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以患者为中心的护理评估工具的信度概化研究

Reliability Generalization Study of the Person-Centered Care Assessment Tool.

作者信息

Bru-Luna Lluna María, Martí-Vilar Manuel, Merino-Soto César, Livia José

机构信息

Departamento de Psicología Básica, Universitat de València, Valencia, Spain.

Instituto de Investigación de Psicología, Universidad de San Martín de Porres, Chiclayo, Peru.

出版信息

Front Psychol. 2021 Sep 27;12:712582. doi: 10.3389/fpsyg.2021.712582. eCollection 2021.

Abstract

The so-called Person-Centered Care (PCC) model identifies three fundamental principles: changing the focus of attention from the disease to the person, individualizing care, and promoting empowerment. The Person-Centered Care Assessment Tool (P-CAT) has gained wide acceptance as a measure of PCC in recent years due to its brevity and simplicity, as well as its ease of application and interpretation. The objective of this study is to carry out a reliability generalization meta-analysis to estimate the internal consistency of the P-CAT and analyze possible factors that may affect it, such as the year of publication, the care context, the application method, and certain sociodemographic properties of the study sample. The mean value of α for the 25 samples of the 23 studies in the meta-analysis was 0.81 (95% CI: 0.79-0.84), with high heterogeneity (squared- = 85.83%). The only variable that had a statistically significant relationship with the reliability coefficient was the mean age of the sample. The results show that the P-CAT gives acceptably consistent scores when its use is oriented toward the description and investigation of groups, although it may be affected by variables such as the age of participants.

摘要

所谓的以患者为中心的护理(PCC)模式确定了三个基本原则:将关注焦点从疾病转向患者、实现护理个性化以及促进赋权。近年来,以患者为中心的护理评估工具(P-CAT)因其简洁性、易用性和易解释性而被广泛接受,作为衡量PCC的一种手段。本研究的目的是进行一项可靠性概括性荟萃分析,以估计P-CAT的内部一致性,并分析可能影响它的因素,如发表年份、护理背景、应用方法以及研究样本的某些社会人口学特征。荟萃分析中23项研究的25个样本的α平均值为0.81(95%置信区间:0.79 - 0.84),异质性较高(I² = 85.83%)。与可靠性系数有统计学显著关系的唯一变量是样本的平均年龄。结果表明,当P-CAT用于群体描述和调查时,其得分具有可接受的一致性,尽管它可能受到参与者年龄等变量的影响。

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