跨不同等级医疗机构的病人连续性照护感受问卷中文版的信效度研究
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摘要
[目的]对跨不同等级医疗机构的病人连续性照护感受问卷(CCAENA)进行翻译,并对中文版问卷进行信效度检验。[方法]采取Brislin双人翻译-回译模型对英文版量表进行转化,然后将中文版CCAENA在247例社区门诊病人中进行测试,检验中文版问卷的信效度。[结果]中文版CCAENA共有21个条目,量表的Cronbach′sα系数为0.941,分半信度系数为0.854,重测信度系数为0.890。量表各条目的内容效度指数是0.85～1.00,全部条目的平均内容效度指数是0.96。主成分分析法提取出的4个公因子解释了72.19%的总方差。[结论]中文版CCAENA具有良好的信效度,可以为评估病人在不同等级医疗机构之间就医时对连续性照护的感受提供有效的工具。
Objective:To translate CCAENA(Cuestionario Continuidad Asistencial Entre Niveles de Atención)into Chinese,and to verify the reliability and validity of the Chinese version of questionnaire.Methods:The English version of questionnaire was transformed by the Brislin double translation-back translation model.Then the Chinese version of CCAENA was tested in 247 community outpatients to test the reliability and validity.Results:There were 21 entries in the Chinese version of CCAENA.The Cronbach′sαcoefficient of the scale was 0.941,the split-half reliability coefficient was 0.854,and the test-retest reliability coefficient was 0.890.The content validity index of each item of the scale was 0.85～1.00,and the average content validity index of all items was 0.96.The four common factors extracted by principal component analysis explained the total variance of 72.19%.Conclusions:The Chinese version of CCAENA had good reliability and validity and could provide an effective tool for assessing the patient′s feelings of continuity of care when seeking medical treatment across different care levels.
Objective:To translate CCAENA(Cuestionario Continuidad Asistencial Entre Niveles de Atención)into Chinese,and to verify the reliability and validity of the Chinese version of questionnaire.Methods:The English version of questionnaire was transformed by the Brislin double translation-back translation model.Then the Chinese version of CCAENA was tested in 247 community outpatients to test the reliability and validity.Results:There were 21 entries in the Chinese version of CCAENA.The Cronbach′sαcoefficient of the scale was 0.941,the split-half reliability coefficient was 0.854,and the test-retest reliability coefficient was 0.890.The content validity index of each item of the scale was 0.85～1.00,and the average content validity index of all items was 0.96.The four common factors extracted by principal component analysis explained the total variance of 72.19%.Conclusions:The Chinese version of CCAENA had good reliability and validity and could provide an effective tool for assessing the patient′s feelings of continuity of care when seeking medical treatment across different care levels.
引文
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[12]张蕾,麻春英,李萍.简明骨骼肌肉功能评估量表的汉化及在严重创伤病人中的信效度评价[J].护理研究,2017,31(27):3405-3409.
[13]黄丽,江琴,林秀霞,等.ICU记忆评估工具的汉化和ICU记忆量表的信效度检验[J].中华护理杂志,2016,51(10):1265-1269.
[14]黄培,易利华.3种不同类型医联体模式的实践与思考[J].中国医院管理,2015,35(2):16-19.
[15]李梦斐.我国“医联体”发展现状与对策研究[D].济南:山东大学,2017.
[16]陈燕.北京地区慢性心力衰竭患者延续性照护模式的初步探索[D].北京:北京协和医学院,2013.
[2]王莉,孙晓,张寸,等.医院-社区联动下的慢性病延续性照护现状研究进展[J].护理研究,2016,30(11B):3973-3976.
[3]李睿,张亮.医院和社区卫生机构间连续性医疗服务模型研究[J].医学与社会,2011,24(5):55-57.
[4]张倩,马红梅,张爽,等.延续性护理的发展现状[J].护理研究,2016,30(3C):1028-1030.
[5]姚立群,庞书勤,郑丽维,等.连续性护理的概念内涵及测量工具的研究进展[J].中华护理杂志,2013,48(11):1026-1029.
[6]LETELIER M J,ALLER M B,HENAO D,et al.Design and validation of a questionnaire to measure continuity between care levels from the user′s perspective[J].Gac Sanit,2010,24(4):339-346.
[7]ALLER M B,VARGAS I,GARCIA-SUBIRATS I,et al.A tool for assessing continuity of care across care levels:an extended psychometric validation of the CCAENA questionnaire[J].Int JIntegr Care,2013,13:e050.
[8]GARCIA-SUBIRATS I,ALLER M B,VARGAS LORENZO I,et al.Adaptation and validation of the CCAENAscale for the measurement of continuity of care between healthcare levels in Colombia and Brazil[J].Gac Sanit,2015,29(2):88-96.
[9]BEATON D E,BOMBARDIER C,GUILLEMIN F,et al.Guidelines for the process of cross-cultural adaptation of self-report measure[J].Spine,2000,25(24):3186-3191.
[10]刘谆谆,张兰凤,LISA GUDENKANF.癌症患者疾病获益感量表的跨文化调适[J].中华护理杂志,2015,50(5):561-566.
[11]吴明隆.问卷统计分析实务---SPSS操作与应用[M].重庆:重庆大学出版社,2010:1.
[12]张蕾,麻春英,李萍.简明骨骼肌肉功能评估量表的汉化及在严重创伤病人中的信效度评价[J].护理研究,2017,31(27):3405-3409.
[13]黄丽,江琴,林秀霞,等.ICU记忆评估工具的汉化和ICU记忆量表的信效度检验[J].中华护理杂志,2016,51(10):1265-1269.
[14]黄培,易利华.3种不同类型医联体模式的实践与思考[J].中国医院管理,2015,35(2):16-19.
[15]李梦斐.我国“医联体”发展现状与对策研究[D].济南:山东大学,2017.
[16]陈燕.北京地区慢性心力衰竭患者延续性照护模式的初步探索[D].北京:北京协和医学院,2013.