癌症相关护理患者满意度问卷德语版的心理计量学评估。
Psychometric evaluation of the German version of the Patient Satisfaction with Cancer-related Care questionnaire.
机构信息
Department of Medical Psychology, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, Hamburg, Germany.
Florida State University College of Medicine, Cancer Neurocognitive Translation Research Lab, Tallahassee, Florida, USA.
出版信息
BMC Health Serv Res. 2020 Oct 27;20(1):983. doi: 10.1186/s12913-020-05838-7.
BACKGROUND
Patient satisfaction is a fundamental aspect of perceived health care quality. The original English version of the Patient Satisfaction with Cancer-related Care (PSCC) is a psychometrically validated, one-dimensional instrument with relevance to cancer-related care. The goal of the study was to perform a psychometric validation of the PSCC in German (PSCC-G).
METHODS
A sample of 394 cancer patients were recruited at oncological clinics in Hamburg, Germany. Patients completed the PSCC-G, three subscales of the Patient Satisfaction and Quality in Oncological Care (PASQOC), and one subscale from the German version of the Recherché Evaluative sur la Performance des Réseaux de Santé (RESPERE-60) questionnaire. We conducted exploratory and confirmatory factor analyses (EFA and CFA) to determine the factorial validity, and we calculated Cronbach's coefficient alpha (α) to test the internal consistency of the PSCC-G. We examined the correlation between the PSCC-G and four subscales measuring additional dimensions of PS with care. We also conducted a multiple linear regression analysis to determine whether sociodemographics, self-perceived health status, and treatment setting predict scores on the PSCC-G.
RESULTS
The EFA (using principal axis) revealed a one-factor solution. The Cronbach's α was 0.92. The convergent validity showed high correlations between three different subscales measuring patient satisfaction and the PSCC-G. Overall, males, older age patients, and those with a higher self-perceived health status were more satisfied with their cancer care based on their higher scores on the PSCC-G.
CONCLUSION
The PSCC-G is a reliable and valid instrument that can assess satisfaction with cancer-related care for German-speaking cancer patients.
背景
患者满意度是感知医疗服务质量的一个基本方面。最初的英文版《癌症相关护理患者满意度量表》（PSCC）是一种经过心理测量验证的、与癌症相关护理相关的一维工具。该研究的目的是对德国的 PSCC 进行心理测量验证（PSCC-G）。
方法
在德国汉堡的肿瘤诊所招募了 394 名癌症患者作为样本。患者完成了 PSCC-G、《肿瘤患者满意度和护理质量量表》（PASQOC）的三个分量表以及《德国版 Recherché Evaluative sur la Performance des Réseaux de Santé》（RESPERE-60）问卷的一个分量表。我们进行了探索性和验证性因素分析（EFA 和 CFA）来确定因子有效性，并计算了 PSCC-G 的克朗巴赫系数α（α）来检验内部一致性。我们检查了 PSCC-G 与四个测量额外满意度维度的分量表之间的相关性。我们还进行了多元线性回归分析，以确定社会人口统计学、自我感知健康状况和治疗环境是否可以预测 PSCC-G 的分数。
结果
EFA（使用主轴）显示了一种单因素解决方案。克朗巴赫的α为 0.92。收敛有效性显示，三种不同的测量患者满意度的分量表与 PSCC-G 之间存在高度相关性。总体而言，男性、年龄较大的患者和自我感知健康状况较好的患者，根据他们在 PSCC-G 上的较高分数，对癌症护理的满意度更高。
结论
PSCC-G 是一种可靠且有效的工具，可用于评估德语癌症患者对癌症相关护理的满意度。
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