健康素养敏感性沟通问卷的汉化及信效度检验  

Translation of the Health Literacy-sensitive Communication Questionnaire into Chinese and Validation of Its Reliability and Validity

作　　者：邓翠玉 黎晓松 赵欣 刘芳[3] 付丽[1] 王玉君[1] DENG Cuiyu;LI Xiaosong;ZHAO Xin(The Second Hospital of Tianjin Medical University,Tianjin,300211,China;不详)

机构地区：[1]天津医科大学第二医院,天津300211 [2]天津康复疗养中心,天津300191 [3]天津中医药大学附属第一医院,天津300193

出　　处：《中国卫生质量管理》2025年第4期66-69,73,共5页Chinese Health Quality Management

基　　金：天津医科大学医院管理创新研究项目(编号:2024YG23)。

摘　　要：目的对英文版健康素养敏感性沟通问卷(HL-COM)进行汉化处理,并检验其在住院患者中的信效度。方法对英文版HL-COM问卷进行翻译,通过文化调适和预调查,确定中文版HL-COM问卷。采用便利抽样法,选取天津市3所三甲医院338名住院患者进行信效度检验。结果中文版HL-COM问卷包含9个条目。中文版HL-COM问卷能够鉴别高分组和低分组(P<0.01),各条目得分与问卷总分相关系数为0.837~0.894(P<0.01)。问卷Cronbach'sα系数为0.954,重测信度为0.879,条目水平内容效度指数为0.852~1.000,问卷水平内容效度指数为0.965。探索性因子分析共提取1个公因子,累计方差贡献率为77.868%,验证性因子分析显示修正后模型拟合度良好。结论中文版HL-COM问卷具有良好的信效度,可从患者角度测评医务人员健康素养敏感性沟通水平。Objective To translate the Health Literacy-sensitive Communication(HL-COM)questionnaire into Chinese and validate its reliability and validity among hospitalized patients.Methods The English version of the HL-COM questionnaire was translated,culturally adapted,and pilot tested to finalize the Chinese version.A convenience sampling method was used to select 338 hospitalized patients from three tertiary hospitals in Tianjin for reliability and validity testing.Results The Chinese version of the HL-COM questionnaire comprises 9 items.It can differentiate between high and low-scoring groups(P<0.01),with correlation coefficients between individual item scores and the total questionnaire score ranging from 0.837 to 0.894(P<0.01).The Cronbach'sαcoefficient of the questionnaire was 0.954,and the test-retest reliability was 0.879.The item-level content validity index ranged from 0.852 to 1.000,and the scsle-level content validity index was 0.965.Exploratory factor analysis extracted one common factor,with a cumulative variance contribution rate of 77.868%.Confirmatory factor analysis showed good fit for the revised model.Conclusion The Chinese version of the HL-COM questionnaire demonstrates good reliability and validity and can be used to assess medical staffs'health literacy-sensitive communication skills from the patients'perspective.

关 键 词：组织健康素养 医患沟通 人文关怀 问卷汉化 服务质量 

分 类 号：R197.323[医药卫生—卫生事业管理]