergent validity, and divergent validity, as indicated by moderate correlations with subscales of the Communication and Attitudinal Self-Efficacy-Cancer (all P < .01) and nonsignificant correlations with age, primary language, marital status, and scores on the Rapid Estimate of Adult Literacy in Medicine Long Form (all P > .05).
CONCLUSIONS
The Patient Satisfaction With Cancer Care is a valid tool for assessing satisfaction with cancer-related care for this sample.
背景
患者满意度是癌症护理质量的重要衡量标准，也是美国国家癌症研究所（NCI）赞助的患者导航研究计划的 4 项核心研究结果之一，旨在减少癌症护理中基于种族/族裔的差异。目前尚无涵盖癌症相关护理各个方面的患者满意度衡量标准。本研究旨在开发一种与接受诊断/治疗性癌症相关护理的患者相关的患者对癌症护理的满意度衡量标准。
方法
作者基于文献回顾、专家反馈、小组讨论和共识，制定了一个概念框架、患者对癌症护理满意度的操作性定义和项目池。该 35 项患者对癌症护理满意度衡量标准在 NCI 赞助的多地点患者导航研究计划的 891 名参与者中进行了管理。采用主成分分析（PCA）进行潜在结构分析。使用 Cronbach 系数α（α）评估内部一致性。采用相关性分析对患者对癌症护理满意度、沟通和态度自我效能感-癌症以及人口统计学变量进行离散分析。
结果
PCA 显示出一种一维衡量标准，其项目形成一个连贯的集合，解释了患者满意度的 62%。可靠性评估显示出较高的内部一致性（α 范围从 0.95 到 0.96）。患者对癌症护理的满意度具有良好的表面有效性、收敛有效性和离散有效性，这表明与沟通和态度自我效能感-癌症的子量表之间存在中度相关性（所有 P <.01），与年龄、主要语言、婚姻状况和快速估计成人医学素养长式的分数之间没有显著相关性（所有 P >.05）。
结论
患者对癌症护理的满意度是评估该样本对癌症相关护理满意度的有效工具。
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