安宁疗护人员医学叙事能力量表的构建

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· 科研论著 ·

基金项目 上海市中西医结合学会社区医学与健康管理研究项目，编号：2021⁃75

作者简介 方颖，主管护师，本科

通讯作者 张云凤，E⁃mail：1740487709@qq.com

引用信息 方颖，王晓琳，徐兰，等.安宁疗护人员医学叙事能力量表的构建[J].护理研究，2024，38（1）：51⁃55.

Construction of medical narrative ability scale for hospice care personnel

FANG Ying， WANG Xiaolin， XU Lan， FAN Haiwa， YAN Yiting， LI Panyu， ZHANG Yunfeng

Liqun Hospital of Putuo District， Shanghai 200333 China

Corresponding Author  ZHANG Yunfeng，E⁃mail： 1740487709@qq.com

Abstract  Objective：To develop a scale to evaluate the medical narrative ability of hospice care personnel， and to test its reliability and validity.Methods：Guided by the theory of narrative medicine and the specific practice of hospice care， combined with literature analysis and qualitative interview results， the item pool of the scale was constructed. The first version of the scale was formed through on⁃site expert Delphi consultation. A questionnaire survey was conducted among 324 persons who carried out hospice care and narrative medicine/nursing services to test the reliability and validity of the scale.Results：The medical narrative ability scale for hospice staff included two dimensions，which were response focus and reflective representation，and 21 items，they could explain 78.626% of the total variance.Cronbach'sαcoefficient of the scale was 0.978，and Cronbach's α coefficientof each dimension were above 0.9，the correlation coefficients of the scale and each dimension were 0.916-0.973，and the dimensions and total scores of the scale were positively correlated with the scores of the Caring Ability Inventory（P<0.01）.Conclusion：The structure of medical narrative ability of hospice care personnel formed in this study is reasonable and ti has good reliability and validity.It is suitable for the evaluation of medical narrative ability of hospice care personnel.

Keywords    hospice care； narrative medicine； assessment tool； Delphi method； nursing staff； narrative ability

摘要  目的：开发评估安宁疗护人员医学叙事能力的量表，并检验其信效度。（剩余9258字）