腹膜透析授权简化量表评估腹膜透析患者授权能力的信效度

发布时间：2018-05-08 19:28

本文选题：腹膜透析 + 腹膜透析授权简化量表　；参考：《中国全科医学》2016年09期

【摘要】：目的探讨腹膜透析授权简化量表(PDES-SF)在腹膜透析患者中应用的信效度。方法选取2015年3—5月天津市第一中心医院肾内科腹膜透析中心手工操作腹膜透析患者136例,采用专家函询法将糖尿病授权中文简化量表(C-DES-SF)改编成PDES-SF,对腹膜透析患者发放PDES-SF、慢性病管理自我效能量表(SES6)、腹膜透析患者自我管理量表(SMSPD)、自尊量表(SES)及心理一致感量表(SOC-13)进行问卷调查,同时收集同期腹膜透析患者的生化指标。结果腹膜透析患者PDES-SF得分为(4.1±0.7)分,胡贝贝等的糖尿病患者C-DES-SF得分为(3.9±0.7)分,差异有统计学意义(t=3.48,P=0.001)。效度分析得出PDES-SF最终的评价者间一致性水平(IR)为0.875,条目水平的内容效度指数(I-CVI)范围为0.80~1.00,平均量表水平的内容效度指数(S-CVI/Ave)为0.95,全体一致量表水平的内容效度指数(S-CVI/UA)为0.88。PDES-SF得分与SES6得分(r=0.549,P0.01)、SMSPD得分(r=0.414,P0.01)、SES得分(r=0.404,P0.01)、SOC-13得分(r=0.522,P0.01)均呈正相关;PDES-SF得分与清蛋白(r=0.216,P0.05)、全段甲状旁腺激素(i PTH)(r=0.224,P0.05)均呈正相关。信度分析得出PDES-SF Cronbach'sα系数为0.851,重测信度r=0.963(P0.01)。结论 PDES-SF在腹膜透析患者中具有较好的信效度,适合测量腹膜透析患者的授权能力。
[Abstract]:Objective to investigate the reliability and validity of PDES-SF in peritoneal dialysis patients. Methods 136 patients undergoing manual peritoneal dialysis in Department of Renal Dialysis Center, the first Central Hospital of Tianjin from May to May 2015, were selected. The simplified Chinese diabetes authorization scale (C-DES-SF) was adapted into PDES-SFby by means of expert inquiry. PDES-SFs were issued to peritoneal dialysis patients, chronic disease management self-efficacy scale (SES6), peritoneal dialysis patient self-management scale (SMSPDN), self-esteem scale (SES) and psychological identity. The questionnaire was conducted by SOC-13. At the same time, the biochemical indexes of peritoneal dialysis patients were collected. Results the PDES-SF score of peritoneal dialysis patients was 4. 1 卤0. 7, and the C-DES-SF score of patients with diabetes mellitus was 3. 9 卤0. 7. The difference was statistically significant (P < 0. 001). Validity analysis showed that the final consistency level of PDES-SF was 0.875, the content validity index (I-CVI) of item level was 0.80 / 1.00, the content validity index of the average scale level was 0.95, and the content validity index of the whole consistency scale was S-CVI / UAUAA). There was a positive correlation between the 0.88.PDES-SF score and the SES6 score (r = 0.414, P = 0.01or P = 0.404, P 0.01, P = 0.522, P 0.01), and between the score of PDES-SF and the albumin, r0.216, P0.05, and the whole segment of parathyroid hormone, PTH, 0.224P, 0.05, respectively, and a positive correlation was found between the score of 0.88.PDES-SF and the score of SES6, and the scores of 0.88.PDES-SF and SES6 were positively correlated with the score of 0.88.PDES-SF and the score of SES6, and the scores of 0.88.PDES-SF and SES6 were positively correlated with those of the whole segment of parathyroid hormone (PTH) 0.224P0.05 (P < 0.05). The reliability analysis showed that the PDES-SF Cronbach's 伪 coefficient was 0.851and the retest reliability was 0.963p0.01. Conclusion PDES-SF has good reliability and validity in peritoneal dialysis patients.
【作者单位】：天津医科大学护理学院;
【分类号】：R473.5

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