对医疗保健专业人员的持续体质症状污名度量表的验证
Brodie McGhie-Fraser1, Aranka Ballering2, Peter Lucassen1
1Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of clinical epidemiology
|August 19, 2024
概括
一个新的尺度,医疗保健专业人员的持续性体征耻辱尺度 (PSSS-HCP),有效地衡量医疗保健专业人士对持续性体征症状 (PSS) 的耻辱感. PSSS-HCP在减少耻辱的努力中表现出良好的可靠性和有效性.
科学领域:
- 心理医学 心理医学
- 医疗保健 专业人士的态度 态度
- 污名的测量 污名测量
背景情况:
- 持续的身体症状 (PSS) 是重复或持续的症状,如疲劳或疼痛,往往导致功能障碍.
- 医疗保健专业人员对PSS的耻辱是一种担忧,但缺乏经过验证的测量工具.
- 医疗保健专业人员 (PSSS-HCP) 的持续体质症状耻辱度表最近被开发出来.
研究的目的:
- 评估PSSS-HCP的测量特性,包括有效性和可靠性.
- 为了确定PSSS-HCP的因子结构.
- 评估PSSS-HCP适合测量医疗保健专业人员之间的耻辱感.
主要方法:
- 该PSSS-HCP对121名英国医疗保健专业人员进行了管理.
- 使用主要成分分析来检查因子结构.
- 评估了内部一致性 (克朗巴赫α) 和测试重试可靠性.
- 收的有效性被评估使用医疗状况标准 (MCRS) 和社会可取性使用马洛-克劳恩社会可取性标准 (MCSDS).
主要成果:
- 该PSSS-HCP显示了足够的内部一致性 (克朗巴赫的α=0.84) 和高的测试重试可靠性 (ICC=0.97).
- 与MCRS发现了足够的融合有效性,并且没有检测到社会可取性偏差.
- 确定了三因素结构 (其他,互动中的不安,不披露),解释了60.5%的13项差异.
结论:
- PSSS-HCP是衡量医疗保健专业人员对PSS的耻辱感的有效和可靠的工具.
- 该尺度表现出良好的心理测量特性,并且没有社会可取性偏见.
- PSSS-HCP可以作为评估PSS护理中的耻辱减少干预措施的基础.
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