一个西班牙语的患者报告的结果衡量对怀孕护理临床医生的信任
Rose L Molina1,2, Maria Bazan1, Michele R Hacker1,2
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
JAMA network open
|February 18, 2025
概括
开发和验证了一种新的西班牙语患者报告结果衡量 (PROM) 临床医生的信任. 该工具增强了对西班牙语患者怀孕护理的信任评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 健康 公平 卫生 公平
背景情况:
- 患者对临床医生的信任对于有效的医疗保健至关重要.
- 现有的临床医生信任的患者报告结果指标 (PROM) 在西班牙语中没有.
- 西班牙语是美国第二常见的语言,突出了文化和语言上适当的工具的差距.
研究的目的:
- 开发和验证西班牙语PROM以测量患者对其妊娠护理临床医生的信任.
- 确保新的测量方法,即Confianza Scale,在经验上是合理的,并且在心理测量上是稳定的.
主要方法:
- 一项横截面研究调查了204名孕妇或最近产后的西班牙语说话者,在美国的英语水平有限.
- 项目响应理论 (IRT) 分析被用来选择和完善Confianza规模的项目.
- 通过将Confianza尺度与已建立的措施 (如信任医生尺度 (TPS) 和爱丁堡产后抑郁症尺度 (EPDS)) 相关联来评估并发有效性.
主要成果:
- 完成了5项信心量表,显示出高可靠性 (高于0.90).
- 信心量表显示与TPS (r=0.47) 有正相关性,与EPDS (r=-0.41) 有负相关性,表明有效性良好.
- 较高的信任分数与语言一致性和护理连续性有关.
结论:
- 开发的西班牙语Confianza Scale显示了评估患者对怀孕护理临床医生的信任的初始有效性.
- 这个PROM解决了对西班牙语人口在文化和语言上适当的工具的关键需求.
- 这些发现支持使用Confianza Scale来改善对不同患者群体信任的理解和测量.
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