开发和验证一个衡量克罗恩病患者护理需求的尺度:一种混合方法研究
Danlei Chen1, Qing Liu1, Zhihui Yu2
1Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
BMC nursing
|July 10, 2024
概括
开发和验证了一种新的27项克罗恩病 (CD) 护理需求量表 (CD-CNS). 该工具有助于护士和护理人员精确评估和指导CD患者的支持性护理.
科学领域:
- 胃肠病学 胃肠病学
- 护理 护理 护理
- 健康评估工具 健康评估工具
背景情况:
- 克罗恩病 (CD) 需要量身定制的支持性护理.
- 护理人员和护士需要精确的工具来评估患者的护理需求.
- 现有的评估方法可能无法完全捕捉到CD患者的特定需求.
研究的目的:
- 开发和验证一种疾病特异性尺度,用于评估克罗恩病患者的护理需求.
- 为医疗保健专业人员提供可靠的工具,以指导个性化的支持性护理计划.
- 提高克罗恩病患者的护理质量.
主要方法:
- 一种混合方法的方法,结合了定性访谈,专家咨询和文献审查.
- 基于支持性护理框架和马斯洛的层次结构,开发初始规模项目.
- 通过探索性因子分析 (EFA),可靠性和有效性测试与炎症性肠病问卷 (IBDQ) 对250名CD患者进行45项初始量表的验证.
主要成果:
- 探索性因子分析确定了5个维度,并保留了27个项目用于最终的克罗恩氏病特异性护理需求量表 (CD-CNS).
- CD-CNS表现出强大的内部一致性可靠性 (克朗巴赫的α=0.940) 和单个尺寸的高可靠性 (0.8240.921).
- 通过与IBDQ的相关性 (P <0.050) 证实了显著的标准有效性,试验重试的可靠性在0.655到0.895.5之间.
结论:
- 开发和验证的CD-CNS是评估克罗恩病患者护理需求的可靠和有效工具.
- 这种尺度可以有效地指导医疗保健提供者提供具体和适当的支持性护理.
- CD-CNS促进了精确的评估,改善了克罗恩病患者的护理管理.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Inflammatory Bowel Disease II: Crohn's Disease
212
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
212
Data Validation
5.0K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.0K
Assessment of the Gastrointestinal System II: Health Perception Pattern
99
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
99
Formulating and Validating Nursing Diagnosis II
2.7K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
2.7K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K


