بررسي روايي و پايايي پرسشنامه الگوي مديريت خدمات نوين سلامت ميانسالان

Investigating the Validity and Reliability of the Questionnaire of Modern Health Services Management Model for Middle-aged People

زﻣﯿﻨﻪ و ﻫﺪف: اﺑﺰاري ﮐﻪ ﺑﺮاي ﺟﻤﻊآوري دادهﻫﺎ ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﻣﯽﮔﯿﺮد در ﻣﺮﺣﻠـﻪ ﻧﺨﺴـﺖ ﺑﺎﯾـﺪ از رواﯾـﯽ ﺧـﻮﺑﯽ ﺑﺮﺧﻮردار ﺑﻮده و در ﻣﺮﺣﻠﻪ دوم ﺑﺎﯾﺪ ﭘﺎﯾﺎﯾﯽ ﺑﺎﻻﺗﺮي داﺷﺘﻪ ﺑﺎﺷﺪ. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫـﺪف ﻃﺮاﺣـﯽ اﺑـﺰاري ﺟﻬـﺖ ﻣـﺪﯾﺮﯾﺖ ﺑﺮﻧﺎﻣﻪ ﻣﯿﺎﻧﺴﺎﻻن در ﺳﺎل 1398 اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: اﯾﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﺗﻮﺻﯿﻔﯽ- ﮐﺎرﺑﺮدي ﺑﻮد. اﺑﺰار ﻣﻮردﭘﮋوﻫﺶ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ ﺣﺎﺻﻞ از ﻣﻄﺎﻟﻌﻪ ﺗﻄﺒﯿﻘﯽ و ﻣﺼﺎﺣﺒﻪ ﺑﻮد. رواﯾﯽ اﯾﻦ اﺑﺰار ﺑﺎ ﻧﻈﺮﺳﻨﺠﯽ از 14 ﻧﻔﺮ از ﻣﺘﺨﺼﺼﺎن ﺣﻮزه ﻣﺪﯾﺮﯾﺖ ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ، آﻣـﻮزش ﺑﻬﺪاﺷـﺖ ، ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ و ﭘﺮﺳﺘﺎري ﺑﺎ اﺳﺘﻔﺎده از روش ﻻوﺷﯽ اﻧﺠﺎم ﺷﺪ. ﭘﺎﯾﺎﯾﯽ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﯿﺰ ﺑﺎ اﻧﺘﺨﺎب 30 ﻧﻔﺮ از ﮐﺎرﺷﻨﺎﺳﺎن ﺑﺮﻧﺎﻣﻪ ﻣﯿﺎﻧﺴﺎﻻن و ﺑﺎ اﺳﺘﻔﺎده از روش آزﻣﻮن- آزﻣﻮن ﻣﺠﺪد ﺑﻪ ﻓﺎﺻﻠﻪ دو ﻫﻔﺘﻪ اﻧﺠـﺎم ﮔﺮﻓـﺖ . ﺟﻬـﺖ ﺗﺠﺰﯾـ ﻪوﺗﺤﻠﯿـ ﻞ دادهﻫـﺎ از ﻧﺮماﻓﺰار 20-SPSS اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: در ﻣﺮﺣﻠﻪ رواﯾﯽ ﺑﺮ اﺳﺎس ﻧﻈﺮات 14 ﻧﻔﺮ از ﻣﺘﺨﺼﺺ از ﺑﯿﻦ 87 ﺳﺆال، ﺗﻌﺪاد 1 ﺳﺆال ﺑـﺎ ﻧﺴـﺒﺖ رواﯾـﯽ ﻣﺤﺘـﻮا ﯾﯽ 0/45 و ﺷﺎﺧﺺ رواﯾﯽ ﻣﺤﺘﻮاﯾﯽ 0/73 از ﺳﺆاﻻت ﭘﺮﺳﺸﻨﺎﻣﻪ ﺣﺬف و ﺑﻘﯿﻪ ﺳﺆاﻻت از ﻧﻈﺮ ﻣﺤﺘـﻮا ﻣـﻮرد ﺗﺄﯾﯿـﺪ ﻗـﺮار ﮔﺮﻓـﺖ. ﺿﺮﯾﺐ آﻟﻔﺎ ﮐﺮوﻧﺒﺎخ ﻃﯽ دو ﻣﺮﺣﻠﻪ )ﻣﺮﺣﻠﻪ اول 0/85 و ﻣﺮﺣﻠﻪ دوم 0/95( و ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ 0/99 ﺑﺮاي ﮐـﻞ ﭘﺮﺳﺸـﻨﺎﻣﻪ ﺑﻪ دﺳﺖ آﻣﺪ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﻧﺘﺎﯾﺞ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻧﺸﺎن داد ﻣﺆﻟﻔﻪ ﻣﺸﺎرﮐﺖﻫﺎي ﻣﺮدﻣﯽ و ﻣﺆﻟﻔﻪ ﻣـﺪﯾﺮﯾﺖ اﺟﺮاﯾـﯽ ﺑـﻪ ﺗﺮﺗﯿـﺐ ﺑﯿﺸـﺘﺮﯾﻦ و ﮐﻤﺘﺮﯾﻦ ﻣﯿﺰان ﻫﻤﺒﺴﺘﮕﯽ را در ﻣﺪﯾﺮﯾﺖ ﺧﺪﻣﺎت ﺳﻼﻣﺖ ﻣﯿﺎﻧﺴﺎﻻن دارد؛ ﺑﻨﺎﺑﺮاﯾﻦ ﺳﯿﺎﺳﺘﮕﺰاران و ﺑﺮﻧﺎﻣﻪ رﯾﺰان ﻣﺮاﻗﺒﺖﻫﺎي ﺑﻬﺪاﺷﺘﯽ و درﻣﺎﻧﯽ ﻣﯽﺗﻮاﻧﻨﺪ ﺑﺮاي ارﺗﻘﺎء ﮐﯿﻔﯿﺖ ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ ﻣﯿﺎﻧﺴﺎﻻن ﺑﻪﺻﻮرت دورهاي از آن اﺳﺘﻔﺎده ﮐﻨﻨﺪ. واژهﻫﺎي

The tool used to collect data should have validity in the first stage and reliability in the second stage. The aim of this study was to design a tool for program management of middle-aged people in health centers in 2019. Methods: This study was a descriptive-applied research. The research tool was a researchermade questionnaire from a comparative study and interview. The validity of tool was examined by surveying 14 experts in the field of health services management, health education, general practitioner and nursing using Lawshi method. The reliability of the questionnaire was determined by selecting 30 experts in middle-aged people program and using the test-retest method with time interval of two weeks. For data analysis, the SPSS software version 20 was used. Results: In the validity stage, based on the opinions of 14 experts, out of 87 questions, 1 question with a content validity ratio of 0.45 and a content validity index of 0.73 was removed from the questionnaire questions and the rest of the questions were approved in terms of content. Cronbach's alpha coefficient was obtained in two stages (the first stage was 0.85 and the second stage was 0.95) and the correlation coefficient was 0.99 for the whole questionnaire. Conclusion: The results of the present study showed that the component of public participation and the component of executive management had the highest and lowest correlation in the management of health services for middle-aged people, so policymakers and health care planners can use it to improve the quality of health services for middle-aged people.