[1]陈宣成赖善缘吴怡雪童莺歌陈羊毅汪书蓓徐淑娟叶怡欣薛子豪.门诊导医评价工具的汉化及信效度研究[J].中国卫生质量管理,2023,30(07):052-57.[doi:10.13912/j.cnki.chqm.2023.30.7.12 ]
　CHEN Xuancheng,LAI Shanyuan,WU Yixue.Chinesization of Evaluation Tool for Outpatient Navigation and Its Reliability and Validity Rearsch[J].Chinese Health Quality Management,2023,30(07):052-57.[doi:10.13912/j.cnki.chqm.2023.30.7.12 ]
点击复制

门诊导医评价工具的汉化及信效度研究
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年07期
页码:
052-57
栏目:
服务质量
出版日期:
2023-07-15

文章信息/Info

Title:
Chinesization of Evaluation Tool for Outpatient Navigation and Its Reliability and Validity Rearsch
作者:
陈宣成赖善缘吴怡雪童莺歌陈羊毅汪书蓓徐淑娟叶怡欣薛子豪
杭州师范大学护理学院
Author(s):
CHEN Xuancheng; LAI Shanyuan; WU Yixue
School of Nursing, Hangzhou Normal University
关键词:
门诊; 导医; 健康素养支持性环境; 评价工具; 汉化; 信度; 效度; 服务质量
Keywords:
Outpatient;  Medicare Navigation;  Health Literacy Environment;  Evaluation Tool;  Chinesization;  Reliability;  Validity;  Service Quality
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2023.30.7.12
文献标志码:
A
摘要:
目的汉化健康素养支持性环境评价工具的门诊导医问卷（HLE2-Navigation），并检验其信效度。 方法基于Brislin翻译模型对HLE2-Navigation问卷进行直译、回译和文化调适，形成中文版HLE2-Navigation（HLE2-Navigation-C）问卷，并选取5名专家和浙江省不同级别医疗机构门诊就诊者进行信效度检验，选取浙江省12家医院的444名门诊就诊者进行应用。采用SPSS 20.0软件进行数据统计分析。结果HLE2-Navigation-C问卷包括“抵达”（10个条目）和“寻路”（20个条目）两个维度共30个条目。HLE2-Navigation-C问卷内在一致性信度即Cronbach's α系数为0.886，重测信度为0.874（P＜0.05）；条目内容效度指数在0.8～1.0之间，总内容效度指数为0.980。三级医院和基层医疗卫生机构均以条目6得分最高，二级医院以条目2得分最高；三级医院、二级医院和基层医疗卫生机构均以条目8得分最低。结论HLE2-Navigation-C问卷具有良好的信效度，可用于评价我国医疗机构门诊导医环境和服务建设情况。
Abstract:
ObjectiveTo translate Second Edition of the Health Literacy Environment of Hospitals and Health Centers-Navigation（HLE2-Navigation）into Chinese version, and to test its reliability and validity.MethodsBased on the Brislin translation model, HLE2-Navigation was translated, back translated and culturally adapted. The Chinese version of HLE2-Navigation questionnaire (HLE2-Navigation-C) was formed and 5 experts and outpatients from different levels of medical institutions in Zhejiang Province were selected to conduct the reliability and validity test. A total of 444 outpatient patients from 12 hospitals in Zhejiang Province were selected for the application. SPSS 20.0 software was used for statistical analysis. ResultsThe HLE2-Navigation-C questionnaire included two dimensions of "arrival" (10 items) and "wayfinding" (20 items) with a total of 30 items. The Cronbach's α coefficient of questionnaire was 0.886 and the retest reliability was 0.874 (P<0.05). The item level and the content validity of the total questionnaire were 0.8~1.0 and 0.980, respectively. Tertiary hospitals and primary medical institutions had the highest score with item 6. Secondary hospitals had the highest score with item 2. Tertiary hospitals, secondary hospitals and primary medical institutions all had the lowest scores in item 8.Conclusion The HLE2-Navigation-C has good reliability and validity, which can provide a reference tool for the evaluation of outpatient department navigation environment and service in China's medical institutions.

