评估和测量患者报告的家庭透析体验措施的测量属性
Matthew B Rivara1,2, David K Prince1, Kerstin K Leuther3
1Kidney Research Institute, University of Washington, Seattle, Washington.
Clinical journal of the American Society of Nephrology : CJASN
|January 23, 2024
概括
一项新的调查有效地衡量了家庭透析患者的体验,显示了高可靠性和与整体评级的强烈相关性. 该工具有助于评估腹膜透析或家庭血液透析患者的护理质量.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于家庭透析患者,没有经过验证的患者报告经验指标.
- 开发和测试了一项新的26项调查,即家庭透析护理体验调查.
研究的目的:
- 为了验证对接受家庭透析的患者进行家庭透析护理经验调查.
- 评估调查复合尺度的可靠性和有效性.
主要方法:
- 通过邮件和电话向1372名接受腹膜透析或家庭血液透析的患者进行调查.
- 评估了项目校准,因素分析和测试-重新测试可靠性.
- 评估了与全球评级和患者/设施特征的关联.
主要成果:
- 495名患者完成了调查 (36%的响应率).
- 一个12项尺度,家庭透析护理和手术的质量,显示出高的内部一致性 (克朗巴赫α=0.85) 和测试重复测试可靠性 (ICC=0.74).
- 该尺度与整体工作人员 (r=0.73) 和中心评级 (r=0.70) 有很强的相关性.
结论:
- 家庭透析护理经验调查是评估患者在家庭透析的经验的可靠和有效工具.
- 该调查为家庭透析患者的护理和手术质量提供了宝贵的见解.
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