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首页> 外文期刊>BMC Palliative Care >Development and validation of the quality care questionnaire –palliative care (QCQ-PC): patient-reported assessment of quality of palliative care
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Development and validation of the quality care questionnaire –palliative care (QCQ-PC): patient-reported assessment of quality of palliative care

机译：质量护理调查表–姑息治疗（QCQ-PC）的开发和验证：患者报告的姑息治疗质量评估

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In this study, we aimed to develop and validate an instrument that could be used by patients with cancer to evaluate their quality of palliative care. Development of the questionnaire followed the four-phase process: item generation and reduction, construction, pilot testing, and field testing. Based on the literature, we constructed a list of items for the quality of palliative care from 104 quality care issues divided into 14 subscales. We constructed scales of 43 items that only the cancer patients were asked to answer. Using relevance and feasibility criteria and pilot testing, we developed a 44-item questionnaire. To assess the sensitivity and validity of the questionnaire, we recruited 220 patients over 18?years of age from three Korean hospitals. Factor analysis of the data and fit statistics process resulted in the 4-factor, 32-item Quality Care Questionnaire-Palliative Care (QCQ-PC), which covers appropriate communication with health care professionals (ten items), discussing value of life and goals of care (nine items), support and counseling for needs of holistic care (seven items), and accessibility and sustainability of care (six items). All subscales and total scores showed a high internal consistency (Cronbach alpha range, 0.89 to 0.97). Multi-trait scaling analysis showed good convergent (0.568–0.995) and discriminant (0.472–0.869) validity. The correlation between the total and subscale scores of QCQ-PC and those of EORTC QLQ-C15-PAL, MQOL, SAT-SF, and DCS was obtained. This study demonstrates that the QCQ-PC can be adopted to assess the quality of care in patients with cancer.
机译：在这项研究中，我们旨在开发和验证一种可被癌症患者用来评估其姑息治疗质量的仪器。问卷的开发遵循四个阶段：项目生成和减少，构造，中试和实地测试。根据文献，我们从104个质量护理问题（分为14个子量表）构建了姑息治疗质量的项目清单。我们构建了43个项目的量表，仅癌症患者被要求回答。利用相关性和可行性标准以及试点测试，我们开发了一项44项问卷。为了评估问卷的敏感性和有效性，我们从三家韩国医院招募了220名18岁以上的患者。数据和拟合统计过程的因子分析得出了4因子32项质量护理问卷-姑息护理（QCQ-PC），其中包括与医护人员的适当交流（十项），讨论生命价值和目标护理（九项），对整体护理需求的支持和咨询（七项）以及护理的可及性和可持续性（六项）。所有分量表和总分均显示出较高的内部一致性（Cronbach alpha范围为0.89至0.97）。多特征量表分析显示良好的收敛性（0.568-0.995）和判别性（0.472-0.869）。获得了QCQ-PC和EORTC QLQ-C15-PAL，MQOL，SAT-SF和DCS的总分和次级分之间的相关性。这项研究表明，QCQ-PC可以用于评估癌症患者的护理质量。

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