目的:评价世界卫生组织残疾人照顾质量量表中文版的信度和效度.方法:采用全球多中心同步研究的方法研制世界卫生组织残疾人照顾质量量表.通过多阶段分层整群随机抽样的方法,从广州市抽取1037例残疾人(一般残疾者814例,智力残疾者223例),对其进行问卷调查.对其中109例一般残疾人间隔1周进行量表的重复测量.采用克朗巴赫α系数评价量表的内部一致性信度,通过前后两次测量各领域得分的组内相关系数来考察量表的重测信度,采用探索性因子分析评价量表的结构效度.结果:共收回问卷1000份(一般残疾者807份,智力残疾者193份),量表回收率为97.94％(一般残疾版本99.2％,智力残疾版本86.4％),条目缺失率低于1％；量表各个领域的克朗巴赫α系数为0.720-0.860;重复测量前后得分的组内相关系数为0.639-0.837;因子分析结果表明量表反映出的内在结构与原量表构造基本一致.结论:世界卫生组织残疾人照顾质量量表中文版具有较好的可接受性、信度和效度,可用于中国残疾人的照顾质量的研究.%Objective: To evaluate the reliability and validity of the Chinese Version of WHO quality of care and support (QOCS) for people with disability scale.Method: The WHO QOCS for people with disability scale was studied in several centers around the globe at the same time. Multi-stage sampling method was used to recruit respondents. A total of 1037 people with disability were included in this study. Scale internal consistency reliability was determined by calculating Cronbach's a coefficient. Of the sample 109 people with disability were retested to evaluate the test-retest reliability. Exploratory factor analysis was performed to evaluate the constructive validity.rnResult: A total of 1000 questionnaires were recruited. High response rate of 97.97% and low missing item rate of less than 1% were reached. And Cronbach's a coefficients were between 0.720-0.860. The intraclass correlation coefficient (ICC) for the repeated measurements were 0.639-0.837. The common factor structure extracted by the exploratory factor analysis was similar to the designed structure. Conclusion: The results of this study supported the reliability and validity of the Chinese Version of QOCS for people with disability scale. The instrument could be used to measure the quality of care of people with disabilities in China.
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