目的:编制临终患者优逝量表并进行信度、效度检验,为评估临终患者优逝水平提供测量工具.方法:基于优逝理论模型,通过文献回顾、半结构式访谈、专家函询及预调查形成量表初版.2023 年1月—3月,便利选取北京市、天津市的两所三级甲等医院就诊的门诊和病房患者进行调查,对量表进行项目分析及信度、效度检验.结果:临终患者优逝量表包括 6 个维度,共 29 个条目,量表内容效度指数为 0.979,各条目的内容效度指数为 0.800~1.000;总量表的Cronbach's α系数为 0.877,折半信度系数为 0.803.结论:临终患者优逝量表具有良好的信度、效度,可作为我国临终患者优逝水平的测量工具.
Objective:To develop a Good Death Scale for terminal patients and test its reliability and validity.Methods:Guided by the good death model,an initial version of the scale was developed through literature review,semi-structured interview and expert correspondence and pilot survey.From January to March 2023,patients were selected from the outpatients and wards in two tertiary grade A hospitals in Beijing and Tianjin for questionnaire survey,and the item analysis and reliability and validity testing were carried out for the scale.Results:Good Death Scale was composed of 6 dimensions with a total of 29 items.The content validity index(CVI)of the scale was 0.979,and the CVI of each item(I-CVI)was between 0.800 and 1.000.The Cronbach'α coefficient of the scale is 0.877,and the half reliability coefficient is 0.803.Conclusion:The Good Death Scale for terminally ill patients is with good reliability and validity,and it can be used as a tool to measure the death quality for terminal patients in China.