以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (3): 67-71.doi: 10.16460/j.issn1008-9969.2022.03.067

Previous Articles     Next Articles

Construction of Health Empowerment Need Assessment Scale for Elderly Patients with Chronic Disease and Its Reliability and Validity

YANG Li-xiao1,2, ZHOU Chun-lan1, TU Yan1, XIE Cui-hua1, WU Yan-ni1, YE Xiao-ling1, WANG Run1   

  1. 1. Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2022-01-10 Published:2022-03-04

Abstract: Objective To develop a health empowerment need assessment scale for elderly patients with chronic diseases in China, and to test its reliability and validity. Methods After literature review and with the reference of relevant tools, the initial item pool was compiled. Then the preliminary scale was developed after 2 rounds of Delphi expert consultations. A questionnaire survey was conducted in 236 elderly patients with chronic diseases in a tertiary grade-A comprehensive hospital in Guangzhou from March to December 2021 to test the reliability and validity of the scale. Results The final scale consisted of 30 items in 5 dimensions. The exploratory factor analysis extracted 5 common factors and the cumulative variance contribution rate was 64.24%. The content validity index of each item was 0.72~1.00, and the content validity index of the scale was 0.94. Internal consistency test showed that Cronbach's α coefficient and half reliability of each dimension were 0.78~0.90 and 0.68~0.83 respectively, while those of the total scale were 0.92 and 0.76 respectively. Conclusion The health empowerment need assessment scale for elderly patients with chronic diseases developed in this research can be used as a tool to assess the health need of elderly patients in chronically conditions, which can provide reference for scientifically formulating and implementing personalized chronic disease management to meet the needs of patients.

Key words: elderly patient, chronic disease, health empowerment, needs assessment, scale construction

CLC Number: 

