Nosratabadi Mehdi, Halvaiepour Zohreh
Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
J Cardiovasc Thorac Res. 2018;10(1):24-27. doi: 10.15171/jcvtr.2018.04. Epub 2018 Mar 17.
Evaluating patient satisfaction with self-care program can increase the likelihood of complying with treatment. There is no valid and reliable tool to be used in measuring Iranian patient's satisfaction with self-care program. So, this study intends to develop the patient satisfaction questionnaire in the context of cardiac rehabilitation and test its validity and reliability in Iranian patients. A cross-sectional study was conducted to develop and validate the patient satisfaction with self-care program questionnaire using structural modeling. A total of 155 cardiovascular patients referring to cardiovascular rehabilitation center in Isfahan were participated in this study. Construct and criterion validity, and test-retest reliability were used to validate the scale. After reviewing literature and receiving expert' comments for items pooling as well as conducting exploratory factor analysis, 10 statements in the model remained which are loaded on 2 factors. These 2 subscales explained about 63 percent of variance of all constructs. The Cronbach's alpha coefficient ranged between 0.87 and 0.89 for the whole questionnaires and its subscales. Besides, scale had excellent stability (intraclass correlation = 0.86). Criterion validity analyzed through correlational analyses revealed significant relationships between the current scale and Patient Satisfaction Questionnaire Short Form (PSQ11). CFA revealed an acceptable overall fit for two-factor model. The scale integrated 10 items in two dimension including patient satisfaction with rehabilitation program and patient satisfaction with personnel of rehabilitation team. In total, most of the psychometric properties of the 10-item patient satisfaction with self-care program scale achieved the standard level and were sufficient to recommend for cardiac rehabilitation settings.
评估患者对自我护理计划的满意度可以提高其遵守治疗的可能性。目前尚无有效且可靠的工具用于衡量伊朗患者对自我护理计划的满意度。因此，本研究旨在开发心脏康复背景下的患者满意度问卷，并在伊朗患者中测试其有效性和可靠性。本研究采用横断面研究方法，通过结构建模来开发和验证患者对自我护理计划的满意度问卷。共有155名转诊至伊斯法罕心血管康复中心的心血管疾病患者参与了本研究。采用结构效度、效标效度和重测信度来验证该量表。在查阅文献、征求专家对条目汇总的意见并进行探索性因素分析后，模型中保留了10条陈述，这些陈述加载在2个因子上。这2个分量表解释了所有结构约63%的方差。整个问卷及其分量表的Cronbach's alpha系数在0.87至0.89之间。此外，该量表具有出色的稳定性（组内相关系数=0.86）。通过相关分析进行的效标效度分析表明，当前量表与患者满意度问卷简表（PSQ11）之间存在显著关系。验证性因素分析显示两因素模型整体拟合度可接受。该量表在两个维度上整合了10个条目，包括患者对康复计划的满意度和患者对康复团队人员的满意度。总体而言，10条目自我护理计划患者满意度量表的大多数心理测量学特性达到了标准水平，足以推荐用于心脏康复环境。
