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一份用于评估基层医疗中糖尿病患者满意度的问卷的开发与验证

Development and validation of a questionnaire to evaluate satisfaction of the patient with diabetes at the primary care level.

作者信息

Maldonado-Paredes Sarahi Estrella, Juárez-Cedillo Teresa, de la Peña Jorge Escobedo, Vaca-Marín Miguel Angel, Quiñones-Villalobos Carolina, Garrido-Acosta Osvaldo, González-Meléndez Roberto C

机构信息

Unidad de Medicina Familiar 11, Instituto Mexicano Del Seguro Social, México City, México.

Unidad de Investigación en Epidemiología y servicios de Salud Área Envejecimiento, Instituto Mexicano Del Seguro Social, México City, México.

出版信息

J Family Med Prim Care. 2022 May;11(5):2073-2082. doi: 10.4103/jfmpc.jfmpc_2049_21. Epub 2022 May 14.

Abstract

AIMS

To develop and validate a new instrument to measure satisfaction with integral care (doctor-nurse) of the patient with type 2 diabetes mellitus, considering expectations-experiences together for the primary level of care.

METHODS

The instrument was constructed with questions regarding integral care to measure the satisfaction of the diabetes patient and was classified into four domains. The validity of the content was done through a panel of experts, apparent validity through a focus group, the validity of the construct through analysis of the main components and confirmatory factorial analysis, instrument reliability with internal consistency, determined by Cronbach alpha and temporal stability (test-retest).

RESULTS

The reliability of the questionnaire was 0.942. The intraclass correlation coefficient was 0.849. Validity of the construct showed acceptable goodness-of-fit and factorial structure with four factors: communication, empathy, technical care, care continuity, and 24 items for each domain, giving a Kayser-Meyer-Olkin index above 0.80 and a total variance above 73.

CONCLUSIONS

The instrument is reliable and is also valid in terms of up into construct and content to evaluate satisfaction.

PRACTICE IMPLICATIONS

In addition, these results allow to have elements for the design of strategies aimed at improving the relationship of health personnel with the patient.

摘要

目的

开发并验证一种新工具,用于衡量2型糖尿病患者对(医生 - 护士)综合护理的满意度,同时考虑初级护理层面的期望与体验。

方法

该工具通过关于综合护理的问题构建而成,以测量糖尿病患者的满意度,并分为四个领域。内容效度通过专家小组进行,表面效度通过焦点小组进行,结构效度通过主要成分分析和验证性因子分析进行,工具信度通过内部一致性确定,由Cronbach阿尔法系数和时间稳定性(重测)决定。

结果

问卷的信度为0.942。组内相关系数为0.849。结构效度显示拟合优度和四因素的因子结构可接受,这四个因素为:沟通、同理心、技术护理、护理连续性,每个领域有24个项目,Kaiser - Meyer - Olkin指数高于0.80,总方差高于73。

结论

该工具可靠,在结构和内容方面对于评估满意度也是有效的。

实践意义

此外,这些结果为旨在改善医护人员与患者关系的策略设计提供了依据。

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