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[《弗莱堡患者满意度指数:一种新问卷的介绍与验证》]

[The Freiburg Index of Patient Satisfaction: introduction and validation of a new questionnaire].

作者信息

Schoenthaler M, Farin E, Karcz W K, Ardelt P, Wetterauer U, Miernik A

机构信息

Abt. Urologie, Chirurgische Universitätsklinik, Albert-Ludwigs-Universität Freiburg.

出版信息

Dtsch Med Wochenschr. 2012 Mar;137(9):419-24. doi: 10.1055/s-0031-1298976. Epub 2012 Feb 21.

Abstract

BACKGROUND

In the era of evidence-based medicine health-related quality of life measurements are recognized as valuable indicative factors. Because there was no generally applicable questionnaire addressing patient satisfaction after interventional or surgical procedures, the Freiburg Index of Patient Satisfaction was developed and psychometrically evaluated.

METHODS

A preliminary version was evaluated and optimized through structured interviews with 20 patients (qualitative pre-study). The final questionnaire was then applied to 257 urological patients and a comprehensive statistical analysis including validation to a matching questionnaire (ZUF-8, Kriz 2008) was performed.

RESULTS

All psychometric qualities scored well. The examined sample showed no missing values and no ceiling effect as otherwise found frequently: the most positive answer categories accounted for 43.6 % of cases. Reliability (Cronbach's Alpha = 0.84, discriminatory power = 0.50) was high. Furthermore the results of a factor analysis proofed unidimensionality of the questionnaire. Validity was shown by a close correlation between FIPS and ZUF-8 scores (r = 0.747, p < .001).

CONCLUSION

The Freiburg Index of Patient Satisfaction is a generally applicable questionnaire to evaluate treatment satisfaction after interventional or surgical procedures. The questionnaire can be used to objectify results and increase comparability of clinical studies and quality in health care.

摘要

背景

在循证医学时代,与健康相关的生活质量测量被视为有价值的指示性因素。由于缺乏适用于评估介入或外科手术后患者满意度的通用问卷,因此开发了弗莱堡患者满意度指数并对其进行了心理测量学评估。

方法

通过对20名患者进行结构化访谈(定性预研究)对初步版本进行评估和优化。然后将最终问卷应用于257名泌尿外科患者,并进行了全面的统计分析,包括与匹配问卷(ZUF-8,Kriz 2008)的验证。

结果

所有心理测量学指标得分良好。所检查的样本未显示缺失值,也未出现常见的天花板效应:最积极的回答类别占病例的43.6%。信度较高(克朗巴哈系数=0.84,区分度=0.50)。此外,因子分析结果证明问卷具有单维度性。FIPS与ZUF-8得分之间的密切相关性表明了效度(r=0.747,p<0.001)。

结论

弗莱堡患者满意度指数是一种通用问卷,可用于评估介入或外科手术后的治疗满意度。该问卷可用于使结果客观化,并提高临床研究的可比性和医疗保健质量。

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