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在新冠疫情期间,针对儿科患者照料者使用远程康复的物理治疗护理满意度量表的心理测量特性。

Psychometric properties of a physiotherapy care satisfaction scale using telerehabilitation in caregivers of pediatric patients during the COVID-19 pandemic.

作者信息

Gonzalez Ccosi Jessica Liz, Ricra Deysi Pedraza, Basauri-Delgado Miguel, Saintila Jacksaint

机构信息

Universidad Nacional Mayor de San Marcos, Lima, Perú.

Universidad Femenina del Sagrado Corazón, Lima, Perú.

出版信息

Digit Health. 2025 Jan 26;11:20552076251315299. doi: 10.1177/20552076251315299. eCollection 2025 Jan-Dec.

DOI:10.1177/20552076251315299
PMID:39872001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11770776/
Abstract

BACKGROUND

Evidence on the psychometric properties of satisfaction scales in telerehabilitation is limited, especially in specific populations such as caregivers of children.

OBJECTIVE

To determine the psychometric properties of a physiotherapy care satisfaction scale using telerehabilitation in caregivers of pediatric patients during the COVID-19 pandemic.

METHODS

A total of 155 caregivers were evaluated between June and December 2020. Approximately 91% (141) were women. Evidence of content validity for the scale was obtained through evaluation by three expert judges, who confirmed the adaptation of the University of Washington Telemedicine Patient Satisfaction Survey, in which the word "telemedicine" was replaced with "telerehabilitation" and "physician" with "physical therapist."

RESULTS

For the confirmatory factor analysis, two models were tested. The first one-factor model with nine items did not fit satisfactorily based on the goodness-of-fit indices ( / = 13.96, comparative fit index [CFI] = 0.963, non-normed fit index [NNFI] = 0.951, root mean square error of approximation [RMSEA] = 0.290 [0.265, 0.316], and standardized root mean square residual [SRMR] = 0.178). In contrast, the second one-factor model, which involved respecification of Items 6 and 7, was considered acceptable ( / = 1.60, CFI = 0.998, NNFI = 0.998, RMSEA = 0.062 [0.021, 0.096], and SRMR = 0.057). Reliability was acceptable, with a value of 0.888. Additionally, network analysis confirmed the direct relationship between the items, with Item 7 showing the greatest strength centrality.

CONCLUSION

The instrument demonstrated sufficient evidence of validity and reliability in the Peruvian context, supporting its use with pediatric patients.

摘要

背景

远程康复中满意度量表的心理测量特性方面的证据有限,尤其是在儿童看护者等特定人群中。

目的

确定在新冠疫情期间,针对儿科患者看护者使用远程康复的物理治疗护理满意度量表的心理测量特性。

方法

2020年6月至12月期间共评估了155名看护者。约91%(141名)为女性。该量表的内容效度证据通过三位专家评委的评估获得,他们确认了对华盛顿大学远程医疗患者满意度调查问卷的改编,即将“远程医疗”一词替换为“远程康复”,“医生”替换为“物理治疗师”。

结果

对于验证性因素分析,测试了两个模型。基于拟合优度指标,第一个包含九个条目的单因素模型拟合效果不佳(χ²/df = 13.96,比较拟合指数[CFI] = 0.963,非规范拟合指数[NNFI] = 0.951,近似均方根误差[RMSEA] = 0.290[0.265, 0.316],标准化均方根残差[SRMR] = 0.178)。相比之下,第二个涉及对条目6和7重新设定的单因素模型被认为是可接受的(χ²/df = 1.60,CFI = 0.998,NNFI = 0.998,RMSEA = 0.062[0.021, 0.096],SRMR = 0.057)。信度可接受,值为0.888。此外,网络分析证实了各条目之间的直接关系,条目7显示出最大的强度中心性。

结论

该工具在秘鲁背景下显示出充分的效度和信度证据,支持其用于儿科患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9f/11770776/1e0467b77b8d/10.1177_20552076251315299-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9f/11770776/1e0467b77b8d/10.1177_20552076251315299-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9f/11770776/1e0467b77b8d/10.1177_20552076251315299-fig1.jpg

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