患者参与文化评估量表(医护版)的汉化及信效度检验  

Validation of Chinese version of Patient Participation Culture Tool for Healthcare Workers and its application in clinical nurses

作　　者：王文娜 张振香[2] 周辰茜 江湖 赵志欣 WANG Wenna;ZHANG Zhenxiang;ZHOU Chenxi;JIANG Hu;ZHAO Zhixin

机构地区：[1]郑州大学医学科学院,郑州市450001 [2]郑州大学护理与健康学院,郑州市450001

出　　处：《中华护理教育》2023年第12期1487-1493,共7页Chinese Journal of Nursing Education

摘　　要：目的翻译、修订患者参与文化评估量表(医护版)(The Patient Participation Culture Tool for Healthcare Workers,PaCT-HCW),为从护士角度测评患者参与提供可靠的工具。方法根据Brislin翻译模型对PaCT-HCW进行翻译和回译,通过专家咨询和预调查对中文版量表进行文化调试和修订。请7名专家对量表的内容进行评价,选取812名护士进行问卷调查,2周后抽取50名临床护士进行再次调查。结果中文版PaCT-HCW包括6个维度(能力、支持、对时间不足的感知、信息共享与对话、对问题的回应、对新角色的接受度),44个条目。探索性因子共提取6个公因子,累计方差贡献率69.829%;量表条目内容效度指数为0.710~1.000,量表层面内容效度指数为0.970。总量表的Cronbach'sα系数为0.962,各维度的Cronbach'sα系数为0.748~0.956;总量表的重测信度为0.980,各维度的重测信度为0.690~0.977。结论中文版PaCT-HCW信效度良好,可作为测评医院病房内患者参与文化水平的工具。Objective The purpose of this study was to translate and revise Patient Participation Culture Tool for Healthcare Workers(PaCT-HCW)in Chinese background,so as to provide a reliable tool for evaluating the level of patient engagement.Methods The translation and back-translation of PaCT-HCW were followed by the Brislin translation model.The Chinese version was culturally adjusted and refined through expert consultations and pre-investigation.Content validity of the Chinese version was evaluated by seven experts.A questionnaire survey was conducted among 812 nurses.Fifty clinical nurses were selected to investigate again after two weeks.Results The Chinese version of PaCT-HCW consisted of 44 items into six dimensions:competence,support,perceived lack of time,information sharing and dialogue,response to questions,and acceptance of a new role.Exploratory factor analysis revealed six common factors,accounting for a cumulative variance contribution rate of 69.829%.The item content validity index(I-CVI)of the scale rangedfrom 0.710 to 1.000,and average content validity(S-CVI/Ave)reached 0.970.The Cronbach'sαfor the whole scale was 0.962,while varied from 0.748 to 0.956 for dimensions.The test-retest reliability of the scale was 0.980,andranged from 0.690 to 0.977 for dimensions.Conclusion The Chinese version of PaCT-HCW has good reliability and validity,and can be used as a valid tool in evaluating the level of patients'participation cultural for nurses.

关 键 词：病人参与 文化 护士 问卷调查 

分 类 号：R47[医药卫生—护理学]