Validation of the Chinese version of the Care Evaluation Scale for measuring the quality of structure and process of end-of-life care from the perspective of bereaved family.
Validation of the Chinese version of the Care Evaluation Scale for measuring the quality of structure and process of end-of-life care from the perspective of bereaved family.
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DOI：
10.1186/s12904-021-00777-4
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发表时间：
2021-06-22
影响因子：
3.1
通讯作者：
Wong FKY
中科院分区：
文献类型：
--
作者：
Zhao J;You L;Tao H;Wong FKY
评估临终关怀的结构和过程的质量可以帮助改善结果。目前在中国大陆没有有效的工具。本研究的目的是验证中文版的护理评估量表（CES）。2017年1月至12月，对来自10家医疗机构的癌症患者家属进行了横断面在线调查。采用Cronbach’s α评价量表的信度，采用验证性因子分析评价量表的结构效度。通过检验CES总分与临终关怀总体满意度、临终和死亡质量以及生活质量之间的相关性来检验并发效度。对305份有效问卷进行分析。平均CES得分为70.7±16.4，CES的Cronbach 's α为0.967（10个域范围为0.802 ~ 0.927）。10因子模型的拟合指标较好（近似均方根误差0.047，比较拟合指数0.952，Tucker-Lewis指数0.946，标准化均方根残差0.053）。CES总分与患者总体医疗服务满意度呈高度相关（r = 0.775, P < 0.01），与患者生活质量（r = 0.579, P < 0.01）、临终质量（r = 0.570, P < 0.01）呈中度相关（P < 0.01）。此外，除了家庭成员的年龄外，CES总分与人口学特征之间几乎没有关联。中文版的CES是一个可靠有效的工具，可以从中国大陆的遗属角度来评估癌症患者临终关怀的结构和过程质量。在线版本包含补充材料，可在10.1186/s12904-021-00777-4获得。
Assessing the quality of structure and process of end-of-life care can help improve outcomes. There was currently no valid tool for this purpose in Mainland China. The aim of this study is to validate the Chinese version of the Care Evaluation Scale (CES). From January to December 2017, a cross-sectional online survey was conducted among bereaved family members of cancer patients from 10 medical institutes. The reliability of the CES was assessed with Cronbach’s α, and structural validity was evaluated by confirmatory factor analysis. Concurrent validity was tested by examining the correlation between the CES total score and overall satisfaction with end-of-life care, quality of dying and death, and quality of life. A total of 305 valid responses were analyzed. The average CES score was 70.7 ± 16.4, and the Cronbach’s α of the CES was 0.967 (range: 0.802–0.927 for the 10 domains). The fit indices for the 10-factor model of CES were good(root-mean-square error of approximation, 0.047; comparative fit index, 0.952; Tucker–Lewis index, 0.946; standardized root mean square residual, 0.053). The CES total score was highly correlated with overall satisfaction with medical care (r = 0.775, P < 0.01), and moderately correlated with patients’ quality of life (r = 0.579, P < 0.01) and quality of dying and death (r = 0.570, P < 0.01). In addition, few associations between CES total score and demographic characteristics, except for the family members’ age. The Chinese version of the CES is a reliable and valid tool to evaluate the quality of structure and process of end-of-life care for patients with cancer from the perspective of bereaved family in Mainland China. The online version contains supplementary material available at 10.1186/s12904-021-00777-4.
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影响因子：
4.7
作者：
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通讯作者：
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作者：
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