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[一份关于康复治疗中患者满意度的新问卷的效度和信度]

[Validity and reliability of a new questionnaire on patient satisfaction in rehabilitative therapy].

作者信息

Franchignoni F, Benevolo E, Ottonello M, Tesio L, Battaglia M A

机构信息

Fondazione S. Maugeri, Clinica del Lavoro e della Riabilitazione, Istituto di Ricovero e Cura a Carattere Scientifico, Centro Medico di Riabilitazione, Genova Nervi.

出版信息

Minerva Med. 1998 Mar;89(3):57-64.

PMID:9575331
Abstract

BACKGROUND

The aim of this study was to examine some psychometric properties of a new questionnaire measuring patients' satisfaction with respect to the quality of care during stay in a rehabilitation unit. The instrument (called SAT-16) is composed of 16 four-level items and 2 open-ended questions. The construct validity of the 16-item section was already demonstrated in a previous study based on factorial analysis. In this study the concurrent validity, further aspects of the construct validity and test-retest reliability were analyzed.

METHODS

The SAT-16 was administered to 339 inpatients, admitted consecutively to a Rehabilitation Center.

RESULTS

262 questionnaires (77%) were returned, of which 221 with all items filled in. The SAT-16 correlated well with two other measures of satisfaction (CSQ-8 and global satisfaction regarding the hospital stay). The answers to two open-ended questions came out to be consistent with those to the 16 closed-ended questions. The high values for the indices of test-retest reliability (ICC and kappa) are evidence of the stability of the scores in two repeated administrations.

CONCLUSIONS

The SAT-16 was found to be provided with good psychometric characteristics. It can be proposed as a valid instrument for use in clinical practice for the continuous quality improvement of inpatient medical rehabilitation programmes.

摘要

背景

本研究旨在检验一份新问卷的一些心理测量学特性,该问卷用于测量患者对康复单元住院期间护理质量的满意度。该工具(称为SAT - 16)由16个四级项目和2个开放式问题组成。基于因子分析的先前研究已经证明了16项部分的结构效度。在本研究中,分析了同时效度、结构效度的其他方面以及重测信度。

方法

将SAT - 16应用于连续入住康复中心的339名住院患者。

结果

共回收262份问卷(77%),其中221份所有项目均填写完整。SAT - 16与另外两项满意度测量指标(CSQ - 8和对住院期间的总体满意度)相关性良好。两个开放式问题的答案与16个封闭式问题的答案一致。重测信度指标(ICC和kappa)的高值证明了两次重复施测中分数的稳定性。

结论

发现SAT - 16具有良好的心理测量学特性。它可被提议作为一种有效的工具,用于临床实践中持续提高住院医疗康复项目的质量。

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