参考文献/References:

［1］RUDD RE, ANDERSON JE. The health literacy environment of hospitals and health centers. Partners for action: making your healthcare facility literacy-friendly［EB/OL］. (2014-09-06)［2022-11-30］. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/135/2012/09/healthliteracye nvironment.pdf. ［2］刘 卉,宋 莉,陈 纯,等.上海市某区志愿服务现况调查［J］.中国卫生质量管理,2019,26(2):75-78. ［3］MCDONALD CE, REMEDIOS LJ, SAID CM.Health literacy in hospital outpatient waiting areas: an observational study of what is available to and accessed by consumers ［J］. HERD: Health Environments Research & Design Journal, 2021, 14(3): 124-139. ［4］ADSUL P, WRAY R, GAUTAM K, et al. Becoming a health literate organization: formative research results from healthcare organizations providing care for undeserved communities［J］. Health Services Management Research, 2017, 30(4): 188-196. ［5］薛子豪,童莺歌,吴怡雪,等.健康素养型医疗机构评价工具的研究进展［J］.现代预防医学,2021,48(4):590-593. ［6］国家卫生健康委办公厅.关于印发医疗机构门诊质量管理暂行规定的通知［EB/OL］. (2022-06-06）［2022-11-30］.http://www.gov.cn/zhengce/zhengceku/2022-06/08/content_5694559.htm. ［7］RUDD RE, RIMA E.HLE2-The Health Literacy Environment of hospitals and centers［EB/OL］. (2019-04-30)［2022-11-30］.https://cdn1.sph.harvard.edu/wp-content/uploads/sites/135/2019/05/april-30-FINAL_The-Health-Literacy-Environment2_Locked.pdf. ［8］何寒青,朱敏洁,缪 凡,等.浙江省医疗资源分布状况的聚类分析研究［J］.中华医院管理杂志,2006,22(3):201-203. ［9］郑国管,钱 宇,王小合,等.门诊患者满意度测评量表的研制及验证研究［J］.中国医院管理,2017,37(3):18-20,27. ［10］石景芬,龚 永,李元峰,等.门诊患者满意度测评量表研制及实证研究［J］.中国卫生事业管理,2015,32(4):262-267. ［11］王 丹,刘 畅.患者满意度测量问卷的开发与检验［J］.中国医院统计,2020, 27(2):142-146.［12］任 琳,李少武,王 蓉,等.信效度评价在住院患者体验量表设计中的应用研究［J］.中国卫生质量管理,2016,23(5):9-11. ［13］童莺歌,薛子豪,顾利慧,等.健康素养促进型医疗卫生机构10个特征问卷的汉化及信效度研究［J］.中华医院管理杂志,2021,37(7):555-559. ［14］李 遥,郭珍珍,胡 双,等.帕金森病照顾者负担量表的汉化及信效度检验［J］.护理研究,2022,36(8):1370-1374.

相似文献/References:

[1]陈小玲.基层部队医院门诊处方点评与分析[J].中国卫生质量管理,2016,23(02):047.[doi:10.13912/j.cnki.chqm.2016.23.2.16]
[2]韩鹏,王燕森,贾存波.某院门诊服务满意度调查分析[J].中国卫生质量管理,2016,23(02):056.[doi:10.13912/j.cnki.chqm.2016.23.2.19]
[3]许春红朱诺.门诊不良事件报告对改进门诊管理与服务的作用[J].中国卫生质量管理,2016,23(05):034.[doi:10.13912/j.cnki.chqm.2016.23.5.10]
[4]陈厚森张蓉张麟李晓娜卢俊英龙宪连.门诊病历质量评价指标设计与应用[J].中国卫生质量管理,2017,24(02):028.[doi:10.13912/j.cnki.chqm.2017.24.2.09]
[5]王芳 刘训华 陈维进 黄娅娟.“先诊疗后结算”优化门诊就医流程的实践[J].中国卫生质量管理,2017,24(05):038.[doi:10.13912/j.cnki.chqm.2017.24.5.13]
[6]陈旻洁 张红 施颖华 余岚 姚荷英 孙晓凡.大型综合医院优化门诊服务人员配置的实践与探讨[J].中国卫生质量管理,2017,24(05):041.[doi:10.13912/j.cnki.chqm.2017.24.5.14]
[7]幸海鹰 王从容 陈军 黎文.让志愿者参与门诊优质护理服务[J].中国卫生质量管理,2018,25(01):070.[doi:10.13912/j.cnki.chqm.2018.25.1.24]
[8]陈旻洁 沈骏 朱华 张斌渊 孙晓凡.门诊电子病历的实践和思考[J].中国卫生质量管理,2018,25(04):050.[doi:10.13912/j.cnki.chqm.2018.25.4.16]
[9]朱婕 张葆康 徐淑华 牛爱荣.降低门诊血常规报告迟发率[J].中国卫生质量管理,2019,26(01):096.[doi:10.13912/j.cnki.chqm.2019.26.1.28]
[10]周松 谢仁炜 陈洁 乔田乐.基于云诊疗技术的门诊诊疗服务流程优化[J].中国卫生质量管理,2020,27(01):099.[doi:10.13912/j.cnki.chqm.2020.27.1.25]

更新日期/Last Update: 2023-07-15