Petry Heidi, Suter-Riederer Susanne, Kerker-Specker Carmen, Imhof Lorenz
Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur.
Pflege. 2014 Dec;27(6):393-403. doi: 10.1024/1012-5302/a000392.
Patient centred and individually-tailored counselling of older people with a chronic condition who live at home is a useful intervention to support their independence.
The paper presents the development and psychometric testing of the APN-BQ Instrument, to measure patient-centeredness.
To measure the quality of an in-home counselling intervention, a 23-item questionnaire was developed and tested with 206 people 80 years and older. Principal component analysis with Varimax Rotation was conducted (n = 206).
Analysis revealed a four factor (fs = 0.91) model scoring in 19 items. All factors loaded > 0.45. Cronbach's alpha was 0.86. The utility and acceptance of the instrument was confirmed by the high response rate (100 %) and the fact that participants answered 98.8 % of all questions.
The APN-BQ has shown to be a reliable Instrument with good content and construct validity. It is a tool for APNs to measure structure, process, and outcome quality of a patient-centred and individually-tailored counselling program, including the degree of patient participation, and patient empowerment.
以患者为中心，为居家的慢性病老年人提供个性化咨询，是支持他们保持独立的一项有益干预措施。
本文介绍了用于衡量以患者为中心程度的 APN - BQ 工具的开发及心理测量测试。
为衡量居家咨询干预的质量，编制了一份包含 23 个条目的问卷，并对 206 名 80 岁及以上的老人进行了测试。采用方差最大化旋转的主成分分析（n = 206）。
分析得出一个四因素（f 值 = 0.91）模型，涵盖 19 个条目。所有因素的载荷均大于 0.45。克朗巴哈系数为 0.86。高回复率（100%）以及参与者回答了所有问题的 98.8%这一事实，证实了该工具的实用性和可接受性。
APN - BQ 已被证明是一种可靠的工具，具有良好的内容效度和结构效度。它是高级实践护士用于衡量以患者为中心且个性化定制咨询项目的结构、过程和结果质量的工具，包括患者参与程度和患者赋权情况。
