The Cardiac Self-Efficacy Scale, a useful tool with potential to evaluate person-centred care
The Cardiac Self-Efficacy Scale, a useful tool with potential to evaluate person-centred care
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DOI：
10.1177/1474515114548622
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发表时间：
2015-12-01
影响因子：
2.9
通讯作者：
Brink, Eva
中科院分区：
文献类型：
--
作者：
Fors, Andreas;Ulin, Kerstin;Brink, Eva
背景：心脏自我效能是指一个人相信他/她有能力应对冠状动脉疾病带来的挑战，它的作用已经在几个冠心病人群中使用心脏自我效能量表(CSE量表)进行了评估。自我效能感在以人为中心的护理中起着重要的作用，但缺乏适当的工具来评估以人为中心的干预措施。目的：本研究的目的是通过检验CSE量表的心理测量学特性来验证CSE量表，作为评估急性冠脉综合征(ACS)患者以人为中心的护理干预措施的第一步。方法：研究样本包括288人(72名女性，216名男性)，他们在因急性冠脉综合征住院两个月后完成了瑞典版的CSE量表。结构效度采用验证性因素分析进行心理测量学评价。结果：CSE量表由症状控制、疾病控制和功能维持三个维度构成。分析还表明，CSE量表适合提供代表全球心脏自我效能维度的总分。结论：CSE量表是评价急性冠脉综合征患者自我效能感的有效、可靠的工具。它似乎也是在临床实践中促进以人为本的护理的有用工具，因为它可以在与病人的对话中为共同制定个人健康计划提供有用的指导。
Background: Cardiac self-efficacy is a person's belief in his/her ability to manage the challenges posed by a coronary disease, and its role has been evaluated in several coronary populations using the Cardiac Self-Efficacy Scale (CSE Scale). Self-efficacy has an important role in person-centred care, however there is a lack of appropriate instruments that evaluate person-centred interventions.Aim: The purpose of this study was to validate the CSE Scale by examining its psychometric properties as a first step in evaluating a person-centred care intervention in persons with acute coronary syndrome (ACS).Methods: The study sample consisted of 288 persons (72 women, 216 men) who completed the Swedish version of the CSE Scale two months after hospitalisation for an ACS event. Construct validity was psychometrically evaluated using confirmatory factor analysis. Additionally, convergent and discriminant validity were tested using correlation analyses.Results: The results revealed that the CSE Scale was represented by three dimensions (control symptoms, control illness and maintain functioning). The analyses also showed that the CSE Scale is suitable for providing a total summary score that represents a global cardiac self-efficacy dimension. Evaluation of convergent and discriminant validity showed the expected correlations.Conclusion: The CSE Scale is a valid and reliable measure when evaluating self-efficacy in patients with ACS. It also seems to be a useful tool to promote person-centred care in clinical practice since it may offer useful guidance in the dialogue with the patient in the common creation of a personal health plan.