中文版医患共同决策多焦点量表的信度和效度研究
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女,硕士,副主任护师,护士长

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重庆市社会科学规划青年项目(2018QNSH42);陆军军医大学苗圃人才培养项目(XZ-2019-505-054)


Reliability and validity of the simplified Chinese version of the Multifocal Approach to Sharing in Shared Decision Making Questionnaire
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    目的 研究中文版医患共同决策多焦点量表的信度和效度。 方法 对量表进行翻译与回译。采取便利抽样法,选取某三甲医院符合标准的121个决策情景录像进行他评分析。 结果 通过探索性因子分析,量表三个部分均提取3个因子(决策问题与选择、患者参与、信息与预约)各15个条目,累积贡献率分别为62.788%、59.672%和60.746%;总量表三部分Cronbach′s α分别为0.814、0.857和0.858,重测信度为0.914、0.892和0.884;反应度分析显示量表能有效区分培训前后共同决策过程的差异。 结论 中文版医患共同决策多焦点量表信效度较好,可以用于医患共同决策过程的评估。

    Abstract:

    Objective To assess the reliability and validity of the simplified Chinese version of the Multifocal Approach to Sharing in Shared Decision Making Questionnaire(MAPPIN′SDM).Methods The MAPPIN′SDM was translated into simplified Chinese and back-translation was conducted.Then 121 decision-making scenarios met the inclusion criteria were selected from a first-class ter-tiary hospital by convenience sampling method and were analyzed.Results All three parts of the MAPPIN′SDM scale demonstrated 3 factors of 15 items by employing exploratory factor analysis (decision-making questions and options, patient participation, information and appointment), which could explain 62.788%, 59.672% and 60.746% of the total variance. The Cronbach′s alpha coefficient for three parts was 0.814, 0.857 and 0.858 respectively, and the test-retest reliability was 0.914, 0.892 and 0.884. Reactivity analysis showed that the scale could effectively distinguish the difference of common decision-making process between the training group and the untrained group.Conclusion The simplified Chinese version of the MAPPIN′SDM scale is valid and reliable for evaluating the decision-making process of doctors and patients.

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卞薇,万君丽,谭明琼,苏君,何文婷.中文版医患共同决策多焦点量表的信度和效度研究[J].护理学杂志,2020,35(5):41-45

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  • 收稿日期:2019-08-02
  • 最后修改日期:2019-10-25
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  • 在线发布日期: 2022-09-06