中風病人自覺職能治療照護品質問卷－PROTS發展：向度與題目編製

The Patient's Review on Occupational Therapy for Stroke Patients Questionnaire

蕭宇佑(Yu-Yu Hsiaoa,) ； 薛漪平(I-Ping Hsueh) ； 姚開屏(Grace Kai-Ping Yao) ； 陳怡妙(Yi-Miau Chen) ； 謝清麟(Ching-Lin Hsieh)

《職能治療學會雜誌》 29卷2期 (2011/12) Pp. 41-63

https://doi.org/10.6594/JTOTA.2011.29(2).03

摘要

病人自覺醫療照護品質是醫療服務品質的重要指標之一。然而，我國迄今缺乏職能治療照護品質的評量工具，嚴重影響臨床與研究中，職能治療服務品質的確認與改善。本研究目的在於發展一份適用於台灣，以病患經驗為主軸的中風病人自覺職能治療照護品質問卷 (the Patient's Review on Occupational Therapy for Stroke patients, PROTS) 預試版之向度與題目，並詳述發展流程。 PROTS預試版向度與題目編製包含三大步驟：(1) 進行文獻回顧與臨床訪談，以設計初步向度架構與問卷題目；(2) 召集專家團體進行問卷審題與第一次修訂，以建立PROTS之內容效度；(3) 邀請中風病人與家屬進行認知訪談 (cognitive interview)，以建立PROTS之表面效度。本研究發展之PROTS預試版包含8大向度：職能治療人員的態度（14題）、職能治療人員的專業能力（31題）、資訊提供（8題）、照護一致性（13題）、照護及時（9題）、社會心理支持（6題）、職能治療環境（11題）以及出院準備/居家生活輔導（10題），合計102題。未來將藉由問卷資料的收集，確立問卷之信度及建構效度，以供後續相關研究及臨床使用，以期提升我國職能治療服務之品質。

關鍵字

中風 ； 病人報告結果 ； 職能治療 ； 照護品質 ； 問卷

並列摘要

Patient perceived health care quality is a key indicator of health service quality. However, so far in Taiwan, no measure assesses the health care quality of Occupational Th¬erapy services, leading serious impact on the promotion of occupational therapy quality. The purpose of the present study was to elaborate a generic methodology for developing the domains and items of Patient's Review on Occupational Therapy for Stroke patients questionnaire (PROTS) for further psychometric testing. The procedure included 3 steps: (a) reviewing related literature and carrying out clinical interviews to develop preliminary domains and items; (b) consulting with the expert group to establish content validity of the PROTS; (c) conducting cognitive interviews with stroke patients or their main caregivers to establish the face validity of the PROTS. Finally, the PROTS pre-testing version was consisted of 102 items for 8 domains: Staff's attitude (14 items), Staff's ability (31 items), Information (8 items), Consistency of care (13 items), Timely care (9 items), Psychosocial support (6 items), Environment (11 items), and Discharge prepare/Home care guidance (10 items). ¬The PROTS will be applied in further survey to establish its reliability and construct validity. The PROTS can be used to improve the health care quality of occupational therapy.

並列關鍵字

Stroke ； Patient reported outcome ； Occupational therapy ； Health care quality ； questionnaire