[临床超声急诊护理质量分析SERVPERF工具的验证]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2024-12-27 DOI:10.1016/j.aprim.2024.103204

Laura Carbajo Martín , Ignacio Párraga-Martínez , Juan Jesús Rosado Cabral , Luis Matías Beltrán Romero , Máximo Bernabeu Wittel , Grupo de Investigación AGS Norte de Huelva. Hospital de Riotinto

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引用次数: 0

摘要

目的：分析SERVPERF从患者角度评估急诊科对临床超声检查腹痛患者护理质量的信度和效度，以及性别对问卷的影响。设计：2023年3月至2024年4月的前瞻性研究，纳入接受临床超声检查的腹痛患者。单位：急诊科。参与者：18岁以上腹痛的成年人。干预措施：进行临床超声检查并收集适应的SERVPERF问卷。主要测量指标：调查问卷总分、性别、年龄、急诊科住院时间、转诊来源、出院目的地、超声结果。结果：共纳入115例患者，平均年龄58.2岁（SD: 19.4）， 66.1%为女性。为了验证问卷，Bartlett的球形度检验产生了0.000的值（P0.5）。问卷的信度采用Cronbach’s alpha: 0.928 （95% CI: 0.908 ~ 0.946）。量表平均得分为124.57±9.30分。男性总体平均得分高于女性，接近统计学意义（P= 0.05）。使用多元线性回归，没有变量与更高的护理质量感知独立相关，尽管性别有边际显著性。结论：SERVPERF问卷对服务感知质量的测定是可靠有效的。此外，在急诊科使用临床超声护理的感知质量是非常高的。没有观察到性别差异。

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查看原文本刊更多论文

Validación de la herramienta SERVPERF para el análisis de calidad en la atención en urgencias con la ecografía clínica

Objective

To analyze the reliability and validity of the SERVPERF questionnaire for assessing the quality of care from the patient's perspective in emergency departments for abdominal pain patients undergoing clinical ultrasound, as well as the influence of sex.

Design

Prospective study from March 2023 to April 2024 involving patients treated for abdominal pain who underwent clinical ultrasound.

Setting

Emergency department.

Participants

Adults over 18 years old with abdominal pain.

Interventions

Conducting clinical ultrasound and collecting the adapted SERVPERF questionnaire.

Main measurements

Overall score of the questionnaire, sex, age, length of stay in the emergency department, referral origin, discharge destination, ultrasound results.

Results

A total of 115 patients were included, with a mean age of 58.2 years (SD: 19.4) and 66.1% being women. To validate the questionnaire, the Bartlett's test of sphericity yielded a value of 0.000 (P<.05) and the KMO (Kaiser-Meyer-Olkin) test resulted in a value of 0.855 (>0.5). The reliability of the questionnaire was assessed using Cronbach's alpha: 0.928 (95% CI: 0.908-0.946). The mean score on the scale was 124.57 ± 9.30. Men showed a higher overall mean score than women, approaching statistical significance (P=.05). Using multiple linear regression, no variable was independently associated with a higher perception of quality in care, although sex was marginally significant.

Conclusions

The SERVPERF questionnaire is shown to be reliable and valid for determining the perceived quality of service. Additionally, the perceived quality of care using clinical ultrasound in the emergency department was very high. No differences based on sex were observed.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.