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《患者参与问卷(PPQ)的土耳其语改编与验证》

Turkish Adaptation and Validation of Patient Participation Questionnaire (PPQ).

作者信息

Aydoğdu Adil, Yorulmaz Mehmet

机构信息

Department of Health Management, Institute of Health Sciences, Selcuk University, Selcuklu, 42010 Konya, Türkiye.

Department of Health Management, Faculty of Health Sciences, Selcuk University, Selcuklu, 42010 Konya, Türkiye.

出版信息

Healthcare (Basel). 2025 Feb 8;13(4):358. doi: 10.3390/healthcare13040358.

Abstract

: The concept of patient participation is increasingly recognized as an important component in many areas, such as redesigning healthcare processes, improving patient safety, increasing satisfaction, and managing chronic diseases. In this context, measuring the level of patient participation in healthcare services is an important factor. The "Patient Participation Questionnaire" is a tool used to assess patients' evaluations of their participation in their in-hospital care. The absence of a scale in the Turkish literature that measures this concept reveals the importance of this research. : In this study conducted in a tertiary public hospital in Turkey, the final scale translated into Turkish was applied to 355 people using the convenience sampling method. In addition to the "Patient Participation Scale", the "Patient Satisfaction Scale" was used for context validity in the study. Data were analyzed with SPSS 27 and AMOS programs. : As a result of the confirmatory factor analysis, the scale, which originally consisted of 16 questions and four dimensions, was adapted to Turkish as 14 questions and four dimensions. As a result of confirmatory factor analysis, the goodness of fit values of the scale were found to be x/sd = 2.53, GFI = 0.93, AGFI = 0.90, CFI = 0.93, RMSEA = 0.066, RMR = 0.041, and NFI = 0.90. These values are within the acceptable and good fit level ranges. As a result of the correlation analysis performed for context validity, it was determined that there was a positive significant relationship between the adapted patient participation scale and the patient satisfaction scale (r = 0.692, < 0.001). In addition, the internal consistency coefficient of the scale was examined to determine the reliability of the scale, and it was revealed that the scale was reliable at a good level (α = 0.86). : Based on the findings, it was revealed that the "Patient Participation Scale" developed in English is a valid and reliable measurement tool in Turkish culture.

摘要

患者参与的概念在许多领域日益被视为一个重要组成部分,比如重新设计医疗流程、提高患者安全、提升满意度以及管理慢性病等。在此背景下,衡量患者在医疗服务中的参与程度是一个重要因素。“患者参与问卷”是用于评估患者对其住院护理参与情况评价的工具。土耳其文献中缺乏衡量这一概念的量表,这凸显了本研究的重要性。

在土耳其一家三级公立医院开展的本研究中,采用便利抽样法将最终翻译成土耳其语的量表应用于355人。除了“患者参与量表”,研究中还使用“患者满意度量表”进行内容效度检验。数据使用SPSS 27和AMOS程序进行分析。

验证性因素分析结果显示,原本由16个问题和四个维度组成的量表,在翻译成土耳其语后变为14个问题和四个维度。验证性因素分析结果表明,该量表的拟合优度值为x/sd = 2.53,GFI = 0.93,AGFI = 0.90,CFI = 0.93,RMSEA = 0.066,RMR = 0.041,NFI = 0.90。这些值处于可接受的良好拟合水平范围内。为检验内容效度进行的相关性分析结果表明,改编后的患者参与量表与患者满意度量表之间存在显著正相关(r = 0.692,< 0.001)。此外,为确定量表的信度,对量表的内部一致性系数进行了检验,结果显示该量表具有较高的信度(α = 0.86)。

基于这些发现,结果表明以英语编制的“患者参与量表”在土耳其文化中是一种有效且可靠的测量工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af45/11855477/96e8c5e95e79/healthcare-13-00358-g001.jpg

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