[1]邓翠玉 黎晓松 赵欣 刘芳 付丽 王玉君.健康素养敏感性沟通问卷的汉化及信效度检验[J].中国卫生质量管理,2025,32(04):066-69.[doi:10.13912/j.cnki.chqm.2025.32.4.15]
 DENG Cuiyu,LI Xiaosong,ZHAO Xin.Translation of the Health Literacy-sensitive Communication Questionnaire into Chinese and Validation of Its Reliability and Validity[J].Chinese Health Quality Management,2025,32(04):066-69.[doi:10.13912/j.cnki.chqm.2025.32.4.15]
点击复制

健康素养敏感性沟通问卷的汉化及信效度检验()
分享到:

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

卷:
第32卷
期数:
2025年04期
页码:
066-69
栏目:
服务质量
出版日期:
2025-04-15

文章信息/Info

Title:
Translation of the Health Literacy-sensitive Communication Questionnaire into Chinese and Validation of Its Reliability and Validity
作者:
邓翠玉 黎晓松 赵欣 刘芳 付丽 王玉君
天津医科大学第二医院
Author(s):
DENG CuiyuLI XiaosongZHAO Xin
The Second Hospital of Tianjin Medical University
关键词:
组织健康素养医患沟通人文关怀问卷汉化服务质量
Keywords:
Organizational Health Literacy Physician-Patient Communication Humanistic Care Questionnaire Localization Service Quality
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2025.32.4.15
文献标志码:
A
摘要:
目的对英文版健康素养敏感性沟通问卷(HL-COM)进行汉化处理,并检验其在住院患者中的信效度。方法对英文版HL-COM问卷进行翻译,通过文化调适和预调查,确定中文版HL-COM问卷。采用便利抽样法,选取天津市3所三甲医院338名住院患者进行信效度检验。结果中文版HL-COM问卷包含9个条目。中文版HL-COM问卷能够鉴别高分组和低分组(P<0.01),各条目得分与问卷总分相关系数为0.837~0.894(P<0.01)。问卷Cronbach’s α系数为0.954,重测信度为0.879,条目水平内容效度指数为0.852~1.000,问卷水平内容效度指数为0.965。探索性因子分析共提取1个公因子,累计方差贡献率为 77.868%,验证性因子分析显示修正后模型拟合度良好。结论 中文版HL-COM问卷具有良好的信效度,可从患者角度测评医务人员健康素养敏感性沟通水平。
Abstract:
ObjectiveTo translate the Health Literacy-sensitive Communication (HL-COM) questionnaire into Chinese and validate its reliability and validity among hospitalized patients.MethodsThe English version of the HL-COM questionnaire was translated, culturally adapted, and pilot tested to finalize the Chinese version. A convenience sampling method was used to select 338 hospitalized patients from three tertiary hospitals in Tianjin for reliability and validity testing.ResultsThe Chinese version of the HL-COM questionnaire comprises 9 items. It can differentiate between high and low-scoring groups (P<0.01), with correlation coefficients between individual item scores and the total questionnaire score ranging from 0.837 to 0.894 (P<0.01). The Cronbach’s α coefficient of the questionnaire was 0.954, and the test-retest reliability was 0.879. The item-level content validity index ranged from 0.852 to 1.000, and the scsle-level content validity index was 0.965. Exploratory factor analysis extracted one common factor, with a cumulative variance contribution rate of 77.868%. Confirmatory factor analysis showed good fit for the revised model.Conclusion The Chinese version of the HL-COM questionnaire demonstrates good reliability and validity and can be used to assess medical staffs’ health literacy-sensitive communication skills from the patients’ perspective.

参考文献/References:

