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Development and Testing of Self-Management Scale for PD Patients
Xiao-hua Wang1, Jian-hong Pang2, Lu Lin1
1The First Affiliated Hospital of Soochow University/School of Nursing, Soochow University, Suzhou 215006, China.
Summary
This study developed a reliable and valid self-management scale for peritoneal dialysis (PD) patients. The scale helps nurses assess patient self-management abilities for better care planning.
Area of Science:
- Nephrology
- Nursing Research
- Psychometrics
Background:
- Peritoneal dialysis (PD) requires significant patient self-management.
- Effective tools are needed to assess PD patient self-management capabilities.
Purpose of the Study:
- To develop and evaluate a psychometrically sound self-management scale for PD patients.
- To provide a tool for nurses to assess patient self-management skills.
Main Methods:
- Item pool generation via literature review and interviews.
- Delphi expert consultation and preliminary testing.
- Exploratory factor analysis and reliability/validity testing on 313 PD patients.
Main Results:
- A 28-item, 5-factor scale was developed, explaining 64.567% of variance.
- High content validity (0.963) and reliability (Cronbach's α=0.926, split-half=0.960, test-retest=0.937).
- Factors include: solution bag replacement, troubleshooting, diet, complication monitoring, and psychosocial adjustment.
Conclusions:
- The developed scale is a reliable and valid instrument for evaluating PD patient self-management.
- Findings support its use by PD nurses for individualized care planning and interventions.
- The scale facilitates enhanced nursing care for peritoneal dialysis patients.
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