摘要
目的编制符合我国社会文化特点的优逝量表,为我国患者的死亡质量测评提供科学工具。方法以本土化优逝内涵为基本框架,通过文献回顾和质性访谈形成基于健康照护视角的优逝量表维度和条目池。通过专家函询、预调查形成测试版量表。采用方便取样法,邀请742名离世患者亲属对量表信效度进行测评。结果探索性因子分析提取7个公因子,累积方差贡献率为63.03%;验证性因子分析构建一阶模型,χ^(2)/df=2.353,RMSEA=0.056,IFI=0.900,GFI=0.847,NFI=0.838,CFI=0.899。总量表的Cronbach′sα系数为0.937,除躯体安适维度[Cronbach′sα系数为0.412,组合信度为0.443,平均提取方差值(AVE)为0.215]外,其他6个维度Cronbach′sα系数为0.738~0.919,组合信度为0.757~0.912,AVE为0.445~0.635。结论优逝量表总体上具备较好的信效度,可用于测量我国患者的死亡质量,但躯体安适维度仍需进行进一步完善。
Objective To develop a questionnaire to measure the quality of death in the Chinese socio-cultural context and to provide a scientific tool for measuring the quality of death.Methods Guided by the localized concept of good death,the initial dimension structure and item pool of the Good Death Scale for Patients in China(GDS-PCN)were developed through literature review and qualitative interviews.A testing version of the GDS-PCN was formed after the Delphi survey and pilot survey.A conve-nience sample of 742 family members of the bereaved patients were invited to test the psychometric characteristics of the GDS-PCN.Results Seven common factors were identified by exploratory factor analysis.The cumulative variance contribution rate was 63.03%.A first-order model was constructed using confirmatory factor analysis(χ^(2)/df=2.353,RMSEA=0.056,IFI=0.900,GFI=0.847,NFI=0.838,CFI=0.899).The Cronbach′sαcoefficient of the GDS-PCN was 0.937.Except for the dimension of physical wellbeing[Cronbach′sα=0.412,composition reliability=0.443,average variance extracted(AVE)value=0.215],the other 6 dimensions enjoyed good reliability(Cronbach′sαcoefficient ranging from 0.738 to 0.919,composition reliability coefficient from 0.757 to 0.912,and AVE values from 0.445 to 0.635).Conclusion In general,the reliability and validity of the GDS-PCN was good.It could be used to evaluate the quality of death of patients in China.Yet,future effort is needed to develop the dimension of the physical wellbeing.
作者
肖凯峰
刘培豪
闵家伟
来小彬
Xiao Kaifeng;Liu Peihao;Min Jiawei;Lai Xiaobin(School of Nursing,Fudan University,Shanghai 200032,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第4期102-107,共6页
Journal of Nursing Science
基金
上海市抗癌协会“护航”计划项目(SACAHH202203)
复旦大学-复星护理科研基金项目(FNF202241)
复旦大学上海医学院本科生学术研究资助计划——卿枫学者项目(QF2322)。
关键词
死亡质量
优逝量表
专业照护
尊严
躯体安适
信度
效度
安宁疗护
quality of death
Good Death Scale
professional care
dignity
physical wellbeing
reliability
validity
hospice care
