血液透析病患自我管理量表之建構與測試

The Development and Testing of a New Hemodialysis Self-Management Instrument (HD-SMI)

宋藝君(Yi-Chun Song) ； 林秋菊(Chiu-Chu Lin)

《護理暨健康照護研究》 5卷1期 (2009/03) Pp. 51-59

https://doi.org/10.6225/JNHR.5.1.51

摘要

Successful self-management is crucial to helping hemodialysis (HD) patients achieve a successful balance between controlling their disease and living a normal life. The purpose of the study was to develop and psychometrically test a new instrument for measuring hemodialysis patient self-management behaviors. This study was divided three stages. In the first, dimensions determination, stage, instrument specifications were set based on self-management concept analysis attributes and focus group findings. In the second, items generation, stage, items generated for the instrument were drawn from a previous focus group study conducted by the authors. In the third, psychometrical testing, stage, eight experts were invited to validate instrument content. The hemodialysis self-management instrument (HD-SMI) was pilot tested on 57 HD patients. To examine HD-SMI psychometric properties, data were collected from 196 subjects recruited from four hospital HD centers. Four factors extracted through exploratory factor analysis, including partnership, self-care, problem-solving skills, and emotion management, explained 45.13% of total variance. Cronbach's α coefficients of the HD-SMI total scale was .87, and of four subscales ranged from .70 to .78. The two-week test-retest correlation was .86. Results indicate that the hemodialysis self-management instrument provides good reliability and validity. The instrument may be employed to measure self-management efficacy in hemodialysis patients.

關鍵字

血液透析 ； 自我管理 ； 量表建構

並列摘要

Successful self-management is crucial to helping hemodialysis (HD) patients achieve a successful balance between controlling their disease and living a normal life. The purpose of the study was to develop and psychometrically test a new instrument for measuring hemodialysis patient self-management behaviors. This study was divided three stages. In the first, dimensions determination, stage, instrument specifications were set based on self-management concept analysis attributes and focus group findings. In the second, items generation, stage, items generated for the instrument were drawn from a previous focus group study conducted by the authors. In the third, psychometrical testing, stage, eight experts were invited to validate instrument content. The hemodialysis self-management instrument (HD-SMI) was pilot tested on 57 HD patients. To examine HD-SMI psychometric properties, data were collected from 196 subjects recruited from four hospital HD centers. Four factors extracted through exploratory factor analysis, including partnership, self-care, problem-solving skills, and emotion management, explained 45.13% of total variance. Cronbach's α coefficients of the HD-SMI total scale was .87, and of four subscales ranged from .70 to .78. The two-week test-retest correlation was .86. Results indicate that the hemodialysis self-management instrument provides good reliability and validity. The instrument may be employed to measure self-management efficacy in hemodialysis patients.

並列關鍵字

hemodialysis ； self-management ； instrument development