对住院患者对治疗期望的开发和心理测量验证-患者版本治疗规模-
Chunfeng Xiao1, Aoxue Wu1,2, Yufei Wang1,3
1Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Frontiers in psychiatry
|June 28, 2023
概括
一个新的尺度,住院患者.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 心理测量 心理测量 心理测量
背景情况:
- 准确测量住院患者的期望对于一般医院的患者安全管理系统至关重要.
- 现有的工具可能无法充分捕捉住住院患者的多方面的期望.
- 需要制定一个经过验证的尺度来评估患者在医院病房的期望.
研究的目的:
- 为了开发和心理验证一个新的尺度,住院患者对治疗的期望尺度-患者版本 (HOPE-P).
- 评估住院患者对医生与患者沟通和治疗结果的期望.
- 为患者安全管理提供可靠的工具.
主要方法:
- 规模的制定涉及采访35名专家和10名住院患者.
- 最初的维度包括医生与患者的沟通,治疗结果和疾病管理期望.
- 对210名住院患者进行了心理测量验证,使用项目分析,构造有效性,内部一致性和测试-重新测试可靠性.
主要成果:
- 探索性和确认性因子分析支持一个二维结构:医生与患者的沟通和治疗结果的预期.
- HOPE-P尺度表现出令人满意的模型适合性和适当的项目设计.
- 该尺度表现出良好的内部一致性 (Cronbach的α = 0.893整体) 和7天的测试-重新测试可靠性 (r = 0.782).
结论:
- HOPE-P尺度是衡量普通医院住院患者期望的可靠和有效工具.
- 该尺度有效地捕捉了与医生与患者沟通和治疗结果相关的患者期望.
- HOPE-P可以通过提供对患者期望的见解来提高患者安全.
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