日本老年患者病房护士出院膳食支持量表的编制。

IF 1.7 4区 医学 Q2 NURSING
Akemi Miyabe, Mana Doi, Yuka Kanoya
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引用次数: 0

摘要

目的:本研究旨在制定病房护士的饮食支持量表,包括身体、心理和社会背景因素,为老年患者出院后的生活做准备。方法:我们使用自我报告问卷进行了一项横断面研究。量表项目是在概念分析的基础上创建的,并通过德尔菲调查进行了改进。日本共有16家急诊医院的696名护士有资格参加。该问卷包括51个项目,使用了Likert型五点量表。使用探索性因素分析对这些项目进行评估。使用Cronbachα和组内相关系数(ICC)评估可靠性。计算皮尔逊相关系数以确定并发有效性,并使用验证性因素分析来分析结构有效性。结果:数据分析共纳入241项调查;236名护士参加了测试和复试。探索性因素分析从以下三个因素中确定了20个项目:“健康饮食行为评估”、“生活环境的调整,包括家庭和护理人员以及其他职业”和“持续虚弱评估”。在验证性因素分析中,健康指数支持这些结果。Cronbachα为0.932,ICC为0.867。在同时有效性中,三个因素具有中等相关性(r = 0.295-0.537,P 结论:我们制定了病房护士饮食支持量表,包括身体、心理和社会背景因素,为老年患者出院后的生活做准备。验证了该方法的可靠性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of the ward nurses' discharge-oriented dietary support scale for older adult patients in Japan

Development of the ward nurses' discharge-oriented dietary support scale for older adult patients in Japan

Aim

This study aimed to develop a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge.

Methods

We conducted a cross-sectional study using a self-reported questionnaire. Scale items were created based on a conceptual analysis, and refined by a Delphi survey. In total, 696 nurses across 16 acute care hospitals in Japan were eligible to participate. The questionnaire comprised 51 items that used a five-point Likert-type scale. These items were evaluated using exploratory factor analysis. Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficients (ICC). Pearson's correlation coefficients were calculated to determine concurrent validity, and construct validity was analyzed using confirmatory factor analysis.

Results

Altogether, 241 surveys were included in the data analysis; 236 nurses participated in both the test and the retest. The exploratory factor analysis identified 20 items from three factors as follows: “Assessment for healthy eating behavior,” “Adjustment of the living environment, including family and caregiver, together with other professions,” and “Continual frailty assessment.” In the confirmatory factor analysis, the fitness indices supported these results. Cronbach's alpha was 0.932 and ICC was 0.867 for the overall scale. In the concurrent validity, the three factors had a moderate correlation (r = 0.295–0.537, P < .01 and r = 0.254–0.648, P < .01), except for one subscale.

Conclusions

We developed a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge. Its reliability and validity were confirmed.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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