Qiao Shan, Li Xiaoming, Zhao Guoxiang, Zhao Junfeng, Kamat Deepak
Department of Health Promotion, Education, and Behavior, South Carolina SmartState Center for Healthcare Quality (CHQ), University of South Carolina Arnold School of Public Health, Columbia, SC, USA.
Department of Psychology, Henan Normal University, Xinxiang, China.
Vulnerable Child Youth Stud. 2019;14(3):274-286. doi: 10.1080/17450128.2019.1612130. Epub 2019 May 6.
Based on cross-sectional data of 1,625 children aged 6-18 years who were affected by parental HIV/AIDS in central rural China, we evaluated a physical symptom based measure of quality of care (QOC_PS) for these children. The QOC_PS has acceptable reliability estimates for children of both genders, at different age, and by orphanhood status. Known-group validation and construct validity analysis demonstrated a good validity of QOC_PS indicator. The QOC_PS score was significantly associated with psychosocial well-being measures among children. The physical symptom based measure provides a psychometrically appropriate indicator of quality of care for children affected by HIV/AIDS in China. It could be used as an alternative measure to assess quality of care in resource-poor settings where other objective measurements are not available or feasible. Future research is needed to further validate the scale among children in different living environments across various cultural settings.
基于对中国中部农村地区1625名6至18岁受父母艾滋病毒/艾滋病影响儿童的横断面数据，我们评估了一种基于身体症状的儿童护理质量衡量指标（QOC_PS）。QOC_PS在不同性别、不同年龄以及是否为孤儿的儿童中都有可接受的可靠性估计。已知群体验证和结构效度分析表明QOC_PS指标具有良好的效度。QOC_PS得分与儿童的心理社会幸福感指标显著相关。这种基于身体症状的衡量指标为中国受艾滋病毒/艾滋病影响的儿童提供了一个心理测量学上合适的护理质量指标。在其他客观测量不可用或不可行的资源匮乏环境中，它可以用作评估护理质量的替代指标。未来需要进一步研究，以在不同文化背景下不同生活环境的儿童中进一步验证该量表。
