患者家属参与复苏：家庭参与风险效益量表和自我效能感量表工具的西班牙文适应性和验证。
Family presence during resuscitation: adaptation and validation into Spanish of the Family Presence Risk-Benefit scale and the Self-Confidence scale instrument.
机构信息
Universitat Rovira i Virgili, Departament d'Infermeria, Tarragona, Spain.
Consorci Sanitari de l'Alt Penedès i Garraf (CSAPG), Barcelona, Spain.
出版信息
BMC Health Serv Res. 2021 Mar 12;21(1):221. doi: 10.1186/s12913-021-06180-2.
BACKGROUND
Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to design protocols for its implementation. R. Twibell and her team designed an instrument that measured nurses' perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice.
METHODS
The aim is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale instrument. For this purpose, this instrument was translated cross-culturally, and administered in paper and online version. Statistical tests were carried out for the validity of the questionnaire. Five hundred forty-one healthcare professionals were invited to respond. The results were analyzed by the same statistical procedures as in the original scale. Ethical approvals and research permissions were obtained according to national standards.
RESULTS
Two hundred thirty-seven healthcare professionals (43.8%) answered the survey (69% women), of whom 167 were nurses. Validation of instruments: Cronbach's α in Family Presence Risk-Benefit scale was 0.94. Cronbach's α in Family Presence Self-Confidence scale was 0.96. Factor Analysis Kaiser, Meyer and Olkin (KMO) was greater than 0.9. The correlation between the two measured scales, is significant and has a moderate intensity of the relationship (r = 0.65 and α < 0.001). A lower predisposition to Family Presence during Cardiopulmonary Resuscitation is observed, but the pure detractors are only 12%. Doctors are more reluctant than nurses.
CONCLUSIONS
The psychometric properties of the questionnaire in Spanish indicate high validity and reliability. Risk-Benefit perception and Self-Confidence are related to the healthcare professionals who consider the Family Presence to be beneficial. More studies in different contexts are necessary to confirm the psychometric results and validity of this instrument in Spanish.
背景
家庭在心肺复苏期间的存在已经被研究过，旨在确定卫生专业人员、患者和家庭成员的意见，以及确定利益和障碍，同时设计实施协议。R. Twibell 及其团队设计了一种工具，用于衡量护士对复苏期间家庭存在的风险-收益和自我信心的看法。在西班牙，关于这种做法的研究很少。
方法
目的是将家庭存在风险-收益量表和家庭存在自我信心量表工具翻译成西班牙语并进行验证。为此，该工具进行了跨文化翻译，并以纸质和在线版本进行了管理。对问卷的有效性进行了统计检验。邀请了 541 名医疗保健专业人员回答。分析结果采用与原始量表相同的统计程序。根据国家标准获得了伦理批准和研究许可。
结果
237 名医疗保健专业人员（43.8%）回答了调查（69%为女性），其中 167 名为护士。工具验证：家庭存在风险-收益量表的 Cronbach's α 为 0.94。家庭存在自我信心量表的 Cronbach's α 为 0.96。Kaiser、Meyer 和 Olkin（KMO）的因子分析大于 0.9。两种测量量表之间的相关性是显著的，并且具有中度的关系强度（r=0.65 和α<0.001）。观察到心肺复苏期间家庭存在的倾向较低，但纯粹的反对者仅占 12%。医生比护士更不愿意。
结论
西班牙语问卷的心理测量特性表明具有较高的有效性和可靠性。风险-收益感知和自我信心与认为家庭存在有益的医疗保健专业人员相关。需要在不同背景下进行更多研究，以确认该工具在西班牙语中的心理测量结果和有效性。
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