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医疗质量。基于扎根理论模型开发以患者为中心的调查问卷。

Quality of care. Development of a patient-centred questionnaire based on a grounded theory model.

作者信息

Wilde B, Larsson G, Larsson M, Starrin B

出版信息

Scand J Caring Sci. 1994;8(1):39-48. doi: 10.1111/j.1471-6712.1994.tb00223.x.

DOI:10.1111/j.1471-6712.1994.tb00223.x
PMID:8159889
Abstract

In a previous study (Wilde et al. 1993), we developed a model of quality of care from a patient perspective using a grounded theory approach. The aim of the present study was to derive an instrument from this model. A questionnaire, Quality from Patients' Perspective (QPP), was developed which consisted of 56 items. Each item was evaluated in two ways by the respondent; assessment of perceived reality and evaluation of subjective importance (Likert scales). A personal quality of care index was computed on the basis of the relationship between these two scores. The QPP was tested on two samples, patients with infectious diseases (n = 147, mean age: 60 years) and nursing students (n = 103, mean age: 27 years). Patient's scores were factor analysed (principal factoring with oblique rotation) and 17 factors were extracted. Subgroups of patients were compared and correlations were computed between factor scores and self-rated health and well-being. Students also responded to a short form of the QPP (41 items) and personality scales. Correlations between these sets of variables were computed. The QPP was discussed in relation to existing scales.

摘要

在之前的一项研究(王尔德等人,1993年)中,我们采用扎根理论方法从患者角度建立了一个护理质量模型。本研究的目的是从该模型中衍生出一种工具。我们编制了一份名为“患者视角的质量”(QPP)的问卷,它由56个项目组成。每个项目由受访者通过两种方式进行评估:对感知现实的评估和对主观重要性的评价(李克特量表)。根据这两个分数之间的关系计算出个人护理质量指数。QPP在两个样本上进行了测试,一个是传染病患者样本(n = 147,平均年龄:60岁),另一个是护理专业学生样本(n = 103,平均年龄:27岁)。对患者的得分进行了因子分析(主因子分析和斜交旋转),提取了17个因子。对患者亚组进行了比较,并计算了因子得分与自评健康和幸福感之间的相关性。学生们还对QPP的简版(41个项目)和人格量表进行了回答。计算了这些变量集之间的相关性。我们还结合现有量表对QPP进行了讨论。

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