患者信任医生量表中文版测评住院患者的效度和信度  

Validity and reliability of Chinese version of the Wake Forest Physician Trust Scale among inpatients

作　　者：罗碧华[1,2,3] 周薇[4] 贾姣姣[5] 陈勇 龙开炳 余小强[8] 肖水源[3] LUO Bihua;ZHOU Wei;JIA Jiaojiao;CHEN Yong;LONG Kaibing;YU Xiaoqiang;XIAO Shuiyuan(National Clinical Reseach Center for Metabolic Diseases,Changsha,Hunan,China and Department of Metabolism and Endocrinology,Second Xiangya Hospital,Central South University,Changsha 410011,China;Clinical Nursing Teaching and Reseach Section,Second Xiangya Hospital,Central South University,Changsha 410011,China;Xiangya School of Public Health,Central South University,Changsha 410078,China;Health Management Center Xiangya Hospital CentralSouth University,Changsha 410008,China;Hunan Maternal and Child Health Hospital,Reproduction Medicine Center,Changsha 410008,China;Hunan Cancer Hospital,Changsha 410007,China;Hunan Aerospace Hospital,Changsha 410205,China;School of Foreign Languages,Hunan University,Changsha 410082,China)

机构地区：[1]国家代谢性疾病临床医学研究中心,中南大学湘雅二医院代谢内分泌科,长沙410011 [2]中南大学湘雅二医院临床护理教研室,长沙410011 [3]中南大学湘雅公共卫生学院,长沙410078 [4]中南大学湘雅医院健康管理中心,长沙410008 [5]湖南省妇幼保健院生殖医学中心,长沙410008 [6]湖南省肿瘤医院,长沙410007 [7]湖南航天医院,长沙410205 [8]湖南大学外国语学院,长沙410082

出　　处：《中国心理卫生杂志》2022年第6期501-506,共6页Chinese Mental Health Journal

摘　　要：目的:翻译患者信任医生量表(WFPTS)形成中文版量表(WFPTS-C-10),检验其效度和信度。方法:在长沙市选取6所医院,每所医院随机抽取1个专科的住院患者120人,共720人(样本1)进行条目分析、探索性因子分析及内部一致性信度检验;随机抽取其中1所三甲综合医院6个专科的住院患者600人(样本2)进行验证性因子分析。在样本1中,随机抽取150人进行满意度测量,以分析同时效度;随机抽取40人间隔1周重测。结果:各条目得分与量表总分的相关系数为0.49~0.70(均P<0.001);探索性因子分析提取2个公因子,累积解释总方差的61.43%,各因子负荷0.61~0.86;验证性分析表明,两因子结构拟合可以接受(GFI=0.93,AGFI=0.89,CFI=0.94,NFI=0.92,RMR=0.04);WFPTS-C-10得分与患者满意度得分呈正相关(r=0.30,P<0.001)。总量表的Cronbachα系数为0.76,重测信度(r)为0.58。结论:患者信任医生量表中文版测评住院患者对医生的人际信任程度,效度和信度指标良好。Objective:To translate the English version of the Wake Forest Physician Trust Scale(WFPTS)into Chinese,and to test the validity and reliability of Chinese version of the WFPTS(WFPTS-C-10).Methods:Six hospitals were randomly selected in Changsha,China.Totally 120 inpatients in one specialty were randomly selected from each hospital for a total of 720 inpatients(sample 1).The sample 1 data was used for item analysis,exploratory factor analysis and internal consistency reliability test.A total of 600 inpatients were recruited randomly from a tertiary first-class general hospital(sample 2).The sample 2 data was used for confirmatory factor analysis scale structure validity.Totally 150 inpatients of sample 1 were randomly selected for satisfaction measurement at the same time to analyze the concurrent validity of the scale,and 40 inpatients from sample 1 were randomly selected and retested after 1 week.Results:The correlation coefficient of items-scale was ranged from 0.49 to 0.70(Ps<0.001).Two factors were extracted by exploratory factor analysis and it could explain 61.43%of the total variance,and the factor loadings ranged from 0.61 to 0.86.Then,the confirmatory factor analysis was conducted according to two factors,and the results revealed a good model fit(GFI=0.93,AGFI=0.89,CFI=0.94,NFI=0.92,RMR=0.04).The WFPTS-C-10 scores were significantly positively correlated with the total scores of patients’satisfactions(r=0.30,P<0.001).The Cronbach coefficient was 0.76 for the total scale,and the correlation of test-retest reliability was 0.58.Conclusion:The Chinese version of the Wake Forest Physician Trust Scale(WFPTS-C-10)is proved to be reliable and eligible among inpatients,which could be used to assess the inpatient’s trust in the physician.

关 键 词：患者信任 医患信任 量表 心理测量学 

分 类 号：B841.7[哲学宗教—基础心理学]