医疗服务质量量表汉化及信效度检验

Development and reliability and validity assessment of Chirurgisches Qualit?tssiegel-Chinese version

目的将医疗服务质量量表(CQS)汉化,并研究其在中国文化背景下的信度及效度。方法按照标准的量表翻译程序,将医疗服务质量量表翻译成中文再回译成英文,与原量表进行比对和修改;使用修改后的量表在北京、厦门、广州和新疆的5所医院开展调查,共回收1 238份有效问卷;并对有效问卷进行信效度分析。结果本量表共包含3个维度,13个问题,整体信度Cronbach′sα系数为0.959,组合信度CR值为0.925;各维度AVE值较高,RMSEA=0.076,GFI=0.947,IFI=0.976,CFI=0.976,TLI=0.965,NFI=0.972,量表具有良好的收敛效度和结构效度。结论中文版CQS量表在中国医务人员中使用具有良好的信度和效度。

Objective To develop a Chirurgisches Qualit？tssiegel（CQS）– Chinese version（CQS-C） and to assess the reliability and validity of the CQS-C. Methods We translated the CQS into Chinese with standardized procedures and translated the CQS-C back into English and compared the translation with the original CQS for the revision of the CQS-C.Then we conducted a self-administered survey with the revised CQS-C among 1 238 healthcare workers in five hospitals in Beijing, Xiamen and Guangzhou city and in Xinjiang Uygur Autonomous Region to evaluated the reliability and validity of the CQS-C. Results The developed CQS-C consists of 13 items and three dimensions were extracted from the 13 items with factor analysis. The overall Cronbach＇s α of the CQS-C is 0.959 and the composite reliability value is 0.925. The values of average variance extracted（AVE） are relatively high for all the three dimensions, indicating a good content validity; the results of structural equation modeling revealed a good construct validity of the CQS-C, with the root mean square error of approximation（RMSEA） of 0.076, goodness-of-fit index（GFI） of 0.947, incremental fit index（IFI） of 0.976, comparative fit index（CFI） of 0.976, Tucker-Lewis index（TLI） of 0.965, and normed fit index（NFI） of 0.972. Conclusion The developed Chirurgisches Qualit？tssiegel（CQS） Chinese version is of good reliability and validity when applied among healthcare workers in China.