Psychometric evaluation of a new instrument to measure disease self-management of the early stage chronic kidney disease patients.
Summary of "Psychometric evaluation of a new instrument to measure disease self-management of the early stage chronic kidney disease patients."
Aims and objectives.  This study aims to develop a valid and reliable chronic kidney disease self-management instrument (CKD-SM) for assessing early stage chronic kidney disease patients' self-management behaviours. Background.  Enhancing early stage chronic kidney disease patients' self-management plays a key role in delaying the progression of chronic kidney disease. Healthcare provider understanding of early stage chronic kidney disease patients' self-management behaviours can help develop effective interventions. A valid and reliable instrument for measuring chronic kidney disease patients' self-management behaviours is needed. Design.  A cross-sectional descriptive study collected data for principal components analysis with oblique rotation. Methods.  Mandarin- or Taiwanese-speaking adults with chronic kidney disease (n = 252) from two medical centres and one regional hospital in Southern Taiwan completed the CKD-SM. Construct validity was evaluated by exploratory factor analysis. Internal consistency and test-retest reliability were estimated by Cronbach's alpha and Pearson correlation coefficients. Results.  Four factors were extracted and labelled self-integration, problem-solving, seeking social support and adherence to recommended regimen. The four factors accounted for 60·51% of the total variance. Each factor showed acceptable internal reliability with Cronbach's alpha from 0·77-0·92. The test-retest correlations for the CKD-SM was 0·72. Conclusion.  The psychometric quality of the CKD-SM instrument was satisfactory. Research to conduct a confirmatory factor analysis to further validate this new instrument's construct validity is recommended. Relevance to clinical practice.  The CKD-SM instrument is useful for clinicians who wish to identify the problems with self-management among chronic kidney disease patients early. Self-management assessment will be helpful to develop intervention tailored to the needs of the chronic kidney disease population.
Affiliation
Authors: Chiu-Chu Lin, PhD, RN, Associate Professor, College of Nursing, Kaohsiung Medical University, Kaohsiung; Chia-Chen Wu, RN, MSN, Lecturer, School of Nursing, Fooyin Technology University, Pingtung; Li-Min Wu, PhD, RN, Assistant Professor, Kaohsiun
Journal Details
This article was published in the following journal.
Name: Journal of clinical nursing
ISSN: 1365-2702
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22642723
- DOI: http://dx.doi.org/10.1111/j.1365-2702.2011.04048.x
Medical and Biotech [MESH] Definitions
Treatment Failure
A measure of the quality of health care by assessment of unsuccessful results of management and procedures used in combating disease, in individual cases or series.
Treatment Outcome
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, practicability, etc., of these interventions in individual cases or series.
Endophenotypes
Measurable biological (physiological, biochemical, and anatomical features), behavioral (psychometric pattern) or cognitive markers that are found more often in individuals with a disease than in the general population. Because many endophenotypes are present before the disease onset and in individuals with heritable risk for disease such as unaffected family members, they can be used to help diagnose and search for causative genes.
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Methods to determine in patients the nature of a disease or disorder at its early stage of progression. Generally, early diagnosis improves PROGNOSIS and TREATMENT OUTCOME.
Airway Management
Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.
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