摘要
目的初步编制半定式知情同意能力评估问卷,并检验其信度和效度。方法由专业医生对148例年龄18岁以上的患者评定半定式知情同意能力评估问卷(SSICA)、知情同意能力定式检查与等级评定表(SICIATRI)、自知力与治疗态度问卷(ITAQ),一周后重测SSICA、SICIATRI,对SSICA进行信度、效度分析。结果SSICA重测信度为0.997,组内相关系数ICC=0.988,各条目与剩余总分的相关系数为0.568～0.885,分半信度为0.962,Cronbach系数为0.975。SSICA与ITAQ、SICIATRI相关系数为0.947、0.899。结论半定式知情同意能力评估问卷有较好的信度和效度,临床应用具有可行性。
Objective: To develop the Semi-structured Inventory Competence Assessment (SSICA) with was used to assess psychiatric patients' competence of consent to treatment and admission, and to test the reliability and validity of SSICA. Methods: 148 psychiatric patients above 18 years old were rated with SSICA, SICIATRI and ITAQ by well-trained doctor, and trese patients were rated again with SSICA and SICIATRI one week later. The reliability and validity indces of SSICA were analyzed respectively. Results: Test-retest reliability of SSICA was 0.997; Interrater reliability calculated by the Intraclass Correlation Coefficient (ICC) was 0.988; Correlation coefficients of each item with the residual total score were 0.568～0.885;Cronbach coefficient was 0.975, ITAQ and SICIATRI were highly correlated with SSICA. Conclusion: SSICA has good reliability and validity, and is feasible in clinical practice to evaluate psychiatric patient's competence of consent to treatment and admission.
出处
《上海精神医学》
2005年第1期29-32,共4页
Shanghai Archives of Psychiatry