[1]孙杨,王维成,郎颖,等.中国居民健康素养现状及影响因素研究[J].健康教育与健康促进, 2022,17(4):379-382,391.[2]邓翠玉,付丽,赵岳,等.组织健康素养的研究进展[J].中华现代护理杂志, 2023,29(20):2766-2770.[3]FARMANOVA E,BONNEVILLE L,BOUCHARD L.Organizational health literacy:review of theories, frameworks,guides,and implementation issues[J].Inquiry,2018,55:1141310680.[4]吕鸣,王秀波,张士靖,等.健康素养促进型组织的概念内涵、测量工具及其影响因素[J]. 医学与哲学,2022,43(8):29-32.[5]LEE S,GROΒ SE,PFAFF H,et al.Waiting time, communication quality, and patient satisfaction:an analysis of moderating influences on the relationship between perceived waiting time and the satisfaction of breast cancer patients during their inpatient stay[J].Patient Educ Couns, 2020,103(4):819-825.[6]CLEVER SL,JIN L,LEVINSON W,et al.Does doctor-patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable[J]. Health Serv Res,2008,43(5 Pt 1):1505-1519.[7]LUBASCH JS,VOIGT-BARBAROWICZ M,ERNSTMANN N,et al.Organizational health literacy in a hospital-insights on the patients’ perspective[J].Int J Environ Res Public Health,2021,18(23):12646.[8]国家卫生健康委,教育部,国家中医药管理局,等.关于印发医学人文关怀提升行动方案(2024-2027年)的通知:国卫办医急发〔2024〕18号[EB/OL]. (2024-10-09)[2024-10-29]. http://www.nhc.gov.cn/ylyjs/pqt/202410/41c6e1b434d74833 8b7e620a089946b2.shtml.[9]ERNSTMANN N,HALBACH S,KOWALSHI C,et al.Measuring attributes of health literate health care organizations from the patients’ perspective:development and validation of a questionnaire to assess health literacy-sensitive communication (HL-COM)[J]. Z Evid Fortbild Qual Gesundhwes, 2017,121:58-63.[10]CHAROGHCHIAN KE,TAVAKOLY SS,TEHRANI H,et al.Review of organizational health literacy practice at health care centers:outcomes,barriers and facilitators[J].Int J Environ Res Public Health, 2020,17(20):7544.[11]BEATON DE,BOMBARDIER C,GUILLEMIN F,et al.Guidelines for the process of cross-cultural adaptation of self-report measures[J].Spine (Phila Pa 1976),2000,25(24):3186-3191.[12]杨翠翠,王玉冰,徐晶晶,等.青少年1型糖尿病病耻感评估量表的汉化及信效度检验[J].中国全科医学,2024,27(18):2253-2259.[13]吴明隆.问卷统计分析实务:SPSS操作与应用[M].重庆: 重庆大学出版社,2020:40.[14]原志芳,刘媛,沈悦好,等.UCOPD问卷的汉化及信效度检验[J].中华现代护理杂志, 2022,28(31):4357-4361.[15]陈晨,吴艳芳,王亚喜,等.儿科护理缺失量表的汉化及信效度检验[J].中国卫生质量管理, 2024,31(9):62-67.[16]张学颖,尹雪梅,张晓翠,等.新生儿重症监护室父亲支持量表的汉化及信效度检验[J].中华护理杂志,2021,56(8):1275-1280.[17]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版), 2012,37(2):152-155.[18]肖瑶,常晓波,胡丹,等.医患沟通技能测评工具国内外研究进展[J].医学与哲学, 2021,42(8):64-67.[19]王清燕,尹兰义,闫雅鑫, 等. “五习惯”医患沟通评价量表的构建及信效度研究[J].中国全科医学, 2022,25(16):1990-1994,2002.[20]刘江华,文兰,徐慧兰,等.住院医师“四情境”医患沟通技能教师评价量表编制[J].中国临床心理学杂志,2022,30(4):889-892,783.[21]李娟.用SEGUE量表对医学生医患沟通技能评价的研究[D].沈阳:中国医科大学,2008.[22]魏珊珊.基于患者角度的KH医院医患沟通质量评估研究[D].昆明:昆明理工大学,2017.[23]谯雁彬.德国医院临床运行模式浅析及其启示[J].中国医院管理,2015,35 (12):103-104.[24]薛子豪,童莺歌,顾利慧,等.医疗机构健康素养评价工具的研究进展及启示[J].中国社会医学杂志,2022,39(4):468-472.

相似文献/References:

[1]明坚 魏艳 何露洋 王弓茹 李君秋 柯雄 李娜 陈英耀.我国医学新技术临床应用中医患沟通与决策模式探讨[J].中国卫生质量管理,2017,24(06):086.[doi:10.13912/j.cnki.chqm.2017.24.6.28]
[2]胡龙军 杨佳芳 王清江 周丹青 陈浩 张戟 侯冷晨.162例医疗纠纷赔偿事件回顾分析与启示[J].中国卫生质量管理,2019,26(01):042.[doi:10.13912/j.cnki.chqm.2019.26.1.14]
[3]熊玉琦张新平朱小平施娣王蕾陈海红龚斐梁辰.互联网医患功能沟通质量测量工具开发与评价[J].中国卫生质量管理,2021,28(06):055.[doi:10.13912/j.cnki.chqm.2021.28.6.15 ]
 XIONG Yuqi,ZHANG Xinping,ZHU Xiaoping.Development and Evaluation of Quality Measurement Tool for Internet Doctor-Patient Instrumental Communication[J].Chinese Health Quality Management,2021,28(04):055.[doi:10.13912/j.cnki.chqm.2021.28.6.15 ]
[4]熊玉琦施娣朱小平梁辰张新平王蕾陈海红龚斐.互联网医患功能沟通质量内涵模型构建[J].中国卫生质量管理,2021,28(06):059.[doi:10.13912/j.cnki.chqm.2021.28.6.16 ]
 XIONG Yuqi,SHI Di,ZHU Xiaoping.Construction of Quality Connotation Model for Internet Doctor-Patient Instrumental Communication[J].Chinese Health Quality Management,2021,28(04):059.[doi:10.13912/j.cnki.chqm.2021.28.6.16 ]
[5]熊玉琦 陈海红 梁辰 施娣 龚斐 张新平 王蕾 朱小平.互联网医患功能沟通质量综合评价研究[J].中国卫生质量管理,2021,28(06):063.[doi:10.13912/j.cnki.chqm.2021.28.6.17 ]
 XIONG Yuqi,CHEN Haihong,LIANG Chen.Comprehensive Evaluation of the Quality of Internet Doctor-Patient Instrumental Communication[J].Chinese Health Quality Management,2021,28(04):063.[doi:10.13912/j.cnki.chqm.2021.28.6.17 ]
[6]虞凯 田侃 喻小勇.基于标准化流程的医患沟通管理模式探索[J].中国卫生质量管理,2025,32(02):057.[doi:10.13912/j.cnki.chqm.2025.32.2.14]
 YU Kai,TIAN Kan,YU Xiaoyong.Exploration of Doctor-Patient Communication Management Mode Based on Standardized Process[J].Chinese Health Quality Management,2025,32(04):057.[doi:10.13912/j.cnki.chqm.2025.32.2.14]

更新日期/Last Update: 2025-04-15