目的 编制住院患者参与的用药安全行为量表并检验其信效度.方法 采用文献回顾法、半结构质性访谈法、德尔菲专家咨询法形成量表初稿.对武汉市某三级甲等医院461例住院患者进行问卷调查,测定量表的信效度.结果 正式量表由3个维度23个条目组成.总量表Cronbach's α系数为0.916,各维度Cronbach's α系数为0.777～0.858;各维度Spearman-Brown系数为0.740～0.843;总量表的重测信度系数为0.742,内容效度为0.923,各条目内容效度指数为0.833～1.000;共提取5个因子,根据碎石图,限定抽取3个因子,累积贡献率达51.191％.结论 住院患者参与用药安全行为量表具有良好的信效度,可用于评价住院患者参与用药安全行为,为护理安全质量管理提供参考.%Objective To develop the instrument for inpatients involvement in patient medication safety,and to test the reliability and validity of the scale.Methods The draft scale was formulated by combining results of literature review,semi-structured interviews and Delphi expert consultation.Totally 461 inpatients in a tertiary hospital in Wuhan were selected for investigation to examine its reliability and validity.Results The final scale consisted of 3 dimensions and 23 items.The Cronbach's α coefficient was 0.916 for the total scale and ranged from 0.777 to 0.858 for 3 dimensions;Spearman-Brown coefficients of 3 dimensions varied from 0.740 to 0.843;the test-retest correlation was 0.742 for the total scale.The scale content validity index was 0.923,and the item content validity index ranged from 0.833 to 1.000.Factor analysis was used to extract 5 factors,and 3 factors were allowed according to the scree test.Therefore,the cumulative variance contribution rate was 51.191％ for 3 factors.Conclusion The Inpatients Involvement in Patient Medication Safety Scale has good reliability and validity.It can be used to evaluate inpatients' engagement behavior in medication safcty,and provide reference for quality management of nursing safety.
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