患者就医体验调查问卷的汉化及信效度评价  

Chinesization of Patient Experience Questionnaire and its Reliability and Validity Evaluation

作　　者：吴怡雪 童莺歌[1] 陈思亦 韩芷晴 薛子豪 姚兰[3] 宋晓萍[4] 胡凯燕 邱文波 WU Yixue;TONG Yingge;CHEN Siyi(School of Nursing,Hangzhou Normal University,Hangzhou,Zhejiang,311121,China;不详)

机构地区：[1]杭州师范大学护理学院,浙江杭州311121 [2]浙江大学医学院附属邵逸夫医院,浙江杭州310016 [3]杭州市肿瘤医院,浙江杭州310005 [4]宁波大学医学院附属医院,浙江宁波315020 [5]宁波市镇海区人民医院医疗集团,浙江宁波315412 [6]台州市立医院,浙江台州318099

出　　处：《中国卫生质量管理》2022年第11期61-66,共6页Chinese Health Quality Management

基　　金：浙江省软科学研究计划项目(2022C35075)。

摘　　要：目的汉化患者就医体验调查问卷《我们做得如何(howRwe)》,并检验其信效度和可读性。方法采用Brislin经典回译模型对howRwe问卷进行直译、回译、等效性评价、文化调适和预测试,形成中文版howRwe问卷(howRwe-C),便利抽取杭州市两家三甲医院的499名成人住院患者进行问卷信效度检验,邀请研究者评价问卷可读性,便利选取60名住院患者测定问卷作答时间,改编howRwe-C问卷介绍语并选取60名癌痛患者进行试应用。采用SPSS 25.0软件进行统计分析。结果howRwe-C问卷Cronbach’sα系数为0.940;各条目内容效度和问卷总内容效度均为1.0;探索性因子分析共提取出1个公因子,累计方差贡献率为84.666%;健康素养充足患者howRwe-C问卷得分为(9.28±2.33)分,健康素养不足患者howRwe-C问卷得分为(7.13±2.89)分,两组得分比较差异有统计学意义(Z=-8.006,P<0.01)。howRwe-C问卷所含常用词29个、非常用词4个,平均作答时间为(54.14±27.74)s。癌痛管理示范化病房患者howRwe-C问卷得分为(10.57±1.65)分,非癌痛管理示范化病房患者howRwe-C问卷得分为(9.60±1.79)分,两者评分比较具有统计学差异(Z=-2.044,P=0.041)。结论howRwe-C问卷的信效度、可读性良好,所需作答时间短,可用于医院评价住院患者就医体验。Objective To translate the patient experience questionnaire"how are we doing"(howRwe)into Chinese version(howRwe-C),and to test its reliability,validity and readability.Methods The Brislin classic back translation model was used to conduct literal translation,back translation,equivalence evaluation,cultural adaptation and pre-test of the howRwe questionnaire.The Chinese version of howRwe questionnaire(howRwe-C)was formed,and 499 adult inpatients from two tertiary hospitals in Hangzhou were conveniently selected to test the reliability and validity of the questionnaire.Researchers were invited to evaluate the readability of the questionnaire,and 60 inpatients were conveniently selected to measure the response time of the questionnaire.The introduction of howRwe-C questionnaire was adapted and 60 patients with cancer pain were selected for trial application.SPSS 25.0 software was used for statistical analysis.Results The Cronbach'sαcoefficient of howRwe-C questionnaire was 0.940.Both the content validity index for item and the content validity index for scales were 1.0.Exploratory factor analysis extracted one common factor,and the cumulative variance contribution rate was 84.666%.The howRwe-C score of patients with adequate health literacy was(9.28±2.33).The howRwe-C score of patients with health literacy deficiency was(7.13±2.89),and the difference between the two groups was statistically significant(Z=-8.006,P<0.01).The howRwe-C questionnaire contained 29 common words and 4 non-common words,and the response time was(54.14±27.74)s.The howRwe-C score of patients in the cancer pain management demonstration ward was(10.57±1.65),and the howRwe-C score of patients in the non-cancer pain management demonstration ward was(9.60±1.79),and the difference was statistically significant(Z=-2.044,P=0.041).Conclusion The howRwe-C questionnaire has good reliability,validity,readability,short response time,and can be used in hospitals to evaluate inpatients'medical experience.

关 键 词：住院患者 患者体验 问卷 汉化 信度 效度 

分 类 号：R197.323[医药卫生—卫生事业管理]