慢性多病理患者对医患关系感知(PREMEPA)问卷的跨文化适应性和验证。

IF 3 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241241198
María Zarza-Arribas, Juan Francisco Menárguez Puche, Rosario Morales López, Josep Xavier Barber Valles, Domingo Luis Orozco Beltrán
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引用次数: 0

摘要

目的对 PREMEPA 医患关系感知问卷进行跨文化改编,并在基层医疗机构进行验证:描述性横断面研究,采用自填式问卷。定性验证:根据我国文化对原始问卷进行改编。这一过程包括专家组的评估、跨文化调整和共识。问卷在 32 名至少患有两种慢性病的患者中进行了试点:认知试点、可理解性评估、内容验证以及使用克朗巴赫α系数进行的内部一致性分析。定量验证:在一项多中心研究中,随机抽取了 202 名至少患有两种慢性病的患者,通过确认性因子分析对问卷的内部一致性、结构效度和有效性进行了研究:结果:新版西班牙文问卷的内容效度被证实是适当的。可理解性和内部一致性(Cronbach's α coefficient = 0.78)良好。确认性因子分析显示出良好的维度、因子关系和内部一致性,以及可接受的建构效度。最后得出的结果是由两个维度组成的 13 个项目的问卷,这两个维度解释了 58.5%的方差:参与决策(占方差的 45.2%)和以人为本的沟通(包括礼貌、同情、人性化和信任):这一改编版 PREMEPA 问卷可用于有慢性病史的西班牙人群。该版本的 PREMEPA 为了解和改善慢性病患者的护理提供了一种新的工具,可以改善医患关系,鼓励患者坚持治疗,提高健康水平。
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Cross-Cultural Adaptation and Validation of the Perception of the Doctor-Patient Relationship (PREMEPA) Questionnaire in Chronic Multi-Pathological Patients.

Objective: To conduct a cross-cultural adaptation and validation in Primary Care of the PREMEPA doctor-patient relationship perception questionnaire.

Design: Descriptive, cross-sectional study, using self-administered questionnaires. Qualitative validation: an adapted version of the original questionnaire, was adapted to our culture. The process consisted of the evaluation, cross-cultural adaptation and consensus of a group of experts. The questionnaire was piloted on a sample of 32 patients diagnosed with at least 2 chronic pathologies.

Measures: Cognitive piloting, comprehensibility assessment, content validation and internal consistency analysis using Cronbach's alpha coefficient. Quantitative validation: the internal consistency, construct validity and validity of the questionnaire were studied by means of a confirmatory factor analysis developed in a multicenter study, randomly selecting 202 patients with at least 2 chronic pathologies.

Results: Content validity of the new Spanish version was confirmed to be adequate. Comprehensibility and internal consistency (Cronbach's α coefficient = 0.78) were adequate. The confirmatory factor analysis showed good dimensionality, factor relationship and internal consistency, as well as acceptable construct validity. The final result was a 13-item questionnaire consisting of 2 dimensions, which explain 58.5% of the variance: participation in decision-making (accounting for 45.2% of the variance) and person-centered communication (encompassing courtesy, empathy, humanity, and trust).

Conclusions: This adapted version of the PREMEPA questionnaire can be considered valid for use in the Spanish population with a history of chronic pathology. This version of PREMEPA provides a new instrument to understand and improve chronic patient care, which can improve the doctor-patient relationship, encouraging adherence to treatment and enhancing health outcomes.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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