轉譯和建構中文版病人隱私量表

Translation and Development of the Chinese-Version Patient Privacy Scale

10.6224/JN.000040

陳麗(Li Chen)；馮先瓊(Xian-Qiong Feng)；楊小莉(Xiao-Li Yang)；李羅紅(Luo-Hong Li)

護理人員 ； 病人 ； 隱私量表 ； 信度 ； 效度 ； nurses ； patient ； privacy scale ； reliability ； validity

護理雜誌

64卷3期（2017 / 06 / 01）

56 - 64

繁體中文

背景　病人隱私洩露問題在世界各國均很嚴重，護理人員是與病人接觸最多且擁有較多病人資訊之專業人員，其對病人隱私保護扮演著重要的角色。然而，目前中國大陸卻缺少適用於測量臨床護理人員對病人隱私保護之工具。目的　譯製中文版「病人隱私量表」（patient privacy scale），並進行信效度檢定。方法　本量表原為Özturk、Bahcecik與Özçelik（2014）所發展，用於測量護理人員在職場是保護還是侵犯病人之隱私。本研究採「翻譯—回譯」方法，進行中英文的雙次翻譯，並以中國大陸西部地區兩所三級甲等綜合醫院，共616位護理人員為研究對象進行施測，藉以檢定中文版量表之內在一致性與再測信度，以及結構效度。結果　量表總的Cronbach’s α為 .94，五個因素的Cronbach’s α介於 .84~ .90；折半信度為 .91；再測信度為.82；內容效度為 .95。經探索性因素分析後，可解釋之總變異量為64.98%。結論　「病人隱私量表」中文版具有良好的信、效度。本量表可實際應用於測量臨床護理人員對病人之隱私保護情況；亦可作為評量病人隱私保護訓練成效的前後測工具。

Background: The unauthorized releasing of confidential patient information is a serious problem worldwide. Nurses, the healthcare professionals who are in most frequent contact with patients, have access to a significant amount of confidential patient information and play a key role in protecting patient privacy. However, currently, there is no proper tool to measure the level to which clinical nurses protect the privacy of their patients in China. Purpose: To translate the patient privacy scale (PPS) into Chinese and to test the reliability and validity of this Chinese version. Methods: The original scale was developed by Özturk, Bahcecik, and Özçelik (2014) to identify whether nurses protect or violate patient privacy in the workplace. This study used the ＂back translation＂ method to translate the scale. A total of 616 nurses in two tertiary hospitals in the Western region of China were enrolled to test the internal consistency, test-retest reliability, and construct validity of the translated scale. Results: The Cronbach's coefficients of the total scale and its 5 factors ranged from .84 to .94; the split half reliability was .91; the test-retest reliability was .82; and the content validity index was .95. Explanatory factor analysis revealed that the 5 factors explained 64.98% of the total variance. Conclusions: The Chinese version of the PPS is reliable and valid, and may be used to reliably assess the behaviors of nurses with regard to protecting the privacy of their patients. The scale may also be used to evaluate the effects of training on patient privacy protection.

