Nga Thi Thuy Nguyen, Tsai-Wei Huang, Yeu-Hui Chuang, Dung Huu Nguyen, Tu Tuan Tran
{"title":"越南血液透析患者透析后疲劳量表的翻译与验证","authors":"Nga Thi Thuy Nguyen, Tsai-Wei Huang, Yeu-Hui Chuang, Dung Huu Nguyen, Tu Tuan Tran","doi":"10.1111/jorc.70025","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behavioral fatigue and sensory fatigue. The translated scale provides a reliable and valid method for assessing dialysis-related fatigue in Vietnamese patients, and the identified cutoff point can facilitate quick screening in clinical settings.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Translation and Validation of Post-Dialysis Fatigue Scale Among Vietnamese Patients With Hemodialysis\",\"authors\":\"Nga Thi Thuy Nguyen, Tsai-Wei Huang, Yeu-Hui Chuang, Dung Huu Nguyen, Tu Tuan Tran\",\"doi\":\"10.1111/jorc.70025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements</h3>\\n \\n <p>The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behavioral fatigue and sensory fatigue. The translated scale provides a reliable and valid method for assessing dialysis-related fatigue in Vietnamese patients, and the identified cutoff point can facilitate quick screening in clinical settings.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16947,\"journal\":{\"name\":\"Journal of renal care\",\"volume\":\"51 3\",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-07-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of renal care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70025\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of renal care","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70025","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Translation and Validation of Post-Dialysis Fatigue Scale Among Vietnamese Patients With Hemodialysis
Background
Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.
Objectives
The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.
Design
A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.
Participants
Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.
Measurements
The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.
Results
The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.
Conclusions
The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behavioral fatigue and sensory fatigue. The translated scale provides a reliable and valid method for assessing dialysis-related fatigue in Vietnamese patients, and the identified cutoff point can facilitate quick screening in clinical settings.
期刊介绍：
The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given.
The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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