为患有尿失禁的老年患者建立护理需求量表及其可靠性和有效性测试
Xiangping Liu1, Jing Pan1, Silian Cai2
1Department of Gynaecology, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China.
Frontiers in medicine
|August 8, 2025
概括
一个新的35项尺度有效地评估了尿失禁的老年患者的护理需求. 该工具提供了一种可靠和有效的方法来改善老年护理和患者的生活质量.
科学领域:
- 老年护理老年护理
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康科学 卫生科学 卫生科学
背景情况:
- 尿失禁 (UI) 显著影响老年患者的生活质量.
- 在中国医疗保健中,老年UI患者缺乏专门的护理需求评估工具.
- 标准化的护理实践和生活质量干预措施需要经过验证的评估工具.
研究的目的:
- 开发和验证中国老年尿失禁患者的护理需求量表.
- 为老年护士提供一个定量评估工具.
- 为改善这一群体的生活质量和标准化护理服务奠定科学基础.
主要方法:
- 一种包括文献审查,定性访谈,德尔菲方法,预测和调查在内的综合方法.
- 开发初始规模框架和项目库,随后进行专家咨询和项目选.
- 心理测量评估使用探索性和确认性因子分析,可靠性 (Cronbach's alpha,分半) 和有效性 (内容有效性指数) 在一个大样本 (n=530) 上进行测试.
主要成果:
- 最终的尺度包括5个维度的35个项目.
- 探索性因素分析确定了5个共同因素.
- 确认因素分析证实了模型的良好匹配,显示出强大的可靠性 (克朗巴赫的α=0.901) 和有效性 (S-CVI=0.942).
结论:
- 已成功开发出一个35项,5维尺度,用于评估老年UI患者的护理需求.
- 该尺度表现出良好的心理测量特性,使其成为临床实践中宝贵的工具.
- 建议对多样化的样本进行进一步的研究,以提高尺度的概括性.
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