咨询和关系同理心 (CARE) 尺度的可靠性和有效性
Shumin Mai1, Lu Li1,2,3
1School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, Hangzhou, PR China.
Journal of evaluation in clinical practice
|January 31, 2025
概括
这项研究开发并验证了语版本的咨询和关系同理心 (CARE) 尺度. 新的尺度准确地测量了中国初级医疗保健机构中患者对医生同情心的看法.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 患者对医生同情心的感知会对患者的行为和治疗结果产生积极影响.
- 咨询与关系同理心 (CARE) 尺度是广泛使用的患者感知医生同理心的衡量标准.
- 在中国的初级医疗保健机构中,缺乏标准化的普通话版本的CARE尺度.
研究的目的:
- 开发和验证一个普通话版本的CARE尺度.
- 评估中国普通话CARE尺度测量患者感知到的医生同情心的心理特征.
主要方法:
- 一项涉及341名高血压和/或糖尿病患者的初级测试,来自中国江省的四个初级医疗保健中心.
- 探索性因子分析 (EFA),以确定普通话CARE尺度的基础结构.
- 一项对来自六个初级诊所的1085名患者进行的二次测试,使用确认因素分析 (CFA) 进行结构验证.
主要成果:
- 汉语CARE尺度由10个项目组成,跨越3个维度.
- 该尺度表现出高的内部一致性可靠性 (克朗巴赫的α = 0.91) 和复合可靠性 (CRs从0.88到0.90不等).
- 证实了良好的收和区分有效性,平均变异提取 (AVE) 值在0.65到0.79.7之间.
结论:
- 开发的普通话版本的CARE尺度是一个可靠和有效的工具.
- 这种尺度可以有效地用于评估患者对医生同情心的看法,在中国大陆的初级医疗保健机构.
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