某医院临床路径管理下患者满意度调查问卷的信效度分析

Reliability and validity analysis of a Beijing hospital patients＆#39; satisfaction questionnaire in clinical pathway management mode

目的 探讨临床路径管理下患者满意度调查问卷的信度与效度.方法 用原卫生部推荐的临床路径《患者满意度调查问卷》,调查医院临床路径患者的满意度,运用统计学方法进行信度、效度分析.结果 调整后的问卷总体Cronbach＇s α系数值是0.947,各维度的α系数值分别为0.563、0.968、0.820,折半信度系数是0.869.以调整之后的条目为变量进行因子分析,共提取3个公因子,公因子与问卷设计的结构假设相同,公因子的累积方差贡献率是74.178％,且每个条目在相应的因子上的因子载荷＞0.4,各条目对某一公因子具有较高负荷.结论 虽然各医院的实际情况有差异,但是从统计学和临床角度考虑,可以使用本问卷对临床路径管理模式患者进行满意度调查.

Objective To probe into the reliability and validity of the questionnaire on clinical pathways and patients＆#39; satisfaction.Methods Investigating the hospital patients＇ satisfaction with the questionnaire designed by the former Ministry of Health and analyzing the internal consistency and constructive validity through statistical methods.Results Cronbach＇ s α coefficient of the adjusted questionnaire was 0.947 and those of the each subscale were 0.563,0.968 and 0.820.The split-half reliability of the questionnaire was 0.869.The number of factors is 3 as same as the designed assuming structure,and the cumulative contribution rate of 3 factors was 74.178%.The factor loading of each item was above 0.4,each item of a common factor with a higher load factor.Conclusion Although there are differences from hospital to hospital,this questionnaire is applicable to investigating patients＆#39; satisfaction of the clinical pathway management mode in view of the statistical and clinical practice.