开发一种负担尺度,用于结肠镜检查炎症性肠病患者的经验
Maya Nunotani1, Miho Takahashi1, Takuro Miyazaki2
1School of Nursing, Graduate School of Nursing/Mukogawa Women's University, Nishinomiya, Japan.
一个新的21项尺度有效地测量了炎症性肠病 (IBD) 患者的结肠镜检查负担. 这种经过验证的工具评估疼痛,准备,术后症状和休息时间,帮助临床评估.
科学领域:
- 胃肠病学 胃肠病学
- 患者报告的结果
- 心理测量 心理测量 心理测量
背景情况:
- 结肠镜对于炎症性肠病 (IBD) 管理至关重要,但对患者造成重大负担.
- 现有的措施可能无法充分捕捉与IBD患者结肠镜相关的多方面的经验.
- 了解和量化这种负担对于改善患者的护理和遵守是必不可少的.
研究的目的:
- 开发和验证可靠和有效的尺度测量IBD患者的结肠镜特定负担.
- 评估新开发的尺度的心理测量特性,包括内部一致性和测试-重新测试可靠性.
- 检查与已确定的措施相比,该尺度的构造和与标准相关的有效性.
主要方法:
- 基于先前的研究,开发一个33项规模,然后进行内容有效性评估.
- 通过患者社区向IBD患者进行的在线调查.
- 心理测量评估包括项目分析,探索性因子分析,克朗巴赫α和与外部标准的相关性.
主要成果:
- 一个21项尺度出现了四个因素:疼痛,肠道准备负担,结肠镜后的焦虑/症状,以及下班时间.
- 该尺度表现出强大的内部一致性 (克朗巴赫的α = 0.875) 和测试重试可靠性 (ICC = 0.879).
- 显著的相关性支持了与认知评估,结肠镜测量焦虑,疼痛和满意度的标准相关有效性.
结论:
- 开发的21项结肠镜检查负担表是IBD患者可靠和有效的工具.
- 这种尺度可以在临床环境中使用,以评估这群人群中结肠镜检查的综合负担.
- 这些发现支持使用这种尺度来告知患者管理和改善IBD患者的结肠镜体验.
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