肾移植复原力量表的开发与验证。

IF 2.1 3区 医学 Q2 NURSING
Mi Ha Chung , Hyojung Park
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引用次数: 0

摘要

目的:本研究开发了肾移植复原力量表(RS-KTPL),并评估了其信度和效度:该工具是根据 Devellis(2017 年)的指南开发的。在工具开发阶段,综合理论研究和实地研究阶段的结果,分析了 10 名接受肾移植患者的复原力概念。然后得出了初步的工具项目。这些项目经过了内容有效性验证、项目审查和初步调查。验证阶段包括两项主要调查,使用开发阶段得出的 59 个初步项目进行数据收集。第一次调查有 266 人参加,第二次调查有 205 人参加。利用收集到的数据,对工具项目的结构效度、聚合效度、判别效度、标准效度和可靠性进行了验证,最终确定了最终项目:RS-KTPL包括6个因子,通过EFA和CFA确认了27个项目,采用4点Likert量表:通过康复信念实现积极的思想转变、与他人的支持性关系、对负面心理反应的自我意识、身体健康控制、稳态控制和与医务人员的支持性关系。该工具的累计解释率为 50.71%。RS-KTPL 的模型拟合情况如下:GFI .88、CFI .93、TLI .91、RMSEA .04 和 SRMRI .06。收敛效度、判别效度和标准效度也得到了保证。用 Cronbach's α 测量,该工具的信度为 0.87:RS-KTPL可用于识别肾移植患者的抗逆力水平,使他们认识到自己的优势和需要改进的地方,从而增强抗逆力。该工具可应用于临床护理实践,全面评估肾移植患者的抗逆力,为护理干预计划提供方向,以提高患者的抗逆力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and Validation of the Resilience Scale for Kidney Transplantation (RS-KTPL)

Purpose

This study developed a resilience scale for kidney transplantation (RS-KTPL) and assessed its reliability and validity.

Methods

During the tool development phase, the concept of resilience in 10 patients who had undergone a kidney transplant was analyzed by integrating results from the theoretical and field research stages. Initial tool items were then derived. These items underwent content validity verification, item review, and a preliminary survey. The validation phase involved two main surveys, conducted using the preliminary 59 items derived from the development phase for data gathering. The first survey had 266 participants, and the second had 205 participants. Using the collected data, the structural validity, convergent validity, discriminant validity, criterion validity, and reliability of the tool items were verified, ultimately establishing the final items.

Results

The RS-KTPL comprises six factors with 27 items confirmed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) on a 4-point Likert scale: positive thought transition through recovery belief, supportive relationships with others, self-awareness of negative psychological reactions, physical health control, homeostasis control, and supportive relationships with medical staff. The cumulative explanation of the tool was 50.71%. The model fit of the RS-KTPL was represented as follows: GFI 0.88, CFI 0.93, TLI 0.91, RMSEA 0.04, and SRMRI 0.06. Convergent, discriminant, and criterion validity were also secured. The reliability of the tool, measured by Cronbach α was 0.87.

Conclusions

The RS-KTPL can be used to identify the level of resilience in patients who have undergone a kidney transplant, enabling them to recognize their strengths and areas of improvement for enhanced resilience. This tool can be applied in clinical nursing practices to comprehensively assess the resilience of patients with a kidney transplant, providing direction for nursing intervention plans to enhance patient resilience.

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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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