Cross-cultural validation of the Portuguese version of the Dialysis Symptom Index for haemodialysis patients.

IF 1.6 Q2 NURSING

Journal of Research in Nursing Pub Date : 2024-02-01 Epub Date: 2024-03-13 DOI:10.1177/17449871231225397

João Pedro Barros, João Almeida Fonseca, Rui Pinto, Jorge Pratas, Ricardo João Cruz Correia

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引用次数: 0

Abstract

Background: Patients with end-stage renal disease (ESRD) undergoing haemodialysis (HD) are associated with low quality of life (QoL) and high disease-related symptoms. The patient self-report instruments can assess the burden of physical and psychological symptoms. The Dialysis Symptom Index (DSI) is a specific instrument to evaluate the multidimensional reported symptoms by patients undergoing HD.

Aims: To translate, validate and assess the psychometric properties of the Portuguese version of the DSI.

Methods: A cross-cultural adaptation process from English to Portuguese and a validation study (n = 156) were conducted. Reliability, validity and responsiveness were assessed.

Results: The patients' most reported symptoms were, nausea (n = 86, 55%), muscle cramps (n = 92, 59%), feeling tired or lack of energy (n = 92, 59%), bone or joint pain (n = 88, 56%) and trouble staying asleep (n = 95, 60%). Cronbach's alpha of the DSI was 0.87, and intraclass correlation coefficient was 0.868 (95%CI 0.836-0.896). The smallest detectable change was 28.32.

Conclusion: The Portuguese DSI demonstrates excellent psychometric properties for assessing HD patients' reported symptoms. It highlights symptom severity and impact, providing valuable insights for healthcare practitioners. Nurses can use the DSI to tailor interventions and enhance patient-centred care.

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葡萄牙语版血液透析患者透析症状指数的跨文化验证。

背景：接受血液透析（HD）的终末期肾病（ESRD）患者的生活质量（QoL）较低，与疾病相关的症状较多。患者自我报告工具可评估生理和心理症状的负担。透析症状指数（DSI）是一种特殊的工具，用于评估接受血液透析的患者所报告的多维症状：方法：进行从英语到葡萄牙语的跨文化改编和验证研究（n = 156）。方法：进行了从英语到葡萄牙语的跨文化改编过程和验证研究（n = 156），评估了信度、效度和反应度：患者报告最多的症状是：恶心（n = 86，55%）、肌肉痉挛（n = 92，59%）、疲倦或乏力（n = 92，59%）、骨骼或关节疼痛（n = 88，56%）以及难以入睡（n = 95，60%）。DSI 的 Cronbach's alpha 为 0.87，类内相关系数为 0.868 (95%CI 0.836-0.896)。可检测到的最小变化为 28.32：葡萄牙语 DSI 在评估 HD 患者报告的症状方面表现出良好的心理测量特性。它突出了症状的严重程度和影响，为医护人员提供了有价值的见解。护士可以使用 DSI 来调整干预措施，加强以患者为中心的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Research in Nursing NURSING-

CiteScore

5.30

自引率

3.20%

发文量

期刊介绍： The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research