[1]羅 鑫,陳貴儒,李曉莉.電子病歷系統調查問卷的漢化及信效度檢驗[J].醫學信息,2020,(04):90-93.[doi:10.3969/j.issn.1006-1959.2020.04.027]
 LUO Xin,CHEN Gui-ru,LI Xiao-li.Chinesization of Electronic Health Record System Questionnaire and Reliability and Validity Test[J].Medical Information,2020,(04):90-93.[doi:10.3969/j.issn.1006-1959.2020.04.027]
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電子病歷系統調查問卷的漢化及信效度檢驗()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2020年04期
頁碼:
90-93
欄目:
論著
出版日期:
2020-02-15

文章信息/Info

Title:
Chinesization of Electronic Health Record System Questionnaire and Reliability and Validity Test
文章編號:
1006-1959(2020)04-0090-04
作者:
羅 鑫陳貴儒李曉莉
(阿壩藏族羌族自治州人民醫院手術室1,神經內科2,護理部3,四川 馬爾康 624000)
Author(s):
LUO XinCHEN Gui-ruLI Xiao-li
(Operation Room1,Department of Neurology2,Department of Nursing3,People’s Hospital of Aba Tibetan and Qiang Autonomous Prefecture,Maerkang 624000,Sichuan,China)
關鍵詞:
患者安全文化醫療信息技術電子病例醫務人員認知
Keywords:
Patient safety cultureMedical information technologyElectronic health recordMedical staffCognition
分類號:
R
DOI:
10.3969/j.issn.1006-1959.2020.04.027
文獻標志碼:
A
摘要:
目的 對美國醫療衛生保健研究與質量促進機構(AHRQ)電子病歷系統調查問卷進行漢化,并檢驗其信效度。方法 方便抽取2所綜合性三級醫院453名醫務人員作為研究對象,自行設計一般資料調查表調查研究對象的基本情況,對AHRQ電子病歷系統調查問卷進行漢化。采用探索性性因子分析和驗證性因子分析檢驗問卷結構效度,采用克郎巴赫系數評定問卷信度。結果 共回收問卷612份,2所醫院員工應答率分別為56.58%、78.31%,問卷有效回收率為97.22%。研究對象平均年齡(34.210±8.114)歲,受教育程度以本科及以上為主,職稱以初級為主,多為護士,從事本專業時間以1~5年最多。漢化電子病歷系統調查問卷的Cronbach’s α系數為0.891,各維度Cronbach’s α系數在0.689~0.912,內容效度指數為0.920;探索性因子分析提取3個公因子,累計方差貢獻率為75.434%;驗證性因子分析模型擬合結果:?字2=37.863,df=16,P =0.002;RMR=0.042,RMSEA=0.077,GFI=0.967,AGFI=0.906,CFI=0.982。結論 漢化的電子病歷系統調查問卷信效度良好,可用于評價我國醫務人員對電子病歷系統質量與安全的認知。
Abstract:
Objective To Chinesize the American Medical Care Research and Quality Promotion Agency (AHRQ) electronic health record system questionnaire and test its reliability and validity. Methods It was convenient to select 453 medical staff from two comprehensive tertiary hospitals as the research objects, design the general information questionnaire to investigate the basic situation of the research objects, and Chinesize the AHRQ electronic health record system questionnaire. Exploratory factor analysis and confirmatory factor analysis were used to test the validity of the questionnaire structure, and the reliability of the questionnaire was evaluated using the Cronbach coefficient. Results A total of 612 questionnaires were collected. The response rates of the employees in the two hospitals were 56.58% and 78.31%, and the effective recovery rate of the questionnaires was 97.22%. The average age of the study subjects was (34.210±8.114) years old. Their education level was mainly at the undergraduate level or above. Their professional titles were mainly junior. Most of them were nurses. The most time spent in this major was 1 to 5 years. The Cronbach’s α coefficient of the Chinese medical electronic health record system questionnaire was 0.891, the Cronbach’s α coefficient of each dimension was 0.689~0.912, and the content validity index was 0.920. The exploratory factor analysis extracted 3 common factors, and the cumulative variance contribution rate was 75.434%. Factor analysis model fitting results:?字2=37.863,df=16,P=0.002; RMR=0.042,RMSEA=0.077, GFI = 0.967,AGFI=0.906,CFI=0.982.Conclusion The reliability and validity of the Chinese medical electronic health record questionnaire is good, and it can be used to evaluate the medical staff’s perception of the quality and safety of the electronic health record system.

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更新日期/Last Update: 2020-02-15
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