医护人员医疗成本意识量表的汉化与信效度检验
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女,本科,副主任护师,护理部主任

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四川省护理科研课题计划项目(H19042)


Translation and validation of the Maastricht High Value, Cost-Conscious Care Attitude Questionnaire in a Chinese version
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    目的 引入医护人员医疗成本意识量表并进行汉化与信效度检验,为评估医护人员医疗成本意识提供适合的工具。 方法 按照Brislin翻译原则对医护人员医疗成本意识量表进行翻译、回译与文化调适,以便利抽样法选择四川省6所三甲综合医院重症医学科医护人员264人进行调查并检验量表信效度。 结果 中文版医护人员医疗成本意识量表包括感知到具有成本意识的高价值照护、感知到控制医疗成本的参与以及感知到控制医疗成本的责任3个维度共15个条目,累计方差贡献率为62.629%。量表条目水平的内容效度指数为0.857~1.000,量表水平的内容效度指数为0.988;总量表Cronbach′s α为0.914,各维度Cronbach′s α为0.727~0.895,重测信度为0.797。 结论 中文版医护人员医疗成本意识量表信效度良好,可用于评估医护人员医疗成本意识水平。建议结合我国医疗人文环境特点进一步发展出本土化评估工具。

    Abstract:

    Objective To introduce the Maastricht High Value, Cost-Conscious Care Attitude Questionnaire (MHAQ) and translate into Chinese, to test its reliability and validity, aiming to provide a suitable tool for measuring cost-consciousness of medical staff. Methods The MHAQ was translated into Chinese by a standardized forward-backward translation and cultural adaptation.A co-nvenient sample of 264 physicians and nurses from intensive care units of 6 tertiary hospitals was surveyed to test the reliability and validity of the scale. Results The Chinese version of the MHAQ included 15 items, representing 3 dimensions of high-value care, cost incorporation, and perceived responsibility.The first three principal components accounted for 62.629% of total variance. The item-level content validity index (CVI) ranged from 0.857 to 1.000, and the scale-level CVI stood at 0.988.The Cronbach′s α coefficient was 0.914 for the overall scale and 0.727-0.895 for dimensions.The test-retest reliability coefficient was 0.797. Conclusion The Chinese version of the MHAQ is reliable and valid to measure cost-consciousness of healthcare personnel.It is suggested to design a native questionnaire based on our own medical and cultural environment.

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杜娟,张海宇,罗恒,王燕.医护人员医疗成本意识量表的汉化与信效度检验[J].护理学杂志,2023,28(9):60-63

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  • 收稿日期:2022-12-05
  • 最后修改日期:2023-02-07
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  • 在线发布日期: 2023-12-29