Development of an experience scale for patients with chronic wound debridement and dressing
10.3760/cma.j.issn.1671-0290.2024.03.004
- VernacularTitle:慢性伤口清创换药体验量表的研究
- Author:
Yanping SHI
1
;
Ling TIAN
;
Zhifei LIU
;
Wei ZHANG
;
Tianqi LIU
;
Jinna WANG
;
Siming JIANG
;
Yanan CUI
;
Zirong LI
Author Information
1. 中国医学科学院 北京协和医院整形美容外科，北京 100140
- Keywords:
Surgical wound;
Surveys and questionnaires;
Chronic wounds;
Debridement and dressing change;
Scale development;
Hospital consumer assessment of healthcare
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(3):213-217
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop and evaluate a medical experience assessment scale for debridement and dressing change in chronic wound patients in China, and to provide a reference for improving hospital service quality.Methods:Based on the framework of hospital consumer assessment of healthcare providers and systems survey (HCAHPS) in the United States, a preliminary draft of the scale was formed through a literature review and qualitative interviews with 12 chronic wound patients (7 males and 5 females aged 58.1±12.3 years). Five experts were invited for content validity testing, and 191 chronic wound patients (111 males and 80 females aged 53.5±19.1 years) were selected to evaluate the internal consistency reliability, half reliability, retest reliability, and structural validity of the scale.Results:The Chronic Wound Patient Debridement and Dressing Experience Scale covered 5 dimensions with 30 sub-items and 2 comprehensive evaluation items, including demand response, good and friendly communication, professional trust, optimization of the medical treatment process, and encouragement of patient participation. The scale Cronbach′s α coefficient was 0.967 and ranged from 0.890 to 0.962 for each dimension. The overall retest reliability of the scale was 0.940 and ranged from 0.895 to 0.940 for each dimension. The overall half reliability of the scale was 0.923 and ranged from 0.834 to 0.935 for each dimension. 5 factors were extracted, with a cumulative variance contribution rate of 82.061%.Conclusions:Based on the HCAHPS framework in the United States, the Chronic Wound Debridement and Dressing Experience Scale developed has high reliability and validity, and can be used to evaluate the dressing change experience of patients with chronic wounds. It has clinical practice significance for dressing change in chronic wounds.
