A scale to measure satisfaction of bereaved family receiving inpatient palliative caret
A scale to measure satisfaction of bereaved family receiving inpatient palliative caret
复制标题
DOI：
10.1191/0269216302pm514oa
复制
发表时间：
2002-03-01
影响因子：
4.4
通讯作者：
Kashiwagi, T
中科院分区：
文献类型：
--
作者：
Morita, T;Chihara, S;Kashiwagi, T
虽然满意度是医疗护理的一个重要结果，但目前还没有有效的工具来量化家庭对基于医院的姑息治疗的满意度。在这项全国性的邮寄调查中，一个衡量非正式照顾者对住院姑息护理服务满意度的工具得到了验证。在日本50家姑息疗养院，向1344名失去家人的丧亲者邮寄了一份包含60个项目的问卷，分析了850份回复(回复率=%)。问卷的信度、结构效度和收敛效度被随机分为两组：发展阶段使用的训练集(n=500)和验证阶段使用的测试集(n=350)。在发展阶段，通过心理测量技术，量表条目的数量从50个减少到34个。在测试样本中，最终34个项目量表的总体Cronbach‘s系数α为0.98。因素分析表明，该量表由七个子类组成：护理、设施、信息、可用性、家庭护理、费用和症状缓解。量表总分与丧亲者总体满意度显著相关(Spearman‘s p=0.78)。总之，这个由34个项目组成的量表，即接受住院姑息治疗的家庭成员满意度量表(Sat-Fam-IPC)，具有可接受的心理测量学特性，将是衡量照顾者对住院姑息治疗服务满意度的有用工具。
Although satisfaction is an important outcome of medical care, there are no validated tools to quantify family satisfaction with hospital-based palliative care. In this nationwide postal survey, an instrument to measure informal carer satisfaction with an inpatient palliative care service was validated. A 60-item questionnaire was mailed to 1344 bereaved people who had lost their family members at 50 palliative care units in Japan, and 850 responses were analysed (response rate=64%). The reliability, construct validity, and convergent validity of the scale were examined after the responses were randomly divided into two groups: a training set used in the development phase (n=500) and a testing set used in the validation phase (n=350). The number of scale items was reduced from 50 to 34 through psychometric techniques in the development phase. In the testing sample, the overall Cronbach's coefficient alpha for the final 34-item scale was 0.98. A factor analysis revealed that the scale consisted of seven subcategories: Nursing Care, Facility, Information, Availability, Family Care, Cost, and Symptom Palliation. The total score of the scale was significantly correlated with the degree of global satisfaction of the bereaved (Spearman's p=0.78). In conclusion, this 34-item scale, the Satisfaction Scale for Family Members Receiving Inpatient Palliative Care (Sat-Fam-IPC), has acceptable psychometric properties and would be a useful tool to measure carer satisfaction with an inpatient palliative care service.