门诊导医评价工具的汉化及信效度研究  

Chinesization of Evaluation Tool for Outpatient Navigation and Its Reliability and Validity Rearsch

作　　者：陈宣成 赖善缘 吴怡雪 童莺歌[1] 陈羊毅 汪书蓓 徐淑娟 叶怡欣 薛子豪 CHEN Xuancheng;LAI Shanyuan;WU Yixue(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]杭州师范大学基础医学院,浙江杭州311121 [3]浙江大学医学院附属邵逸夫医院,浙江杭州310020

出　　处：《中国卫生质量管理》2023年第7期52-57,共6页Chinese Health Quality Management

基　　金：2022年浙江省软科学研究计划项目(编号:2022C35075)。

摘　　要：目的汉化健康素养支持性环境评价工具的门诊导医问卷(HLE2-Navigation),并检验其信效度。方法基于Brislin翻译模型对HLE2-Navigation问卷进行直译、回译和文化调适,形成中文版HLE2-Navigation(HLE2-Navigation-C)问卷,并选取5名专家和浙江省不同级别医疗机构门诊就诊者进行信效度检验,选取浙江省12家医院的444名门诊就诊者进行应用。采用SPSS 20.0软件进行数据统计分析。结果HLE2-Navigation-C问卷包括“抵达”(10个条目)和“寻路”(20个条目)两个维度共30个条目。HLE2-Navigation-C问卷内在一致性信度即Cronbach’sα系数为0.886,重测信度为0.874(P<0.05);条目内容效度指数在0.8~1.0之间,总内容效度指数为0.980。三级医院和基层医疗卫生机构均以条目6得分最高,二级医院以条目2得分最高;三级医院、二级医院和基层医疗卫生机构均以条目8得分最低。结论HLE2-Navigation-C问卷具有良好的信效度,可用于评价我国医疗机构门诊导医环境和服务建设情况。Objective To translate Second Edition of the Health Literacy Environment of Hospitals and Health Centers-Navigation(HLE2-Navigation)into Chinese version,and to test its reliability and validity.Methods Based on the Brislin translation model,HLE2-Navigation was translated,back translated and culturally adapted.The Chinese version of HLE2-Navigation questionnaire(HLE2-Navigation-C)was formed and 5 experts and outpatients from different levels of medical institutions in Zhejiang Province were selected to conduct the reliability and validity test.A total of 444 outpatient patients from 12 hospitals in Zhejiang Province were selected for the application.SPSS 20.0 software was used for statistical analysis.Results The HLE2-Navigation-C questionnaire included two dimensions of"arrival"(10 items)and"wayfinding"(20 items)with a total of 30 items.The Cronbach's α coefficient of questionnaire was 0.886 and the retest reliability was 0.874(P<0.05).The item level and the content validity of the total questionnaire were 0.8~1.0 and 0.980,respectively.Tertiary hospitals and primary medical institutions had the highest score with item 6.Secondary hospitals had the highest score with item 2.Tertiary hospitals,secondary hospitals and primary medical institutions all had the lowest scores in item 8.Conclusion The HLE2-Navigation-C has good reliability and validity,which can provide a reference tool for the evaluation of outpatient department navigation environment and service in China's medical institutions.

关 键 词：门诊 导医 健康素养支持性环境 评价工具 汉化 信度 效度 服务质量 

分 类 号：R197.323[医药卫生—卫生事业管理]