肺結核に対する治療基準の作成
Y A Prasetyo1, S Thanasilp2, S Preechawong1
1Faculty of Nursing, Chulalongkorn University, Pathum Wan, Thailand.
まとめ
効果的な結核治療の結果を決定する薬剤の服用順番と生活習慣の両方を評価するために,新しい結核治療順番 (ATTS) が開発されました.
科学分野:
- 医学
- 公衆衛生
- 看護学 研究
背景:
- 伝統的な結核治療の順守評価では ライフスタイル要因が無視されていることが多い.
- 効果的な結核治療には 薬の摂取だけでなく 総合的なアプローチが必要です
研究 の 目的:
- TB トリートメント スケール (ATTS) を開発し,心理的に評価する.
- 結核治療の順守を総合的に評価し,生活習慣を組み込むことを目的としています.
主な方法:
- スケール開発には,文献合成,デルフィー研究,アイテム生成,検証が含まれていました.
- 心理学的特性は,探索的および確認的因子分析を用いて評価された.
- このスケールは4ポイントのライカート形式を使用し,7つのキーアデンスコンポーネントをカバーしています.
主要な成果:
- ATTSは強力な内容の妥当性 (CVI=0.92) と信頼性 (Cronbach's alpha=0.894) を示した.
- 薬,栄養,薬物使用,ストレス,運動,睡眠,予防など 7つの領域で 33の項目を確認しました
- 確認要因分析は,良いモデルフィットインデックスでスケールの構造的妥当性を支持しました.
結論:
- ATTSは 結核治療の順守を測定するための 信頼性の高い有効なツールです
- 薬剤とライフスタイルの要因を含む包括的な評価を提供します.
- このスケールは,臨床実践,看護教育,研究アプリケーションに適しています.
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