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Com-On 问卷:一种评估肿瘤学家沟通技巧的问卷的编制与验证。

Com-On Questionnaire: Development and validation of a questionnaire for evaluating communication skills of oncologists.

机构信息

University Hospital, Center for Mental Health, Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany.

Klinikum rechts der Isar, Department of Psychosomatic Medicine and Psychotherapy, Technical University of Munich, Munich, Germany.

出版信息

Eur J Cancer Care (Engl). 2022 Nov;31(6):e13684. doi: 10.1111/ecc.13684. Epub 2022 Aug 19.

Abstract

OBJECTIVE

The present study aimed to develop and validate an instrument for assessing the communication skills of oncology physicians from a patient's point of view.

METHODS

A first draft of the questionnaire was compiled based on skills reflecting good physician-patient communication identified in the literature. The questionnaire was critically revised by experts to ensure the validity of its contents. The revised questionnaire was completed by a sample of 153 cancer patients. The questionnaire was developed in German and later translated into English.

RESULTS

After analysis using classical test theory and an exploratory factor analysis, four different factors could be extracted. These factors were labelled setting, patient-centeredness, empathy and consulting competencies. Unsuitable items were eliminated within the analysis. All remaining items hold an appropriate degree of selectivity, item difficulty and reliability/consistency.

CONCLUSION

A novel questionnaire for evaluating communication skills of physicians was developed. It contains 36 items and is named 'Com-On Questionnaire: Questionnaire for the Evaluation of Physician's Communication Skills in Oncology'.

PRACTICE IMPLICATIONS

The questionnaire is suitable for measuring both the strengths and deficits within the physician-patient communication in oncology from the patients' perspective.

摘要

目的

本研究旨在开发并验证一种从患者角度评估肿瘤医师沟通技巧的工具。

方法

根据文献中确定的反映良好医患沟通的技能,编制了问卷初稿。通过专家对问卷进行严格修订,以确保内容的有效性。修订后的问卷由 153 名癌症患者完成。问卷最初以德语编写,然后翻译成英语。

结果

使用经典测试理论和探索性因素分析后,可提取出四个不同的因子。这些因子分别命名为设置、以患者为中心、同理心和咨询能力。在分析过程中,剔除了不合适的项目。所有剩余的项目都具有适当的选择性、项目难度和可靠性/一致性。

结论

开发了一种新的评估医师沟通技巧的问卷,名为“Com-On 问卷:肿瘤医师沟通技巧评估问卷”,包含 36 个项目。

实践意义

该问卷适用于从患者角度测量肿瘤学中医患沟通的优势和缺陷。

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