Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy
Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy
复制标题
根治性前列腺切除术后癌症患者下尿路症状自我管理量表的制定
DOI：
10.1111/ijun.12344
复制
发表时间：
2023
影响因子：
0.5
通讯作者：
Koji Amano
中科院分区：
文献类型：
--
作者：
Sezai I;Taniguchi C;Yoshimi I;Hirano T;Wakao F.;Koji Amano
护士如何评估癌症患者根治性前列腺切除术后下尿路症状(LUTS)的自我管理？接受过RP治疗的前列腺癌患者经历了多个LUT。本研究旨在编制癌症患者放射治疗后下尿路综合征自我管理量表(SMS-LUTS-RP)，并验证其信度和效度。LUTS对患者有生理、社会和心理上的影响。因此，患者被迫自我管理他们的LUTS和LUTS相关问题。然而，目前还没有评估土地利用信托基金自我管理的指标。共有246人接受了调查。采用内容效度和表面效度均已确定的49个条目的量表草案，编制了一份适用于下尿路结石患者RP术后的调查问卷。采用项目分析、探索性因素分析、验证性因素分析和克朗巴赫的α系数来确定问卷的信度和效度。探索性因素分析得出了以下五个提取因素的18个条目：“监测尿路状况”、“处理LUTS引起的日常生活困难”、“与医疗专业人员合作”、“持续培训以改善LUTS”和“与LUTS生活在一起”。验证性因子分析的拟合优度指数为0.876，近似均方根误差为0.075。克朗巴赫的α系数为0.754~0.820。SMS-LUTS-RP具有良好的心理测量学特性，可以评估接受过RP的癌症患者LUTS自我管理的认知和行为方面。该量表可用于根据生活条件提供个性化的自我管理支持。
How can nurses assess the self‐management of lower urinary tract symptoms (LUTS) in patients with cancer after radical prostatectomy (RP)? Patients with prostate cancer who have undergone RP experience multiple LUTS. This study aimed to develop a self‐management scale for LUTS in patients with cancer following RP (SMS‐LUTS‐RP), as well as to verify its reliability and validity. LUTS has physical, social, and psychological consequences for patients. As a result, patients are forced to self‐manage their LUTS and LUTS‐related issues. However, no indicators exist to assess self‐management of LUTS. A total of 246 individuals were surveyed. A 49‐item scale draft, whose content validity and face validity were confirmed, was used to develop a questionnaire for patients with LUTS after RP. The reliability and validity were determined using by item analysis, exploratory factor analysis, confirmatory factor analysis, and Cronbach's α coefficient. The exploratory factor analysis produced the following 18 items on five extracted factors: ‘monitoring of urinary status,’ ‘coping with daily life difficulties due to LUTS,’ ‘collaboration with medical professionals,’ ‘continued training to improve LUTS,’ and ‘living with LUTS.’ The goodness‐of‐fit‐index (GFI) for confirmatory factor analysis was 0.876, and the root mean square error of approximation was 0.075. Cronbach's α coefficient was 0.754–0.820. SMS‐LUTS‐RP has desirable psychometric properties and can assess the cognitive and behavioural aspects of self‐management of LUTS in patients with cancer who have undergone a RP. This scale can be used to provide individualized self‐management support according to living conditions.