1. 楊建昌、彭依雯、賴靜莉、陳世欣、楊紅玉、趙婉青(2004)。工作滿足對組織承諾與病人滿意度之相關性探討─以台北某區域教學醫院護理人員為例。醫務管理期刊，5(2)，152-170。
   連結：
2. 盧淵源、鄭玉惠(2007)。內部服務品質因子、服務能力、工作滿意及外部服務品質關係之研究─以護理人員為例。品質學報，14(2)，161-179。
   連結：
3. Kelley, T. L. (1939). The selection of upper and lower groups for the validation of test items. The Journal of Educational Psychology, 30(1), 17-24. doi:10.1037/h0057123
4. Privacy. (n.d.). In Merriam-Webster's online dictionary (11th ed.). Retrieved from Https://www.merriam-webster.com/dictionary/privacy
5. 劉延春（2008，6月）．深圳10萬孕產婦個人信息遭洩露．南方都市報．取自http://news.sina.com.cn/s/2008-06-10/020715710408.shtml [Liu Y. C. (2008, June). 100 thousands maternal personal information were leaked in Shenzhen. Southern Metropolis Daily. Retrieved from http://news.sina.com.cn/s/2008-06-10/020715710408.shtml]
6. Office for Civil Rights. (2015). Health information privacy. Numbers at a glance. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/enforcement/highlights/indexnumbers.html
7. 張貴餘（2010）．英醫療記錄存信息漏洞—醫院清潔工可查患者病歷． 取自http://news.163.com/10/0330/17/631RE7B5000146BB.html [Zhang, G. Y. (2010). Medical records have information vulnerabilities-Hospital janitorial staff may review patient's records. Retrieved from http://news.163.com/10/0330/17/631RE7B5000146BB.html]
8. Hennessy-Fiske, M. (2010, August 8). When Facebook goes to the hospital, patients may suffer. Los Angeles Times. Retrieved from http://articles.latimes.com/2010/aug/08/local/la-me-facebook-20100809
9. Karro, J.,Dent, A. W.,Farish, S.(2005).Patient perceptions of privacy infringements in an emergency department.Emergency Medicine Australasia,17(2),117-123.
10. Leech, N. L.,Barrett, K. C.,Morgan, G. A.(2008).SPSS for intermediate statistics: Use and interpretation.New York, NY:Lawrence Erlbaum Associates.
11. Nayeri, N. D.,Aghajani, M.(2010).Patients' privacy and satisfaction in the emergency department: A descriptive analytical study.Nursing Ethics,17(2),167-177.
12. Ozair, F. F.,Jamshed, N.,Sharma, A.,Aggarwal, P.(2015).Ethical issues in electronic health records: A general overview.Perspectives in Clinical Research,6(2),73-76.
13. Özturk, H.,Bahcecik, N.,Özçelik, K. S.(2014).The development of the patient privacy scale in nursing.Nursing Ethics,21(7),812-828.
14. Taitsman, J. K.,Grimm, C. M.,Agrawal, S.(2013).Protecting patient privacy and data security.The New England Journal of Medicine,368(11),977-979.
15. 王春玲、戴新娟(2010)。護理工作中患者隱私保護的現狀與展望。護理學報，17(4B)，15-17。
16. 王燕、高穎、張齊放(2006)。涉及患者隱私部位臨床實習操作情況的調查與分析。解放軍護理雜誌，23(4)，31-33。
17. 史靜琤、莫顯昆、孫振球(2012)。量表編制中內容效度指數的應用。中南大學學報（醫學版），37(2)，152-155。
18. 朱禮坤、陳同良(2012)。泌尿外科患者隱私權現狀調查分析。齊魯護理雜誌，18(8)，53-54。
19. 吳明隆(2011)。量表統計分析實務。重慶市， 中國=Chongqing City, China:重慶大學=Chongqing University Press。
20. 呂叔湘、、丁聲樹、S. S.(2012)。現代漢語詞典。北京市，中國=Beijing City, China:商務印書館=The Commercial Press。
21. 沈中、許文潔(2010)。隱私權論兼析人格權。上海市，中國=Shanghai City, China:上海人民=Shanghai Remin Chubanshe。
22. 胡雁(2012)。護理研究。北京市，中國=Beijing City, China:人民衛生=People's Medical Publishing House。
23. 張傳友(2005)。試論患者的隱私權。中國醫院管理，25(5)，26-28。
24. 張鐵麗、王玉梅、霍葳、初喆、李血金、馬鴻雁(2011)。急診留觀患者就醫隱私問題的調查。吉林醫學，32(8)，1596。
25. 陳寶如、蔡秀芬、龔美珍、趙明玲(2012)。住院病人對護理服務重視程度與滿意度之相關性探討─以桃園二所地區教學醫院為例。長庚護理，23(1)，14-26。
26. 黃蘭蘭(2015)。婦科護理過程中患者隱私保護的研究。中外醫學研究，13(27)，90-91。

1. 胡瑛麒,吳展宇,何清治(2023)。病患與護理人員知覺病患隱私之比較研究。弘光學報，91，117-129。