Development of an evaluation scale for self-monitoring by patients with heart failure.
Development of an evaluation scale for self-monitoring by patients with heart failure.
复制标题
心力衰竭患者自我监测评估量表的开发。
DOI：
--
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
I. Miyawaki
中科院分区：
文献类型：
--
作者：
Y. Hattori;Chiemi Taru;I. Miyawaki
许多慢性心力衰竭患者反复住院，因为他们中的许多人仍然不确定管理自己健康的必要方法。"自我监测"是打破这种恶性循环的一个有用概念。然而，没有合适的工具来衡量自我监控的各个方面。本研究旨在以自我监控的概念为基础，发展慢性心力衰竭患者自我监控的评估量表。门诊慢性心力衰竭患者完成了一个自填量表，包括2个领域，涵盖38个项目。域1处理自我监控方面的"意识"和"测量"，域2处理自我监控方面的"解释"。对该量表的信度和效度进行了全面的评价。在要求参与研究的167名患者中，142名给出了有效回答。因子分析结果表明，领域1由6个因子（21个项目）组成，领域2由4个因子（16个项目）组成。结构域1的Cronbach α系数为0.91，结构域2的Cronbach α系数为0.89。领域1总分的类内相关系数为0.74，领域2总分的类内相关系数为0.67。与心力衰竭自理行为量表的并行效度得到证实。该量表是合理的可靠性和有效性，并被证明是有用的评估条件有关的病人自我监测。由于它已成为一个指标，显示在何种程度上病人可以感知自己的健康状况，护士一直利用它来提供个人支持，以减少加重心力衰竭的风险。
Many chronic heart failure patients are hospitalized repeatedly because many of them are still uncertain about the methods necessary for managing their own health. "Self-monitoring" is a useful concept for breaking through this vicious cycle. However, there are no suitable tools to measure aspects of self- monitoring. This study aimed at the development of an evaluation scale for self-monitoring by patients with chronic heart failure based on the concept of self-monitoring. Outpatient with chronic heart failure completed a self-administered scale comprises 2 domains and covers 38 items. Domain 1 deals with "awareness" and "measurement" of aspects of self-monitoring, domain 2 with "interpretation" of aspects of self-monitoring. The reliability and validity of this scale were thoroughly evaluated. Of the 167 patients asked to participate in the study, 142 gave valid responses. Factor analysis showed that the domain1 comprised six factors (21 items) and the domain2 four factors (16 items). Cronbach's α coefficient was 0.91 for domain1, 0.89 for domain2. The intra-class correlation coefficient of total score was 0.74 for domain1, 0.67 for domain2. Concurrent validity with the Heart Failure Self-care Behavior Scale was demonstrated. The scale is reasonably reliable and valid, and was proved to be useful for assessing conditions related to patient self-monitoring. Since it has become an indicator that shows to what degree patients can perceive their own health status, and nurses have been utilizing it to provide individual support to reduce the risks of exacerbated heart failure.