中文版护理院患者安全文化测评量表的信度与效度分析  

Analysis of reliability and validity of Chinese version of Nursing Home Survey on Patient Safety Culture

作　　者：肖清平[1] 喻秀丽[2] 童立纺[2] 凡芸 蔡泽中 邓德金 曹苏娟[6] 王月清 赵庆华[1] 肖明朝[8] 

机构地区：[1]重庆医科大学附属第一医院护理部,重庆400016 [2]重庆医科大学附属第一医院青杠老年护养中心,重庆402761 [3]上海市浦东新区潍坊社区卫生服务中心,上海200122 [4]上海市东海老年护理医院,上海201303 [5]江苏省苏州福星护理院,苏州215009 [6]北京市第一社会福利院,北京100029 [7]四川省成都再军爱心护理院,成都610103 [8]重庆医科大学附属第一医院泌尿外科,重庆400016

出　　处：《上海交通大学学报（医学版）》2016年第4期555-559,564,共6页Journal of Shanghai Jiao tong University:Medical Science

基　　金：重庆市2013年高等教育教学改革研究项目(132005);国家科技支撑计划(2015BAI06B04)~~

摘　　要：目的译制中文版护理院患者安全文化测评量表并对其信度和效度进行初步验证。方法对护理院患者安全文化测评量表(NHSOPSC)进行跨文化调适,形成中文版NHSOPSC量表,对6家护理院的322名工作人员进行问卷调查,通过专家论证、因子分析及计算信度系数对结果进行信度、效度检验。结果中文版NHSOPSC量表保留23个条目,探索性因子分析提取出6个公因子,累积贡献率为65.28%,各条目的因子载荷范围为0.451～0.892。中文版NHSOPSC量表总的内部一致性系数(Cronbach'sα)为0.884,各维度的Cronbach'sα系数分别为0.841、0.804、0.737、0.757、0.866、0.815。总量表的重测信度为0.904,各维度的重测信度分别为0.913、0.786、0.963、0.895、0.951、0.709,重测关联有统计学意义(P<0.001)。结论中文版NHSOPSC量表具有良好的信度与效度,可以作为测评我国护理院患者安全文化的有效工具。Objective To translate the Nursing Home Survey on Patient Safety Culture （NHSOPSC） into Chinese and verify the reliability and validity of the Chinese version of NHSOPSC. Methods The NHSOPSG was translated and adjusted according to Chinese culture. Three hundred and twenty-two personnel in 6 nursing homes were surveyed by questionnaire. The reliability and validity of the Chinese version of NHSOPSC were verified by expert opinion, factor analysis, and calculation of reliability coefficients. Results The Chinese version of NHSOPSC consisted of 23 items. The exploratory factor analysis extracted six common factors, which could explain 65. 280/0 of the total variance and the factor loading of each item ranged from 0.451 to 0. 892. The Cronbach＇s a of the total scale was 0. 884 and the Cronbach＇s a values of subscales were 0. 841, 0. 804,0. 737, 0. 757, 0. 866, and 0. 815 respectively. The test-retest reliability of the total scale was 0. 904 and the test- retest reliability values of subscales were 0. 913, 0. 786, 0. 963, 0. 895, 0. 951, and 0. 709, respectively. The test-retest correlation was statistically significant （P〈0. 001）. Conclusion The Chinese version of NHSOPSC is reliable and valid and can be used as an effective tool for assessing the patient safety culture in Chinese nursing homes.

关 键 词：护理院 患者安全文化 信度 效度 

分 类 号：R47[医药卫生—护理学]