Simmons Kingsley L, Smith Jane A, Maekawa Atsuko
University of Hertfordshire, Hillside House, College Lane, Hatfield, Hertfordshire, United Kingdom.
J Wound Ostomy Continence Nurs. 2009 Jan-Feb;36(1):69-76. doi: 10.1097/WON.0b013e3181919b7d.
This article describes the development of the Ostomy Adjustment Inventory-23 (OAI-23), a self-report, multidimensional scale designed to assess psychosocial adjustment in patients with ostomy.
Five hundred seventy persons with a colostomy, ileostomy, or urostomy, who were randomly selected from 3 national databases, provided assessable data.
The results indicate that the OAI-23 is reliable (the Cronbach alpha = .93, split-half = 0.91, and test-retest (r) = 0.83) and valid, correlating positively with Felton's Acceptance of Illness Scale (r = 0.72) and confirming expected improvements in adjustment consistent with increasing time since surgery (F 5,531 = 5.22, P < .001). Four factors (eigenvalue >or= 1) that accounted for 55.4% of the total variance emerged from factor analysis.
The OAI-23 is a valid and reliable measure of psychosocial adjustment that will be of interest to both researchers investigating life after stoma surgery and clinicians making objective assessments of their patients' progress.
本文描述了造口调整量表-23（OAI-23）的开发过程，这是一种自我报告的多维量表，旨在评估造口患者的心理社会适应情况。
从3个国家数据库中随机选取570名有结肠造口、回肠造口或尿路造口的患者，提供了可评估的数据。
结果表明，OAI-23是可靠的（克朗巴哈系数α = 0.93，分半系数 = 0.91，重测信度（r） = 0.83）且有效，与费尔顿疾病接受量表呈正相关（r = 0.72），并证实了随着术后时间增加，适应情况有预期的改善（F5,531 = 5.22，P < 0.001）。因子分析得出4个因子（特征值≥1），占总方差的55.4%。
OAI-23是一种有效且可靠的心理社会适应测量工具，对于研究造口手术后生活的研究人员和对患者进展进行客观评估的临床医生来说都具有重要意义。
