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題名：連續性照護量表之發展與信效度檢定--於老年慢性病患出院準備服務之運用
書刊名：護理暨健康照護研究
作者：陳曉梅／曾勤媛／陳靜敏／紀珮君／葉芳枝
作者(外文)：Chen, Hsiao-mei／Tzeng, Chyn-yuan／Chen, Ching-min／Chi, Pei-chun／Yeh, Fang-chin
出版日期：2013
卷期：9:4
頁次：頁261-270
主題關鍵詞：出院準備服務；慢性病老人；連續性照護；連續性照護量表；Discharge planning；Elderly with chronic conditions；Continuity of care；Patient continuity of care questionnaire
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:1
  • 點閱點閱:39
背景：隨著我國老人慢性病人口快速成長，片段化醫療照護問題日益嚴重，連續性照護為我國重要照護目標，但我國測量連續性照護之量表尚無嚴謹的研究檢驗。 目的：發展中文版連續性照護量表，進一步驗證其使用於台灣老年慢性病患出院準備服務之適用性。 方法：經徵得同意引用後，進行外文量表之中文版發展過程。先經中文翻譯、翻譯後整合、反向翻譯、專家共識及訂版前預試之五個發展步驟後，以中部某區域醫院63位接受出院準備服務介入措施之慢性病老人病患進行量表之心理特性檢定，包括內容效度及同時關聯效度之效度檢定，及以內在一致性、兩週後再測信度進行量表信度之檢測。 結果：經11位專家進行內容效度檢定，內容效度指標(content validity index)為 .93，達可接受範圍；且連續性照護量表與生活品質心理範疇、社會關係及環境因素範疇皆呈顯著正相關，具同時關聯效度。在信度部分，量表的內在一致性其Cronbach’s α值為 .88-.94，再測信度 .80-.91，顯示此量表具有良好的信效度。 結論/實務應用：本研究證實翻譯版的連續性照護量表具可接受的信效度，並且可以做為台灣醫療機構慢性疾病老人連續性照護品質監測之工具。中文版連續性照護量表將可以廣泛應用於臨床服務或研究，期使病患得到更完善之健康照護。
Background: The rapid increase in the number of elderly patients with chronic diseases has made caring for this vulnerable population a priority healthcare issue in Taiwan. The Patient Continuity of Care Questionnaire (PCCQ) has been widely used in international studies. However research has not yet assessed the suitability and applicability of the PCCQ in Taiwan. Purpose: The present study develops a Chinese-language version of the PCCQ and investigates its usefulness in discharge planning for elderly patients with chronic diseases in Taiwan. Methods: After obtaining permission from the original author, the Chinese-language version of PCCQ was developed in a 5-step process. This process included: translation into Chinese, post-translation integration, back translation, expert consensus, and testing of the pre-final version. Sixty-three elderly patients at a hospital in Central Taiwan with chronic diseases and a hospital discharge plan were enrolled for psychometric testing of the pre-final Chinese-language PCCQ. Content validity and concurrent validity were tested. Internal consistency and test-retest reliability were measured in two-week, post-hoc assessments to ensure scale reliability. Results: A review by 11 experts gave the scale a content validity index (CVI) of .93. A significant positive correlation between PCCQ and quality of life (World Health Organization Quality of Life, WHOQOL) in the psychological, social relationship, and environmental domains demonstrate concurrent validity. An internal consistency of .88-.94 of the Cronbach’s α coefficient and test-retest scores of .80-.91 demonstrate good reliability and validity for the scale, respectively. Conclusions / Implications for Practice: This study confirmed that the Chinese-version PCCQ has acceptable reliability and validity and may be used in Taiwan’s health care institutions as a continuity-of-care measurement tool for the elderly with chronic diseases. The PCCQ may be used broadly to evaluate clinical-service quality. Further research is necessary to enhance healthcare services in Taiwan.
期刊論文
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7.Hadjistavropoulos, H. D.、Garratt, S.、Janzen, J. A、Bourgault-Fagnou, M. D、Spice, K.(2009)。Development and evaluation of a continuity of care checklist for improving orthopaedic patient discharge from hospital。Journal of Orthopaedic Nursing，13(4)，183-193。  new window
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圖書
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2.吳明隆(2012)。SPSS操作與應用：問卷統計分析實務。臺北：五南圖書。  延伸查詢new window
其他
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3.國民健康署(2011)。中老年身心社會生活狀況長期追蹤調查，http://www.bhp.doh.gov.tw/bhpnet/portal/Find.aspx?Keyword=%e6%85%a2%e6%80%a7%e7%97%85。  延伸查詢new window
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5.譚開元(20130100)。如何建構完整之照顧服務體系，http://sowf.moi.gov.tw/23/91/report/tker.htm。  延伸查詢new window
6.World Health Organization(20130300)。Health topics: Chronic diseases.，http://www.who.int/topics/en/index.html， 2014/04/23。  new window
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