住院治疗后应对困难:德语版退院后应对困难度表的有效性和可靠性
Matthias Marsall1, Thorsten Hornung2, Alexander Bäuerle3,4
1Institute for Patient Safety (IfPS), University Hospital Bonn, Bonn, Germany. matthias.marsall@ukbonn.de.
Journal of patient-reported outcomes
|November 5, 2024
概括
德国退院后应对困难量表 (PDCDS-G) 是一种验证的工具,用于评估患者在退院后的经历. 它可靠地测量困难,有助于改善护理过渡的质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 心理测量 心理测量 心理测量
背景情况:
- 从医院转院的患者面临着严重的不良事件风险.
- 现有的评估工具对于放弃后的困难缺乏国际可比性和验证.
- 需要对患者在护理过渡期间的经历进行可靠的测量.
研究的目的:
- 调整和验证德语版本的退役后应对困难量表 (PDCDS-G).
- 确定PDCDS-G的心理测量特性,以便在德国医疗保健机构使用.
主要方法:
- 在德国一所大学医院住院后 (≥3天) 的815名成年患者进行了自我报告调查.
- 使用因子分析评估因子有效性,并检查测量不变性.
- 通过将PDCDS-G得分与自我报告的健康状况和患者安全事件相关联来确定标准的有效性.
主要成果:
- PDCDS-G证明了因子有效性,具有非常合适的双因子模型和良好的可靠性.
- 在各种患者和住院因素中证实了测量不变性.
- 与健康状况和患者安全事件的显著关联支持了PDCDS-G的标准有效性.
结论:
- PDCDS-G是一个可靠和有效的患者报告的医院出院后体验的结果指标.
- 其确认的测量不变性允许有效的群组比较和在质量改进计划中使用.
- PDCDS-G适用于旨在增强护理过渡过程和患者安全的患者调查.
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