Bergland Ådel, Hofoss Dag, Kirkevold Marit, Vassbø Tove, Edvardsson David
Lovisenberg Diaconal University College, Oslo, Norway.
J Clin Nurs. 2015 Feb;24(3-4):406-14. doi: 10.1111/jocn.12614. Epub 2014 May 2.
To assess the content validity and reliability of the Person-centred Climate Questionnaire-Patient version in long-term care facilities, to describe residents' perceptions of the extent to which their ward climate was person-centred and to explore whether person-centredness was associated with facility and resident characteristics, such as facility and ward size, having a sensory garden and having a primary caregiver.
The importance of the physical environment to persons with dementia has been investigated. However, research is lacking regarding the extent to which mentally lucid residents experience their physical and psycho-social ward climate as person-centred and the factors influencing their experience.
Cross-sectional survey design.
The Person-centred Climate Questionnaire-Patient version was translated into Norwegian with forward and backward translation. The content validity index for scales was assessed. The Person-centred Climate Questionnaire -Patient version was completed by 145 mentally lucid residents in 17 Norwegian long-term care facilities. Reliability was assessed by Cronbach's α and item-total correlations. Test-retest reliability was assessed by paired samples t-test and Spearman's correlation. To explore differences based on facility and resident characteristics, independent-samples t-test and one-way anova were used.
The content validity index for scales was satisfactory. The Person-centred Climate Questionnaire-Patient version was internally consistent and had satisfactory test-retest reliability. The climate was experienced as highly person-centred. No significant differences were found, except that residents in larger facilities experienced the climate as more person-centred in relation to everyday activities (subscale 2) than residents in smaller facilities.
The Norwegian version of the Person-centred Climate Questionnaire-Patient version can be regarded as reliable in a long-term care facility context. Perceived degree of person-centredness was not associated with facility or resident characteristics, such as the number of residents, having a sensory garden or knowing that one has a primary caregiver.
A person-centred climate can be attained in different kinds of long-term care facilities.
评估长期护理机构中以患者为中心的环境问卷（患者版）的内容效度和信度，描述居民对其病房环境以患者为中心程度的看法，并探讨以患者为中心是否与机构和居民特征相关，如机构和病房规模、设有感官花园以及有主要照顾者。
已对物理环境对痴呆症患者的重要性进行了研究。然而，对于思维清晰的居民在多大程度上体验到其物理和心理社会病房环境是以患者为中心的，以及影响他们体验的因素，目前缺乏相关研究。
横断面调查设计。
通过正向和反向翻译将以患者为中心的环境问卷（患者版）翻译成挪威语。评估量表的内容效度指数。17家挪威长期护理机构的145名思维清晰的居民完成了以患者为中心的环境问卷（患者版）。通过克朗巴哈α系数和项目与总分相关性评估信度。通过配对样本t检验和斯皮尔曼相关性评估重测信度。为探讨基于机构和居民特征的差异，使用独立样本t检验和单因素方差分析。
量表的内容效度指数令人满意。以患者为中心的环境问卷（患者版）具有内部一致性，重测信度令人满意。该环境被体验为高度以患者为中心。未发现显著差异，只是较大机构的居民在日常活动方面（子量表2）比小机构的居民更能体验到以患者为中心的环境。
在长期护理机构环境中，挪威版的以患者为中心的环境问卷（患者版）可被视为可靠的。感知到的以患者为中心程度与机构或居民特征无关，如居民数量、设有感官花园或知道自己有主要照顾者。
不同类型的长期护理机构都可以营造以患者为中心的环境。
