VALIDATION OF A SCREENING INSTRUMENT FOR THE FEAR OF INJECTION IN DIALYSIS PATIENTS
VALIDATION OF A SCREENING INSTRUMENT FOR THE FEAR OF INJECTION IN DIALYSIS PATIENTS
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DOI：
10.1111/j.1755-6686.2013.12039.x
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发表时间：
2013-12-01
影响因子：
1.9
通讯作者：
De Vries, Jolanda
中科院分区：
文献类型：
--
作者：
Mulder, Margo;Op't Hoog, Jeannie;De Vries, Jolanda
背景：关于透析患者害怕注射(FOI)的研究很少。目的：研制和验证一种评估透析患者FOI的筛查量表。方法与设计：对86例透析患者进行透析恐惧注射问卷(DFIQ)和医院焦虑抑郁量表(HADS)的调查。在半结构化访谈中，这些患者还被问及他们的FOI、一般焦虑和抑郁症状。结果：最优条目集由9个条目组成。这些项目的敏感度为0.88，特异度为0.72，临界值为3.5。Cronbach‘sα为0.87。结论：DFIQ是FOI存在的良好预测因子。实践应用：护士可以使用这一有效的筛查工具来检测FOI。临界值为心理咨询提供了一个很好的指标。
Background: Very little research has been conducted on the fear of injection (FOI) in patients on dialysis. However, feedback from hospital practice indicate that FOI is widespread.Objectives: The aim of this study was to develop and validate a screening instrument to assess FOI in dialysis patients.Method and Design: A group of patients (n = 86) completed the Dialysis Fear of Injection Questionnaire (DFIQ) and the Hospital Anxiety and Depression Scale (HADS). In semi-structured interviews, these patients were also asked about their FOI, general anxiety and depressive symptoms. Various analyses were used to examine the factor structure, sensitivity, accuracy and cut-off score.Results: The most optimal set of items consists of 9 items. These items have the sensitivity of 0.88, a specificity of 0.72 and a cut-off value of 3.5. The Cronbach's alpha is 0.87.Conclusion: The DFIQ appears to be a good predictor for the presence of FOI.Application to Practice: Nurses can use this validated screening instrument to detect FOI. The cut-off score provides a good indication for psychological counselling.