中国医患社会心态问卷的初步编制与信效度检验

Preliminary Establishment of Chinese Doctor-Patient Social Mentality Questionnaire(DPSMQ) and Its Reliability and Validity

确立医患社会心态的医患社会情绪、医患社会认知、医患价值观与医患行为倾向四个维度,并在每个维度下建立分问卷,分医方卷与患方卷编制了国内首个标准化中国医患社会心态问卷。在初测问卷进行探索性因素分析的基础上,对有效患方卷和医方卷进行验证性因素分析,验证了四维度结构的合理性。中国医患社会心态问卷内部一致性系数在0. 757～0. 932之间,两周重测信度在0. 632～0. 759之间;各因素间呈中等偏低的相关,验证性因素分析的各项参数在可接受水平;专家评定效度良好。各分问卷可在中国大陆地区单独或组合使用。

This research constructed the first domestic standardized questionnaire of Chinese Doctor-Patient Social Mentality Questionnaire(CDPSMQ),with doctor section and patient section separately,based on the conceptualization of doctor-patient social mentality.This questionnaire consists four dimensions or sub-questionnaires,i.e.doctor-patient social mood section,doctor-patient social cognition section,doctor-patient values sections and doctor-patient behaviors section.After conducting exploratory factor analysis of the preliminary survey,confirmatory factor analysis were completed and the four-dimension structure of this questionnaire were confirmed.The internal consistency coefficients of the doctor-patient social psychology are between 0.757 and 0.932,and the two-week test-retest reliability coefficients are between 0.632 and 0.759.There exists a medium to low correlation among doctor-patient social cognition section,doctor-patient values sections and doctor-patient behaviors section,and the results of the confirmatory factor analysis are acceptable.The validity of the expert evaluation of the test is adequate.These results shows the questionnaire can be used as a whole questionnaire or be broken down into different combinations of sub-questionnaires in China's Mainland.