患者参与医疗机构手卫生促进调查问卷的修订与评价

Revision and evaluation on questionnaire for patients participating in hand hygiene promotion in medical institutions

目的构建一个信度、效度良好的患者参与医疗机构手卫生促进调查问卷。方法以课题组构建的患者参与医疗机构手卫生促进调查问卷作为调查工具,随机抽取西安地区2所医院195例住院患者和207名医务人员进行调查,采用临界比值法、相关系数、因子分析法对问卷调查表内条目进行分析。结果原始调查问卷分为患者和医务人员问卷,各3个维度20个条目。修订后正式形成的患者问卷和医务人员问卷分别包括17个条目。其中患者问卷认知维度8个条目,意愿维度7个条目,均为闭合式问题;参与方式2个条目,为开放式问题。医务人员问卷认知维度9个条目,意愿维度5个条目,参与现状1个条目,均为闭合式问题;参与方式2个条目,为开放式问题。结论利用实测数据对患者参与医疗机构手卫生促进调查问卷条目进行分析和修订,进一步优化了调查问卷。

Objective To construct a good reliability and validity of questionnaire for patients participating in hand hygiene （HH）promotion in medical institutions.Methods Questionnaires for patients participating in HH promo-tion in medical institutions were constructed by research group,195 hospitalized patients and 207 health care work-ers（HCWs）in two medical institutions of Xi’an city were randomly selected and investigated,questionnaire items were analyzed with critical ratio,correlation coefficient,and factor analysis method.Results Original question-naires included questionnaires for patients and HCWs,each had 3 dimensions and 20 items.The revised formal questionnaires for patients and HCWs had 17 items respectively,questionnaires for patients included 8 items in cog-nitive dimension,7 items in willingness dimension,all were closed problems;2 items for participation ways,both were open-ended questions.Questionnaires for HCWs included 9 items in cognitive dimension,5 items in willing-ness dimension,1 item for participation status,all were closed problems;2 items for participation ways,both were open-ended questions.Conclusion The questionnaires for patients participating in HH promotion in medical institu-tion are further optimized though analyzing and revising the items based the investigated data.