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《认真对待患者问卷》的编制及心理测量学评价——高科技医院环境下以患者为中心的 PREM 测量工具

The Being Taken Seriously Questionnaire-Development and Psychometric Evaluation of a PREM Measure for Person-Centeredness in a High-Tech Hospital Environment.

机构信息

Department of Health Sciences, Lund University, SE-221 00 Lund, Sweden.

Department of Cardiothoracic Surgery, Lund University, Skåne University Hospital, SE-222 45 Lund, Sweden.

出版信息

Int J Environ Res Public Health. 2020 Apr 13;17(8):2660. doi: 10.3390/ijerph17082660.

Abstract

There is a need for patient-reported experience measures (PREMs) in high-tech hospital environments based on the philosophy of person-centeredness. The aim of this study was to describe the development and initial psychometric evaluation of a measure of person-centeredness by means of being taking seriously. In this cross-sectional survey, the study sample (n = 79) completed two measures, the Being Taken Seriously Questionnaire-Patient version (BTSQ-P) which was the measure undergoing psychometric evaluation, and the Person-Centered Climate Questionnaire-Patient version (PCQ-P) that was used to evaluate the climate in which the intervention was occurring. The expected scale dimensionality was examined both by the confirmatory multi-trait analysis program and by explorative principal component analysis (with oblique, varimax rotation). Scale reliability was estimated using ordinal alpha and Cronbach's alpha. One solid factor was generated. This factor had good internal convergent validity and good item-scale reliability, covering 80.41% of the variance. The interitem correlation ranged from 0.759 to 0.908 and the alpha was 0.93 (ordinal alpha) and 0.87 (Cronbach's alpha) respectively. There was a strong relationship between BTSQ-P and the PCQ-P dimension safety climate. In conclusion, the internal consistency, reliability and concurrent validity of the BTSQ-P was satisfactory for use in a high-tech hospital environment.

摘要

高科技医院环境需要基于以患者为中心的理念的患者报告体验测量(PREMs)。本研究的目的是通过认真对待来描述一种以患者为中心的测量方法的开发和初步心理计量学评估。在这项横断面调查中,研究样本(n=79)完成了两项测量,即正在接受心理计量学评估的认真对待患者版问卷(BTSQ-P)和用于评估干预发生环境的以患者为中心的气候问卷(PCQ-P)。通过验证性多特质分析程序和探索性主成分分析(采用斜交、方差极大旋转),同时检查了预期的量表维度。使用有序 alpha 和 Cronbach 的 alpha 估计了量表的可靠性。生成了一个单一的因子。该因子具有良好的内部收敛有效性和良好的项目-量表可靠性,涵盖了 80.41%的方差。各项目间的相关性范围为 0.759 至 0.908,alpha 分别为 0.93(有序 alpha)和 0.87(Cronbach 的 alpha)。BTSQ-P 与 PCQ-P 维度安全气候之间存在很强的关系。总之,BTSQ-P 的内部一致性、可靠性和同时有效性在高科技医院环境中是令人满意的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6927/7215555/23d31d29abae/ijerph-17-02660-g001.jpg

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