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用于测量中国法医精神病住院患者安全需求概况的“安全需求评估概况”的验证

Validation of the "Security Needs Assessment Profile" for measuring the profiles of security needs of Chinese forensic psychiatric inpatients.

作者信息

Siu B W M, Au-Yeung C C Y, Chan A W L, Chan L S Y, Yuen K K, Leung H W, Yan C K, Ng K K, Lai A C H, Davies S, Collins M

机构信息

Department of Forensic Psychiatry, Castle Peak Hospital, Hong Kong, China.

Department of Forensic Psychiatry & Old Age Psychiatry, Castle Peak Hospital, Hong Kong, China.

出版信息

Int J Law Psychiatry. 2017 Sep-Oct;54:61-66. doi: 10.1016/j.ijlp.2017.05.001. Epub 2017 May 17.

Abstract

Mapping forensic psychiatric services with the security needs of patients is a salient step in service planning, audit and review. A valid and reliable instrument for measuring the security needs of Chinese forensic psychiatric inpatients was not yet available. This study aimed to develop and validate the Chinese version of the Security Needs Assessment Profile for measuring the profiles of security needs of Chinese forensic psychiatric inpatients. The Security Needs Assessment Profile by Davis was translated into Chinese. Its face validity, content validity, construct validity and internal consistency reliability were assessed by measuring the security needs of 98 Chinese forensic psychiatric inpatients. Principal factor analysis for construct validity provided a six-factor security needs model explaining 68.7% of the variance. Based on the Cronbach's alpha coefficient, the internal consistency reliability was rated as acceptable for procedural security (0.73), and fair for both physical security (0.62) and relational security (0.58). A significant sex difference (p=0.002) in total security score was found. The Chinese version of the Security Needs Assessment Profile is a valid and reliable instrument for assessing the security needs of Chinese forensic psychiatric inpatients.

摘要

将法医精神病服务与患者的安全需求进行匹配,是服务规划、审计和审查中的关键一步。目前尚没有一种有效且可靠的工具来测量中国法医精神病住院患者的安全需求。本研究旨在开发并验证中文版的《安全需求评估量表》,以测量中国法医精神病住院患者的安全需求状况。戴维斯编制的《安全需求评估量表》被翻译成中文。通过对98名中国法医精神病住院患者的安全需求进行测量,评估了该量表的表面效度、内容效度、结构效度和内部一致性信度。用于结构效度分析的主成分分析得出了一个六因素安全需求模型,该模型解释了68.7%的方差。基于克朗巴哈系数,程序安全方面的内部一致性信度被评定为可接受(0.73),身体安全(0.62)和关系安全(0.58)方面的内部一致性信度为尚可。研究发现安全总得分存在显著的性别差异(p = 0.002)。中文版的《安全需求评估量表》是评估中国法医精神病住院患者安全需求的有效且可靠的工具。

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