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慢性病童疾病不確定感量表之發展與測試

The Development and Validation of the Uncertainty in Illness Scale of Children with Chronic Illness

摘要


慢性病童因認知發展與所接受醫療照護訊息的有限性,易促使病童對未來醫療及疾病掌控產生不確定性,一個適合慢性病童疾病不確定感量表的發展有其必要性。本研究應用描述相關性研究設計,基於Mishel之不確定感理論,研究過程分為五個階段:量表構面的形成、量表題項之形成、初步量表之專家效度測試、學齡期病童量表閱讀與內在一致性測試,正式量表測試以建立信效度。慢性病童疾病不確定感量表適合6~18歲慢性病童,具模糊性與複雜性兩向度。疾病不確定感總分之Cronbach's α值為0.86:慢性病童生活品質之預測效度為正相關(r = .18, p<.05)。此量表可做為瞭解慢性病童對疾病與照護有控制感及預測情境事件後果的資料收集工具。

關鍵字

慢性病 兒童 不確定感 量表

並列摘要


Due to the limitation of cognitive development and understanding of health care information of children with chronic illness, they are most likely to have uncertainty of the health treatment and mastery of illness. It is vital to develop a chronic illness children uncertainty scale (CICUS). Based on Michel's uncertainty theory, this study was used descriptive correlational design, a five stages was included: establishing a construct domain, establishing the items, establishing expert validity, readability and internal consistency, and establishing the reliability and validity of the final version of the scale. The chronic illness children uncertainty scale is suitable for 6-18 years old children with chronic illness. The CICUS includes ambiguity domain and complexity domain. The Cronbach's α of CICUS is 0.86. The predictability of child's quality of life of CICU is positive correlation (r=.18, p<.05). CICUS could be used as a tool to understanding children's perception of their sense of control of their illness and to predict the outcome of children with chronic illness experiencing a stressful event.

並列關鍵字

chronic illness child uncertainty scale

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