强化重症监护中的父母的权力:日本的一项多中心验证研究
Yujiro Matsuishi1, Joseph C Manning2, Haruhiko Hoshino3
1Adult and Elderly Nursing, Faculty of Nursing, Tokyo University of Information Science, Chiba, Japan; Health & Diseases Research Center for Rural Peoples (HDRCRP), Dhaka, Bangladesh; Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
日本的"EMPATHIC-30"调查问卷对儿童重症监护病房 (PICU) 的家庭满意度进行了可靠和有效的评估. 诸如选择性入院和机械通风等因素会影响满意度得分.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果衡量结果.
背景情况:
- 评估儿童重症监护室 (PICU) 的家庭满意度对于质量改善至关重要.
- 强化父母在重症监护 (EMPATHIC-30) 问卷是对家庭满意度的验证工具.
- 在此之前,EMPATHIC-30还没有被翻译或验证为在日本使用.
研究的目的:
- 将EMPATHIC-30问卷翻译成日语并对其进行文化调整.
- 为了验证日本版本的EMPATHIC-30用于PICU.
- 确定与日本PICU中以家庭为中心的护理满意度相关的因素.
主要方法:
- 使用了10个步骤的翻译和文化适应过程.
- 日本的EMPATHIC-30在四个日本的PICU中得到了验证,其中有163个家长.
- 使用Cronbach的alpha来评估可靠性;根据整体满意度尺度对有效性进行了测试.
主要成果:
- 日本的EMPATHIC-30显示出高可靠性 (α = 0.87 0.97) 和一致的有效性.
- 在EMPATHIC-30领域和对护士 (r=0.75) 和医生 (r=0.76) 的整体满意度之间发现了很高的相关性.
- 选择性入院,机械通风和先前的成人ICU经验与所有领域的更高满意度有关.
结论:
- 日本版本的EMPATHIC-30是PICU家庭满意度的可靠和有效指标.
- 包括入院类型和先前的ICU经验在内的特定因素显著影响父母的满意度.
- PICU的临床医生应该考虑道德,文化和宗教因素,以加强以家庭为中心的护理.
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