多种疾病治疗负担量表:一个发展和心理测量验证研究
Kyoung Suk Lee1, Jihyang Lee2, Minji Kim2
1The Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, South Korea.
Nursing & health sciences
|March 15, 2026
概括
一个新的尺度,多病症治疗负担尺度 (TBMS),有效地衡量了多种慢性疾病患者面临的挑战. 这种经过验证的工具为临床实践提供了可靠的评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 临床测量 临床测量
背景情况:
- 现有的工具不足以捕捉与多病症相关的综合治疗负担.
- 管理多种慢性疾病给患者带来了重大挑战,影响了他们的日常生活和医疗保健参与.
研究的目的:
- 开发和验证一种新的,可靠和有效的测量方法,用于评估多病症患者的治疗负担.
- 确定多病症治疗负担量表 (TBMS) 的心理测量属性,包括可靠性,有效性和响应性.
主要方法:
- 基于文献审查和现有工具开发TBMS,随后与专家和患者进行内容有效性评估.
- 心理测试使用纵向调查设计,使用基线503名患者和6个月后313名患者的数据.
- 分析可靠性 (克朗巴赫的α),构造有效性 (与相关措施的相关关系),以及随时间变化的响应性.
主要成果:
- 最终的12项TBMS显示出强大的内部一致性 (Cronbach的alpha=0.93) 和反映医疗保健任务和影响的因素结构.
- 结核病综合诊断系统的得分与疾病负担,现有的多病症治疗负担指标和自我护理有显著的相关性,支持构造有效性.
- 超过6个月的TBMS得分变化与自我护理,抑郁症状,身体功能和自我评估健康状况的变化有关,这表明反应能力.
结论:
- 多种疾病治疗负担量表 (TBMS) 是一种可靠,有效和快速响应的工具,用于评估多种慢性疾病患者的治疗负担.
- 结核病管理系统为临床医生和研究人员提供了一种有价值的工具,以更好地理解和管理多病症治疗的复杂性.
- 这种新的尺度可以为临床实践和医疗保健干预提供信息,旨在减少管理多种健康问题的个人治疗负担.
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