自傷行為の障壁と促進要因:医療従事者のためのツールの開発と検証

Amanda Sarah Vanzela^1,2, Aline Conceição Silva³, Laysa Fernanda Silva Pedrollo^1,2

¹Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

Revista latino-americana de enfermagem

|August 20, 2025

まとめ

この研究では医療従事者の間で自己傷害防止の障害や促進要因を特定するツールが開発され検証されました検証されたツールは,高い内部一貫性を示し,ブラジルの文脈に適応できます.

科学分野:

医療サービス研究
心理学
公衆衛生

背景:

自傷防止は効果的な戦略を必要とする重要な公衆衛生問題です
予防プログラムの成功には医療従事者の間で障害や支援者を特定することが不可欠です
ブラジルにおける自傷防止の具体的な状況に適切な対応ができない可能性もあります

研究の目的:

自傷予防における医療従事者の間で認識される障壁や促進者を特定するためのツールを開発し,検証する.
確立された理論的領域枠組み (TDF) をベースにします.

主な方法:

Pasqualiの理論的枠組みとTDFを用いた方法論的研究である.
専門家による顔と内容の検証 (n=13) と,医療従事者による構造の検証 (n=91).
データ分析には,コンテンツ有効性指数 (CVI),AC1係数,探索的因数分析 (ホーン法) が含まれていた.

主要な成果:

最終的な計測器は,高い内部一貫性 (ω = 0.89) を示すライカートスケールの11項目で構成されています.
要素分析では,知識と能力,状況,制度的な支援という 3つの重要な要因が特定されました.
評価者間の合意は中程度 (AC1=0. 52) であり,ターゲットオーディエンスの分析後に3項目を削除した.

結論:

開発されたツールは,ブラジルの文脈で先駆的な,アクセス可能なツールです.
医療従事者の間で自己傷害を予防する障壁や促進者を効果的に特定します
自傷予防の研究や実践に大きく貢献する可能性があります

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