关于血液透析患者疾病和治疗规模的不确定性的发展和心理评估:一个连续探索混合方法研究
Sobhan Rahimi Esbo1, Fatemeh Ghaffari2, Zahra Fotokian3
1Student Research Committee, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R., Iran.
BMC psychology
|April 5, 2024
概括
这项研究开发并验证了对血液透析患者的疾病和治疗等级的不确定性 (UC about D&TS). 关于D&TS的UC是医疗保健提供者评估血液透析患者心理痛苦的可靠工具.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 健康科学 卫生科学 卫生科学
背景情况:
- 血液透析患者经历心理困扰,包括不确定性关于疾病和治疗 (UC关于D&T),由于长期治疗和频繁的诊所访问.
- 可靠和有效的工具对于理解和管理该群体中关于D&T的UC至关重要.
- 这项研究旨在开发和心理测量评估血液透析患者的疾病和治疗不确定性量表 (关于D&TS的UC).
研究的目的:
- 设计和心理测量评估关于疾病和治疗的不确定性尺度 (关于D&TS的UC).
- 为在接受血液透析的患者中测量D&T的UC提供一个有效和可靠的仪器.
- 帮助规划血液透析患者心理健康的预防措施和护理干预措施.
主要方法:
- 一项以两阶段进行的方法研究:文献综述和面对面采访 (演和归纳方法).
- 心理测量评估包括面部和内容有效性 (定性-定量),构造有效性 (探索性因子分析) 和可靠性 (克朗巴赫的阿尔法,麦当劳的欧米茄).
- 最初的项目库从66个 (文学) 和48个 (采访) 减少到29个心理测试项目.
主要成果:
- 探索性因子分析确定了五个因素:自我不确定性,不确定的情况,不确定的未来,治疗结果的不确定性和信息不确定性,解释了82.16%的差异.
- 该尺度表现出良好的有效性和可靠性,克伦巴赫的alpha为0.828,麦当劳的omega为0.818.
- 测量稳定性很高 (0.977),测量标准误差很低 (2.019).
结论:
- 关于D&TS的UC是一个有效和可靠的尺度,用于评估血液透析患者疾病和治疗的不确定性.
- 该尺度是专门为这种患者群体设计的.
- 建议医疗保健提供者在随访期间使用关于D&TS的UC来监测患者的心理健康.
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