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老年人日间照料中心以人为本护理评估问卷的开发与验证

Development and Validation of a Person-Centered Care Assessment Questionnaire for Daycare Centers for Older Adults.

作者信息

Chin Young Ran, Lee Hyo Young, Lee Mi-Joung

机构信息

Department of Nursing, Chungwoon University, Chungnam, Republic of Korea.

Department of Health Administration, Dongseo University, Busan, Republic of Korea.

出版信息

Gerontol Geriatr Med. 2021 Aug 12;7:23337214211036274. doi: 10.1177/23337214211036274. eCollection 2021 Jan-Dec.

Abstract

Daycare services serve to prolong aging at home. This decreases both families' care burden and the government's financial burden. We identified key factors in the person-centered approach of South Korean daycare center workers to develop and validate a Korean person-centered care questionnaire. Twenty-one items were developed, and 10 expert interviews were conducted. The items were applied to 271 daycare center staff (19.2% male vs. 80.0% female, mean age = 50.68 ± 11.37 years) to evaluate their reliability and validity. Twenty items concerning intimate relationships and the environment, consumers' self-determination, and home-likeness domains were derived, explaining 40.28%, 10.44%, and 6.97% of the total variance, respectively. The overall tool's Cronbach's alpha was 0.905, demonstrating internal consistency. Inter-rater agreement ranged from 0.221 (fair) to 0.765 (good). This tool will be useful for individual staff members as well as for the National Health Insurance Service's evaluations of service quality at daycare centers.

摘要

日托服务有助于延长居家养老时间。这既减轻了家庭的护理负担,也减轻了政府的财政负担。我们确定了韩国日托中心工作人员以个人为中心的方法中的关键因素,以开发和验证一份韩国以个人为中心的护理问卷。共制定了21个项目,并进行了10次专家访谈。这些项目应用于271名日托中心工作人员(男性占19.2%,女性占80.0%,平均年龄 = 50.68 ± 11.37岁),以评估其信度和效度。得出了20个关于亲密关系与环境、消费者自主决定权以及家庭般氛围领域的项目,分别解释了总方差的40.28%、10.44%和6.97%。该工具总体的克朗巴哈系数为0.905,表明具有内部一致性。评分者间信度范围为0.221(一般)至0.765(良好)。该工具对个体工作人员以及国民健康保险服务中心对日托中心服务质量的评估都将很有用。

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