  • R473.5
[1] 黄国桂,陈天航,陈功,等. 我国老年人健康预期寿命研究 ——基于主观健康维度的测算[J]. 人口与发展, 2021,27(3):74-84.
[2] 健康中国行动推进委员会.健康中国行动(2019—2030年)[EB/OL].(2019-07-09)[2021-12-20]. https://www.jkzgxd.cn/detial/684288.
[3] Fang M.Trends in Diabetes Management Among US Adults: 1999-2016[J]. J Gen Intern Med,2020,35(5):1427-1434. DOI:10.1007/s11606-019-05587-2.
[4] 孙一勤,姜安丽.慢性病患者赋能测量工具的研究进展[J].中华护理杂志,2017,52(4):481-485.
[5] Zhou CL, Wang SQ, Wang YF, et al.A Chinese Version of the Patient Perceptions of Patient-Empowering Nurse Behaviours Scale: Reliability and Validity Assessment in Chronically Ill Patients[J]. J Clin Nurs,2019, 28(3-4):444-457. DOI:10.1111/jocn.14613.
[6] Vainauskien V, Vaitkien R.Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review[J]. Int J Environ Res Public Health, 2021,18(5):2247. DOI:10.3390/ijerph18052247.
[7] 龚伯雄,付伟.国外慢性病患者赋权量表研究进展[J].护理学报,2015,22(14):24-27.
[8] Ding D, Fu H, Bauman AE.Step It Up: Advancing Physical Activity Research to Promote Healthy Aging in China[J]. J Sport Health Sci, 2016, 5(3):255-257.DOI:10.1016/j.jshs.2016.06.003.
[9] Memon MA, Ting H, Hwa CJ, et al.Sample Size for Survey Research: Review and Recommendations[J]. Journal of Applied Structural Equation Modeling, 2020, 4(2):1-20. DOI:10.47263/JASEM.4(2)01.
[10] Almanasreh E, Moles R, Chen TF.Evaluation of Methods Used For Estimating Content Validity[J]. Res Social Adm Pharm, 2019,15(2):214-221.DOI:10.1016/j.sapharm.2018.03.066.
[11] Heinze G, Dunkler D.Five Myths About Variable Selection[J]. Transpl Int, 2017,30(1):6-10. DOI:10.1111/tri.12895.
[12] Rattray J, Jones MC.Essential Elements of Questionnaire Design and Development[J]. J Clin Nurs,2007,16(2):234-243.DOI:10.1111/j.1365-2702.2006.01573.x
[13] Wang F, Huang L, Zhang H, et al.Factor Analysis and Psychometric Properties Adaption of Chinese Version of the Decisional Engagement Scale (DES-10)[J]. Patient Prefer Adherence,2020,14:2027-2034.DOI:10.2147/PPA.S266687.
[14] Clark LA, Watson D.Constructing Validity: New Developments in Creating Objective Measuring Instruments[J]. Psychol Assess,2019,31(12):1412-1427.DOI:10.1037/pas0000626.
[15] 赵斐然,周天驰,张俊颖,等.量表(问卷)信度、效度评价在我国医学领域的应用与展望[J].中华中医药杂志,2014,29(7):2280-2283.
[16] Angwenyi V, Aantjes C, Bunders-Aelen J, et al.Patient-provider Perspectives on Self-Management Support and Patient Empowerment in Chronic Care: A Mixed-Methods Study in a Rural Sub-Saharan Setting[J]. J Adv Nurs, 2019,75(11):2980-2994. DOI:10.1111/jan.14116.
[17] 孙一勤,姜安丽.慢性病健康赋能理论研究[J].中华医院管理杂志,2017,33(9):700-703.
[18] Bieri M, del Río Carral M, Santiago-Delefosse M, et al. Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study[J]. Healthcare (Basel), 2021,9(9):1204. DOI:10.3390/healthcare9091204.
[19] 张艳双,张宇萌,张琳琳,等.英国“专家患者计划”及其对我国赋权慢性病患者的启示[J].中国医学伦理学,2021,34(5):577-580.
[20] Palmer K, Onder G.Comprehensive Geriatric Assessment: Benefits and Limitations[J]. Eur J Intern Med, 2018,54:e8-e9. DOI:10.1016/j.ejim.2018.02.016.
[21] 赵艺璞,李智,李亚琴,等.老年人健康照护需求自评问卷的信效度评价[J].中国实用护理杂志,2015, 31(33):2506-2511.
[22] Rajabi G, Namadmalan M, Dijkstra A, et al.Psychometric Properties of the Persian Version of Care Dependency Scale in Nursing Homes[J]. Rehabil Nurs, 2017,42(4):216-222. DOI:10.1002/rnj.270.
[23] 杨丽潇,周春兰,叶孝灵,等.国内外老年人健康需求评估工具的研究现状及启示[J].护理学报, 2021,28(21):36-40.
[24] Zhao D,Zhang Z.Qualitative Analysis of Direction of Public Hospital Reforms in China[J].Front Med,2018,12(2):218-223. DOI:10.1007/s11684-017-0534-7.
[1] ZHANG Zhi-yue, DONG Ao, RAN Ming, ZHANG Guo-qin. Mediating Effect of Loneliness between Self-perceived Aging and Social Support in Elderly Chronically Ill Patients [J]. Journal of Nursing, 2022, 29(4): 59-63.
[2] GUO Ya-juan, LIU Li-shuang, HUO Juan-juan, ZHANG Hui, WANG Yong-jun. Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients [J]. Journal of Nursing, 2021, 28(8): 72-76.
[3] YI Hui-hui, XIA Zhen-lan, LI Yu, HUANG Hai-yan, TAN Zhen, ZHANG Li-hua. Effect of Structured Bladder Management on Postoperative Urinary Retention of Elderly Patients with Hip Fracture [J]. Journal of Nursing, 2021, 28(6): 65-70.
[4] JIANG Xin-xin, SHAN Yan, HE Feng-juan, SU Jing, GAO Ya-jing, LI Xue, WANG Hong. Comparison of Health Care Transition Programs for Adolescents with Chronic Disease in the United States, the United Kingdom and Australia [J]. Journal of Nursing, 2021, 28(19): 67-71.
[5] XU Ai-hong. Effect of Protective Motivation Theory-based Nursing Intervention on Self-care Ability of Elderly Patients with Chronic Diseases [J]. Journal of Nursing, 2021, 28(16): 47-51.
[6] PAN Lu, ZHANG Jian-wei. Mediating Effect of Inner Peace between Self-acceptance and Happiness in Elderly patients with Coronary Heart Disease [J]. Journal of Nursing, 2021, 28(15): 54-59.
[7] WANG Meng-yue, JIANG Yuan-yuan, CHEN Yan, SHENG Shao-ting. Effect of Comprehensive Evaluation on Prevention of Nursing Adverse Events in Elderly Patients: A Systematic Review [J]. Journal of Nursing, 2021, 28(1): 27-32.
[8] ZHANG Yuan, SHI Ling-yun, JIA Xue-yuan, LU Zhi, WEI Huan-huan, WANG Mei-xin. Current Situation of Frailty in Elderly Patients with Fragility Hip Fracture and Its Influence Factors [J]. Journal of Nursing, 2020, 27(17): 24-29.
[9] CUI Qing-qing, GONG Hao-ling, JIA Yue, DAI Li-min. Role of Interactive Network Television and Teach-back Method in Insulin Injection of Elderly Type 2 Diabetes Mellitus Patients [J]. Journal of Nursing, 2019, 26(4): 53-57.
[10] JIN Yu, DOU Li-ya, MA Hui-zhen. Effects of Resistance Exercise on Elderly Patients with Type 2 Diabetes Mellitus and Frailty [J]. Journal of Nursing, 2019, 26(3): 51-55.
[11] LI Ping-ping, LI Rong, WANG Rui-hong, TANG Yi-tao, LIU Chun-juan. Effect of Health Coaching in Health Management of Elderly Patients with Type 2 Diabetes Mellitus [J]. Journal of Nursing, 2019, 26(21): 74-78.
[12] YANG Cun-mei,MA Yan-lan,KANG Jun,MA Hong-ying,YU Xiao-ying,WANG Jie,WANG Ying. Characteristics of Stress Hyperglycemia of Elderly Patients with Non-diabetic Cerebral Infarction in Acute Stage [J]. Journal of Nursing, 2018, 25(4): 54-57.
[13] YE Rui,MIAO Xiu-xin,CHEN Han-wen ,HU Xin-lin,GUO Hui-li,MAN Xiao-yun,LIN Hui-ling. Establishment of Assessment System of Nursing Problems for Elderly Patients ' with Type 2 Diabetes [J]. Journal of Nursing, 2017, 24(4): 6-10.
[14] FANG Ying,JIA Yue,DAI Li-min,LIU Yuan. Effect of Feedback Teaching on Health Education for Empty Nesters with Diabetes [J]. Journal of Nursing, 2017, 24(24): 50-54.
[15] HUANG Qiao,LU Shao-ping,XU Yong-neng,REN Xiao-xiao,ZHAO Xue-qin,MA Hui-xin. Construction of Evaluation Index System of Falls in Elderly Hospitalized Patients Based on Nursing-sensitive Outcomes [J]. Journal of Nursing, 2017, 24(22): 63-66.
Viewed
Full text


