一种针对结肠镜检查的患者报告经验测量的开发和内容有效性测试:患者体验结肠镜量表 (PECS)
Annica Rosvall1, Malin Axelsson2, Ervin Toth3
1Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden. annica.rosvall@mau.se.
Journal of patient-reported outcomes
|March 18, 2024
概括
这项研究开发了患者体验结肠镜量表 (PECS),这是一种测量患者在结肠镜检查期间体验的新仪器. 该PECS确保准确评估患者的满意度和重复手术的意愿.
科学领域:
- 胃肠病学 胃肠病学
- 患者体验研究 研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在内镜护理中,有利的患者体验对于程序重复至关重要.
- 患者参与开发测量工具确保了相关性.
- 需要一个专为结肠镜检查的患者报告经验测量 (PREM).
研究的目的:
- 开发和评估一个专用于结肠镜的PREM的内容有效性.
- 为了使患者在结肠镜检查前,期间和之后的体验变得可操作.
- 创建一个可靠的仪器来评估结肠镜患者的满意度.
主要方法:
- 在两个阶段开发了一个PREM:项目生成和内容有效性测试.
- 利用从系统性文献综述 (n=245名患者) 中获得的概念模型.
- 通过与医疗保健专业人员进行面部验证 (n=4) 和与患者进行认知面试 (n=14) 来评估内容有效性.
主要成果:
- 开发了患者体验结肠镜量表 (PECS),包括五个结构中的30个项目.
- 最初的项目池 (n=77) 根据专家和患者的反进行了改进.
- 内容有效性测试证实了PECS项目的相关性 (I-CVI范围为0.5-1,S-CVI/Ave=0.86).
结论:
- PECS是一种新的30项仪器,用于测量成人可选结肠镜患者的体验.
- 通过系统的文献审查开发,并通过患者和专业人士的投入进行验证.
- 建议进一步评估PECS的心理特征.
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