阿拉伯语住院患者满意度调查问卷的编制：在沙特阿拉伯急性医疗康复环境中的应用

Development of an Arabic inpatient satisfaction survey: application in acute medical rehabilitation setting in Saudi Arabia.

作者信息

Aboabat Ahmed, Qannam Hazem

机构信息

Rehabilitation Hospital, King Fahad Medical City, P.O. Box 69762, Riyadh, 11557, Kingdom of Saudi Arabia.

Rehabilitation Hospital, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.

出版信息

BMC Health Serv Res. 2017 Sep 18;17(1):664. doi: 10.1186/s12913-017-2596-2.

DOI:10.1186/s12913-017-2596-2

PMID:28923110

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5604416/

Abstract

BACKGROUND

In the management of chronic disease, evidence suggests that satisfied patients exhibit more loyalty to treatment providers and greater adherence to treatment regimens. This is particularly so in the rehabilitation setting. We aimed to develop a reliable and valid Arabic-language survey to objectively measure inpatient satisfaction in medical rehabilitation settings in Saudi Arabia.

METHODS

The King Fahad Medical City Rehabilitation Hospital Patient Satisfaction Survey (RH PSS) is a self-administered survey that addresses four domains of rehabilitation care: access, structure, process, and outcomes. The RH PSS was developed through four steps. Step 1: An item-generation process utilizing input from patients, rehabilitation professionals, and the relevant literature. Step 2: Individual interviews and focus groups, conducted for cognitive testing of the survey and to examine content validity. Step 3: Assessment of internal consistency and construct validity. Step 4: Survey implementation wherein factor analysis and reliability and validity testing were conducted. The survey was conducted at an acute inpatient medical rehabilitation hospital in Saudi Arabia. A total of 709 rehabilitation inpatients participated.

RESULTS

The RH PSS demonstrated reasonable reliability and validity. Cronbach's alpha for all the RH PSS subscales ranged from 0.81 to 0.89, and 0.96 for the entire survey. Factor analysis showed good correlation of the 33 survey items and the subscales. The RH PSS demonstrated a good level of predictive validity through the high correlation between the global item "intent to recommend" and overall satisfaction (R2 = 0.786, adjusted R2 = 0.783, p = 0.01).

CONCLUSIONS

The RH PSS is the first satisfaction survey with reported validity and reliability testing to address inpatient rehabilitation settings in Saudi Arabia. Further research involving multiple sites is recommended for nationwide validation.

摘要

背景

在慢性病管理中，有证据表明，满意的患者对治疗提供者表现出更高的忠诚度，对治疗方案的依从性也更高。在康复环境中尤其如此。我们旨在开发一种可靠且有效的阿拉伯语调查问卷，以客观衡量沙特阿拉伯医疗康复机构中住院患者的满意度。

方法

法赫德国王医疗城康复医院患者满意度调查（RH PSS）是一项自我管理的调查，涉及康复护理的四个领域：就医机会、设施结构、治疗过程和治疗结果。RH PSS通过四个步骤开发。步骤1：利用患者、康复专业人员和相关文献的意见进行项目生成过程。步骤2：进行个人访谈和焦点小组讨论，以对调查进行认知测试并检验内容效度。步骤3：评估内部一致性和结构效度。步骤4：进行调查实施，其中进行因子分析以及可靠性和效度测试。该调查在沙特阿拉伯的一家急性住院医疗康复医院进行。共有709名康复住院患者参与。

结果

RH PSS显示出合理的可靠性和效度。所有RH PSS子量表的克朗巴哈系数在0.81至0.89之间，整个调查的克朗巴哈系数为0.96。因子分析表明33个调查项目与子量表之间具有良好的相关性。通过总体项目“推荐意愿”与总体满意度之间的高度相关性，RH PSS显示出良好的预测效度（R2 = 0.786，调整后R2 = 0.783，p = 0.01）。