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中文版以患者为中心的护理评估工具的心理计量学评估。

Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool.

机构信息

School of Public Health, Kunming Medical University in Kunming, Kunming, China.

Palliative Care, The Third People's Hospital of Kunming, Kunming, Yunnan, China.

出版信息

BMJ Open. 2020 Jul 13;10(7):e031580. doi: 10.1136/bmjopen-2019-031580.

Abstract

OBJECTIVE

This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.

DESIGN

P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.

SETTING

Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.

PARTICIPANTS

152 female hospital staff completed the survey.

MAIN OUTCOME MEASURES

Construct validity and reliability, including internal consistency and test-retest reliability, were assessed among a sample of hospital staff.

RESULTS

The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach's alpha of 0.91-0.94 for the scales and a test-retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).

CONCLUSION

P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.

摘要

目的

本研究旨在测试英文版以人为主照护评估工具(P-CAT)的中文跨文化调适版本,并评估其心理测量特性。

设计

在对中文版进行心理测量评估之前,使用既定程序对 P-CAT 进行翻译/回译。

地点

中国云南省昆明市的两家涵盖城市和郊区的医院。

参与者

152 名女性医院工作人员完成了调查。

主要结果测量

在医院工作人员样本中评估了结构效度和信度,包括内部一致性和重测信度。

结果

因子分析得出了由两个分量组成的解决方案,包括两个分量表。所有项目的校正项目总分相关性在 0.14 到 0.44 之间,有六个项目不符合项目总分相关性(>0.3)的截止值。中文版 P-CAT 显示出很强的可靠性,量表的克朗巴赫α系数为 0.91-0.94,整体量表得分的重测信度系数为 0.88。组内相关系数为 0.92(95%置信区间为 0.90 至 0.95)。

结论

P-CAT 似乎是评估中国医院环境中工作人员对以人为主照护看法的有前途的衡量标准。结果表明,在中文语境下,P-CAT 可以成为提高以人为本人性化关怀医疗质量的有用工具。

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