[Brief measure to assess patient perception of self-influence on the disease course-version for hemodialysis].

Przeglad lekarski Pub Date : 2016-01-01
Wojciech M Orzechowski, Bartosz Fiderkiewicz, Paweł Żebrowski, Andrzej Rydzewski, Andrzej Kokoszka
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Abstract

Introduction: Self-influence on the disease course has a significant impact on coping with disease and adherence to medical recommendations.

Aim: Elaboration of a brief scale for screening of patient perception of self-influence on the course of disease among hemodialysis, which could be used during usual medical practice.

Methods: In the first stage of the study, based on a group focus interview with 6 hemodialysis (mean age 65.2 ± 14.8 year)--5 women (83%) and 1 men (17%), mean time of dialysis 43.8 ± 38 months, a list of 51 characteristics of patients with low (LP) and high perception (HP) of self-influence on the curse of disease, was constructed. In the second stage 99 patients (mean age 66.1 ± 14.7 year)--51 men (52%) and 48 women (48%), mean time of dialysis 48.7 ± 48.1 months, assessed scale reliability. They were selected by their nephrologists to groups with LP and HP. Based on the results 11 items had the strongest power of discrimination of those two groups. 15 (13.2%) hemodialysis refused to participate at this part of study. In a third step 70 (mean age 68 ± 13.3 year) patients--40 men (57.1%) and 30 women (42.9%), mean time of dialysis 48.1 ± 45.6 months, assessed validity of the tool.

Results: The reliability alfa-Cronbach = 0.9 and validity tau-Kendall = 0.6.

Conclusions: Scale has a very high reliability and satisfactory validity. It can be used for those of hemodialysis who have problems with adherence to medical recommendations or have difficulty in contact with the medical staff or other patients.

[评估患者自我影响对血液透析病程版本的感知的简要措施]。
自我影响对疾病进程有显著的影响,以应对疾病和遵守医疗建议。目的:编制血透患者自我影响对病程感知的简易量表,供日常医疗实践使用。方法:研究第一阶段,通过对6例血液透析患者(平均年龄65.2±14.8岁)进行分组焦点访谈,其中女性5例(83%),男性1例(17%),平均透析时间43.8±38个月,构建了51例自我影响程度低(LP)和高感知(HP)患者的特征列表。第二阶段99例患者(平均年龄66.1±14.7岁),其中男性51例(52%),女性48例(48%),平均透析时间48.7±48.1个月,评估量表可靠性。肾内科医生将患者分为LP组和HP组。结果显示,两组中有11个项目的歧视力最强。15例(13.2%)血液透析患者拒绝参加本部分研究。在第三步中,70例(平均年龄68±13.3岁)患者——40例男性(57.1%)和30例女性(42.9%),平均透析时间48.1±45.6个月,评估该工具的有效性。结果:alpha - cronbach信度= 0.9,tau-Kendall效度= 0.6。结论:量表具有很高的信度和满意的效度。它可用于那些血液透析患者谁有问题,坚持医疗建议或有困难接触医务人员或其他患者。
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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