门诊患者人文关怀管理规范质量评价量表的构建及信效度检验  

Construction of the quality evaluation scale of specification of management for humanistic caring in outpatients and its reliability and validity testing

作　　者：越丽霞[1] 崔娜 车旭 张姮 王红霞[2] 郭舒婕[4] 师红玲[5] 于瑞英 辛霞[7] 陈晓欢[8] 王莉[9] 职志威[4] 谭蕾 郑喜灿 YUE Lixia;CUI Na;CHE Xu;ZHANG Heng;WANG Hongxia;GUO Shujie;SHI Hongling;YU Ruiying;XIN Xia;CHEN Xiaohuan;WANG Li;ZHI Zhiwei;TAN Lei;ZHENG Xican(General Management Office,Henan Provincial People’s Hospital Jingwu Road Campus,Zhengzhou 450003,China;Nursing Department of Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China;Department of Urology,Henan Provincial People’s Hospital,Zhengzhou 450003,China;Department of Outpatient,Henan Provincial People’s Hospital,Zhengzhou 450003,China;Department of Nursing,Luohe Central Hospital,Luohe 462005,China;Department of Nursing,Chongqing Jiulongpo People’s Hospital,Chongqing 400051,China;Department of Nursing,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of Nursing,Fujian Provincial Hospital,Fuzhou 350013,China;Department of Nursing,Wuhan No.1 Hospital,Wuhan 430030,China;Department of Nursing,Wuhan Red Cross Hospital,Wuhan 430024,China;Department of Nursing,the 988th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army,Zhengzhou 450052,China)

机构地区：[1]河南省人民医院经五路院区综合管理办公室,河南郑州450003 [2]河南省中医院护理部,河南郑州450002 [3]河南省人民医院泌尿外科,河南郑州450003 [4]河南省人民医院门诊部,河南郑州450003 [5]漯河市中心医院护理部,河南漯河462005 [6]重庆市九龙坡区人民医院护理部,重庆400051 [7]西安交通大学第一附属医院护理部,陕西西安710061 [8]福建省立医院护理部,福建福州350013 [9]武汉市第一医院护理部,湖北武汉430030 [10]武汉市红十字会医院护理部,湖北武汉430024 [11]中国人民解放军联勤保障部队第九八八医院护理部,河南郑州450052

出　　处：《中国医学伦理学》2024年第11期1366-1377,共12页Chinese Medical Ethics

基　　金：河南省医学科技攻关计划软科学项目“医联体建设背景下县级公立综合医院质量管理同质化研究”(RKX202102001);河南省中青年卫生健康科技创新领军人才培养项目“医院人文关怀标准体系的创建及应用示范”(LJRC2023020);中华中医药学会护理学科发展专项立项课题“中医护理质控敏感指标的构建与应用”(HLKT-CACM-2022-2-10)。

摘　　要：目的构建门诊患者人文关怀管理规范质量评价量表并检验信效度。方法参考中国生命关怀协会发布的团体标准《门诊患者人文关怀管理规范》,以及相关指南及文献,形成门诊患者人文关怀管理规范质量评价量表条目池,并经专家函询和专家论证构建门诊患者人文关怀管理规范质量评价量表。于2024年1月—2月选取郑州市5家医院的243名医院管理者作为调查对象,对量表进行项目分析和信效度检验。结果分别进行2轮专家函询和2轮专家论证,问卷回收率分别为92.00%和100.00%,专家权威系数均为0.952。第2轮专家函询量表一级指标的重要性均分为4.80~5.00分,满分比为88.00%~100.00%,变异系数为0.04~0.17,肯德尔和谐系数为0.857(P<0.001);二级指标的重要性均分为4.60~5.00分,满分比为80.00%~100.00%,变异系数为0.00~0.21,肯德尔和谐系数为0.775(P<0.001);三级指标的重要性均分为4.60~5.00分,满分比为76.00%~100.00%,变异系数为0.00~0.21,肯德尔和谐系数为0.830(P<0.001)。最终形成包括5个一级指标、25个二级指标、58个三级指标的门诊患者人文关怀管理规范质量评价量表。探索性因子分析产生5个公因子,累计方差贡献率为74.628%。5个因子得分之间的Pearson相关系数为0.648~0.798,各因子得分与量表总分之间的相关系数为0.784~0.938。量表平均内容效度指数(S-CVI)为0.945,条目内容效度指数(I-CVI)为0.725~1.000,总量表的Cronbach’sα系数为0.973,重测信度系数为0.934。结论构建的门诊患者人文关怀管理规范质量评价量表具有较好的科学性和可靠性,可作为门诊患者人文关怀管理规范质量评价的测评工具。Objective:To construct the quality evaluation scale of specification of management for humanistic caring in outpatients and test its reliability and validity.Methods:Referring to the group standards in Specification of Management for Humanistic Caring in Outpatients released by the China Association for Life Care,as well as relevant guidelines and literature,a pool of items for the quality evaluation scale of specification of management for humanistic caring in outpatients was formed.After expert consultation and expert argumentation,a quality evaluation scale of specification of management for humanistic caring in outpatients was constructed.From January to February 2024,243 hospital managers from 5 hospitals in Zhengzhou were selected as survey subjects to conduct item analysis,and reliability and validity testing on the scale.Results:Two rounds of expert inquiry and two rounds of expert argumentation were conducted,with questionnaire response rates of 92.00%and 100.00%,respectively,and expert authority coefficients of 0.952.In the second round of the expert inquiry scale,the mean importance score of the first-level indicators was 4.80 to 5.00,the full score ratio was 88.00%to 100.00%,the coefficient of variation was 0.04 to 0.17,and Kendall’s coefficient of concordance was 0.857(P<0.001);the mean importance score of the second-level indicators was 4.60 to 5.00,the full score ratio was 80.00%to 100.00%,the coefficient of variation was 0.00 to 0.21,and Kendall’s coefficient of concordance was 0.775(P<0.001);the mean importance score of the third-level indicators was 4.60 to 5.00,the full score ratio was 76.00%to 100.00%,the coefficient of variation was 0.00 to 0.21,and Kendall’s coefficient of concordance was 0.830(P<0.001).Finally,a quality evaluation scale of specification of management for humanistic caring in outpatients was formed,including 5 first-level indicators,25 second-level indicators,and 58 third-level indicators.Exploratory factor analysis produced 5 common factors with a cumulative variance

关 键 词：门诊患者 人文关怀 管理规范 质量评价 量表 

分 类 号：R192[医药卫生—卫生事业管理]