文章詳目資料

護理研究 MEDLINEScopus

  • 加入收藏
  • 下載文章
篇名 住院愛滋病患健康照護需求量表發展之前驅研究
卷期 6:1
並列篇名 The Development of a Health Care Needs Scale for Hospitalized Patients with AIDS: A Pilot Study
作者 王世麗林麗嬋郭英調
頁次 69-81
關鍵字 愛滋病患健康照護需求量表發展Patient with AIDSHealth care needsDevelopment of scaleTSCIMEDLINEScopus
出刊日期 199802

中文摘要

     本研究目的在發展住院愛滋病患健康需求量表。研究過程分為二階段進行:第一階段為發展訪談指引,抽樣來源係臺北某一家醫學中心,採立意取樣,選樣標準為衛生署指定之愛滋病防治醫療院所醫師診斷為愛滋病、年滿12歲以上、能以國語溝通、且目前為住院中之個案。樣本數之決定乃依據飽和原則,經受訪病患同意後進行訪談,同時錄音記錄訪談內容並轉錄謄寫,樣本數總計八名。資料分析採內容分析法,編碼員本身一致性為0.81,編碼員間一致性為0.89。第二階段為發展住院愛滋病患需求量表,選樣標準與第一階段相同,樣本來源於臺北某二家醫學中心與中途之家。第一階段之資料分析結果被編製為 79 題之住院愛滋病患需求量表。研究結果將愛滋病患的需求分為生理、心理社會、訊息、及照護品質等四大類別。而最重要的需求項目為:照護品質需求中的「期望死亡診斷書(或住院診斷書)勿寫疾病名稱」、「醫護人員不應告訴別人病情」、生理需求中的「減輕死亡前身體上的痛若」。四位臨床愛滋病患專家被用來檢定內容效度:百分比同意度為 93%,而 Kappa同意度係數為 0.23。20 位愛滋病患被用來評估量表之內部一致性,Cronbach's α為 0.92本研究結果顯示此量表有初步的心理計量屬性,未來研究建議從事效標效度及建構效度的檢定,以進一步效化本量表。

英文摘要

     The purpose of this two-phase study was to develop a health care needsscale for hospitalized patients with AIDS. Phase One involved developing aninterview guide. Purposive sampling was used for this phase, with subjects beingchosen from a medical center in metropolitan Taipei based on the followingcriteria: (1) diagnosed with AIDS, (2) no complications such as neuropathy,psychosis, or dementia, (3) at least 12 years of age, (4) able to speakMandarin, and (5) being hospitalized at the time of the study. Sample size wasdetermined by the saturation principle and eight were selected for interviews,which were tape-recorded and transcribed. Analysis included content analysis inwhich intra-coder percentage agreement yielded 0.81, while the inter-coderpercentage agreement yielded 0.89. Phase Two consisted of constructing a healthcare needs scale for patients with AIDS. Sampling criteria in Phase Two were thesame as in Phase One. Data obtained in Phase One resulted in a 79-item HealthCare Needs S cale for Hospitalized Patients with AIDS. Seventy-nine items werecategorized into four categories of health care needs: physiological,psychosocial, informational and quality of care. The most important items onhealth care needs scale were

相關文獻