慢性肾脏病自我效能量表（CKD-SE）：编制与心理测量学评价。
The chronic kidney disease self-efficacy (CKD-SE) instrument: development and psychometric evaluation.
机构信息
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
Nephrol Dial Transplant. 2012 Oct;27(10):3828-34. doi: 10.1093/ndt/gfr788. Epub 2012 Feb 17.
BACKGROUND
Self-management has been associated with positive health outcomes among adults with chronic kidney disease (CKD). Perceived disease-related self-efficacy (DSE) is considered a critical component in the successful self-management of chronic disease. A valid and reliable instrument for measuring CKD patients' self-efficacy is needed. This study aims to develop and test a new instrument to measure the DSE of patients with early stage CKD.
METHODS
A total of 594 Taiwanese patients with early stage CKD recruited from two medical centers and one regional hospital in southern Taiwan completed the questionnaire. The CKD self-efficacy (CKD-SE) was evaluated using exploratory factor analyses (EFA) and measures of reliability.
RESULTS
EFA identified four distinct factors with loadings ranging from 0.557 to 0.970: autonomy, self-integration, problem solving and seeking social support, accounting for 64.348% of the total variance. Cronbach's alpha coefficients for the subscales ranged from 0.843 to 0.901.
CONCLUSION
This promising 25-item CKD-SE instrument can be used for the early identification of patients with low DSE, thus allowing the development of interventions to help these patients attain an appropriate level of DSE.
背景
自我管理与慢性肾脏病（CKD）成人的健康结果呈正相关。疾病相关自我效能感（DSE）被认为是成功管理慢性疾病的关键组成部分。需要一种有效的、可靠的工具来衡量 CKD 患者的自我效能感。本研究旨在开发和测试一种新的工具，以衡量早期 CKD 患者的 DSE。
方法
台湾南部的两家医疗中心和一家地区医院共招募了 594 名早期 CKD 患者完成问卷。使用探索性因素分析（EFA）和可靠性测量来评估 CKD 自我效能感（CKD-SE）。
结果
EFA 确定了四个具有 0.557 至 0.970 之间的负荷的不同因素：自主性、自我整合、解决问题和寻求社会支持，占总方差的 64.348%。子量表的克朗巴赫α系数范围为 0.843 至 0.901。
结论
这种有前途的 25 项 CKD-SE 工具可用于早期识别自我效能感低的患者，从而可以制定干预措施帮助这些患者达到适当的自我效能感水平。
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