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目的译制中文版护理院患者安全文化测评量表并对其信度和效度进行初步验证。方法对护理院患者安全文化测评量表(NHSOPSC)进行跨文化调适,形成中文版NHSOPSC量表,对6家护理院的322名工作人员进行问卷调查,通过专家论证、因子分析及计算信度系数对结果进行信度、效度检验。结果中文版NHSOPSC量表保留23个条目,探索性因子分析提取出6个公因子,累积贡献率为65.28%,各条目的因子载荷范围为0.451～0.892。中文版NHSOPSC量表总的内部一致性系数(Cronbach’sα)为0.884,各维度的Cronbach’sα系数分别为0.841、0.804、0.737、0.757、0.866、0.815。总量表的重测信度为0.904,各维度的重测信度分别为0.913、0.786、0.963、0.895、0.951、0.709,重测关联有统计学意义(P<0.001)。结论中文版NHSOPSC量表具有良好的信度与效度,可以作为测评我国护理院患者安全文化的有效工具。
Objective To prepare a Chinese version of nursing home patient safety culture evaluation scale and to verify its reliability and validity. Methods The cross-cultural adjustment of nursing home safety culture evaluation scale (NHSOPSC) was carried out to form a Chinese version of NHSOPSC scale. A questionnaire survey was conducted among 322 nursing staff in 6 nursing homes. Through expert testimony, factor analysis and reliability coefficient The results of reliability, validity test. Results The Chinese version of NHSOPSC retained 23 entries, exploratory factor analysis extracted six common factors, the cumulative contribution rate was 65.28%, the factor load range of each item was 0.451 ~ 0.892. The total internal consistency coefficient (Cronbach’sα) of the Chinese version of the NHSOPSC was 0.884, and the Cronbach’s alpha coefficients of each dimension were 0.841, 0.804, 0.737, 0.757, 0.866, 0.815 respectively. The test-retest reliability of the total scale was 0.904. The test-retest reliability of each dimension was 0.913, 0.786, 0.963, 0.895, 0.951 and 0.709, respectively. The retest correlation was statistically significant (P <0.001). Conclusion The Chinese version of NHSOPSC scale has good reliability and validity and can be used as an effective tool to evaluate the safety culture of patients in nursing homes in China.