在衰竭的老年人中开发和验证CKD知识 (Know-CKD) 的评级
Susan Koch-Weser1, Kristen Kennefick2, Hocine Tighiouart3
1Department of Public Health & Community Medicine, School of Medicine, Tufts University, Boston.
概括
"Know-CKD"仪器是一种可靠和有效的工具,用于评估慢性病 (CKD) 的老年人之间的知识. 这一措施可以改善这一群体对置换治疗的共享决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 很少有功能衰竭的老年人参与置换治疗的共享决策 (SDM).
- 缺乏评估SDM相关知识领域的工具可能会导致这一差距.
- 老年人中CKD知识评级 (Know-CKD) 工具是为了满足这一需求而开发的.
研究的目的:
- 评估Know-CKD仪器的可靠性和有效性.
- 评价其在测量高级慢性病 (CKD) 的老年人知识中的有用性.
主要方法:
- 一个多阶段的过程,涉及利益相关者参与,试点测试和跨部门调查验证.
- 这项研究包括363名70岁以上的参与者,他们患有晚期CKD (eGFR<30mL/min/1.73m2).
- 使用Kuder-Richardson-20系数评估可靠性,并使用t测试,ANOVA和回归分析测试构造有效性.
主要成果:
- 12项的Know-CKD评估表明了良好的可靠性 (库德-理查森-20 = 0.75).
- 构造有效性得到了支持,Know-CKD分数与高等教育,健康素养,算术能力和参加透析教育课程之间的关联显著.
- 参与者的平均年龄为77.6±5.9岁,平均eGFR为22.7±7.2毫升/分钟/1.73米2.
结论:
- "Know-CKD"仪器是一个有效,可靠,易于管理的知识衡量工具,用于考虑启动透析的老年人.
- 这种工具可以为改善老年患有病患者共享决策研究和实践的努力提供信息.
- 建议进行进一步的研究,以探索病知识与SDM,患者满意度和临床结果之间的关系.
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