Abstract

Cited

  Shared   
[1] LI Jing-wen, MEI Jin-jin, WANG Yi-ying, GUO Jian, REN Bin-bin, FENG Xiao-dong, LI Rui-qing. Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm[J]. Journal of Nursing, 2022, 29(3): 1 -6 .
[2] ZHOU Li-xue, JIANG Yun-xia, ZHOU Yun-ping, FENG Hong-yan, SUN Xue-xia, YU Peng-li. Mediating Effect of Self-efficacy between Social Support and Experiential Avoidance in Patients with Rheumatoid Arthritis[J]. Journal of Nursing, 2022, 29(3): 7 -11 .
[3] JIAO Zi-shan, ZHANG Xin-yue, SHA Kai-hui. Value of Risk Assessment Models Based on Decision Tree C5.0 or Logistic Regression in Predicting Postpartum Stress Urinary Incontinence[J]. Journal of Nursing, 2022, 29(3): 12 -18 .
[4] ZHANG Li-li, ZHAO Yang, LIU Huan, LUO Chen-ling. Construction of National First-class Undergraduate Specialty and Its Effect: A Case Study of Nursing Major in Southern Medical University[J]. Journal of Nursing, 2022, 29(3): 19 -23 .
[5] ZHANG Na, CHEN Hai-qin, SHAO Lei, ZHU Yue-li, SHEN Yin-ping. Effect of Micro-video of Anti-violence Skills in Training of Psychiatric Junior Nurses[J]. Journal of Nursing, 2022, 29(3): 24 -28 .
[6] LIU Guo-qing, HAN Jing-yi, SONG Wen-jing, WANG Ying. Key Words in the Application of Virtual Reality in Field of Nursing Based on CiteSpace: A Visual Analysis[J]. Journal of Nursing, 2022, 29(3): 29 -34 .
[7] . [J]. Journal of Nursing, 2022, 29(3): 35 -39 .
[8] ZHOU Yi-feng, YANG Ji-ping, PENG Yao-li, YUAN Hao, SHI Ze-ya. Evidence-based Body Temperature Management in Cardiopulmonary Bypass Surgery[J]. Journal of Nursing, 2022, 29(3): 40 -45 .
[9] XIANG Yu-ting, CHU Jie, YAN Min, LE Qu, YU Jia-xin. Best Evidence Summary of Risk Assessment of Venous Thromboembolism during Pregnancy and Puerperium[J]. Journal of Nursing, 2022, 29(3): 46 -51 .
[10] ZHANG Ying, MENG Ying-tao, SHANG mei-mei, YANG De-yan, ZHU Yu-fang, WANG Qian. Best Evidence Summary of Assessment and Management of Cancer-related Cognitive Impairment[J]. Journal of Nursing, 2022, 29(3): 52 -56 .