医院慢病管理患者满意度问卷的验证性因子分析  

Confirmatory factor analysis of satisfaction questionnaire for patients with chronic disease management in hospital

作　　者：杜春霖 周永召[1] 唐正 陈怡依 何宇恒 万智[1] DU Chun-lin;ZHOU Yong-zhao;TANG Zheng;CHEN Yi-yi;HE Yu-heng;WAN Zhi(Outpatient Department of West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院门诊部,四川成都610041

出　　处：《现代预防医学》2023年第13期2416-2421,共6页Modern Preventive Medicine

基　　金：四川省科普培训项目(2022JDKP0004)。

摘　　要：目的通过验证性因子分析方法评价医院慢病管理患者满意度问卷的结构效度。方法采用分层随机抽样,于2022年4月对接受华西医院慢病管理的患者开展线上问卷调查,并通过验证性因子分析评价问卷的结构效度。结果一阶验证性因子分析显示因子间的相关系数范围为0.74-0.94,提示问卷存在高阶因子结构,建立二阶5因子模型并予以修正后,得到模型整体拟合指标:χ^(2)/v=3.029,SRMR=0.030,RMSEA=0.056,GFI=0.921,AGFI=0.902,NFI=0.947,RFI=0.940,IFI=0.964,TLI=0.959,CFI=0.964,各条目至一阶因子的标准化路径系数,以及各一阶因子至二阶因子的标准化路径系数值在0.63-0.98之间,除2个条目信度系数分别为0.40、0.45外,其余各条目信度系数均大于0.50,各因子的组合信度介于0.83-0.97之间,各因子的平均变异抽取量介于0.55-0.86之间。结论医院慢病管理患者满意度问卷具有良好的结构效度,可在实际应用中推广。Objective To evaluate the construct validity of the satisfaction questionnaire for patients with chronic disease management in hospital by confirmatory factor analysis.Methods By using stratified random sampling,an online questionnaire survey was conducted among patients with chronic disease management in West China Hospital in April 2022,and the construct validity of the questionnaire was evaluated by confirmatory factor analysis.Results The first-order confirmatory factor analysis showed that the correlation number between factors ranged from 0.74 to 0.94,suggesting that there was a high-order factor structure in the questionnaire.After the second-order 5-factor model was established and modified,the overall fitting index of the model was obtained:χ^(2)/v=3.029,SRMR=0.030,RMSEA=0.056,GFI=0.921,AGFI=0.902,NFI=0.947,RFI=0.940,IFI=0.964,TLI=0.959,and CFI=0.964.The standardized path coefficients of each item to the first-order factor and the standardized path coefficient from the first-order factor to the second-order factor were between 0.63 and 0.98,except for two items whose reliability coefficients were 0.40 and 0.45,respectively.The reliability coefficients of the other items were more than 0.50,the combined reliability of each factor was between 0.83 and 0.97,and the average amount of variation extraction of each factor was between 0.55 and 0.86.Conclusion The satisfaction questionnaire of patients with chronic disease management in hospital has good structural validity and can be promoted in practical application.

关 键 词：满意度 慢病管理 结构效度 验证性因子分析 

分 类 号：R197.3[医药卫生—卫生事业管理]