在血液透析的感知和自我参与的尺度:发展和心理测量评估
Li-Yun Szu1,2, Suh-Ing Hsieh2, Whei-Mei Shih3
1Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan.
Healthcare (Basel, Switzerland)
|December 8, 2023
概括
一个新的天平有助于血液透析患者积极参与他们的护理,改善了与透析机器的生活适应. 该工具测量患者的感知和自我参与,提高生活质量.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 以患者为中心的护理
- 健康心理学 心理健康心理学
背景情况:
- 血液透析患者需要经常治疗,影响日常生活.
- 患者自我参与护理对于适应至关重要,但研究不足.
- 缺乏一个验证的衡量标准来评估血液透析的自我参与.
研究的目的:
- 开发和评估血液透析患者的自我参与透析寿命表.
- 为测量患者参与和对血液透析护理的看法提供一个工具.
- 通过以患者为中心的方法提高临床护理的质量.
主要方法:
- 使用基于理论的定性访谈来开发规模项目.
- 专家内容有效性评估.
- 使用统计方法 (因素分析,可靠性,ANOVA) 对435名血液透析患者的数据进行定量分析.
主要成果:
- 开发的尺度表现出良好的可靠性和有效性 (项目内容有效性指数0.96,尺度内容有效性指数0.73).
- 该尺度由两个部分组成:"对血液透析的看法" (2个因素) 和"对血液透析的自我参与" (4个因素).
- 克伦巴赫的α值为感知值的0.812和自我参与值的0.959,表明强大的内部一致性.
结论:
- 自主参与透析寿命表是评估患者在血液透析中的自主参与的可靠和有效工具.
- 该尺度可以通过评估患者参与度和根据个体需求量身定制护理来告知临床实践.
- 通过自我参与赋予血液透析患者权力,对于高质量的护理和更好地适应他们的病情至关重要.
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