Matarese Maria, Lommi Marzia, De Marinis Maria Grazia
Unit of Nursing Research, Campus Bio-medico of Rome University, Italy.
Department of Public Health, University of Rome Tor Vergata, Italy.
J Adv Nurs. 2017 Jun;73(6):1272-1287. doi: 10.1111/jan.13204. Epub 2016 Dec 2.
The aims of this study were as follows: to identify instruments developed to assess self-care in healthy adults; to determine the theory on which they were based; their validity and reliability properties and to synthesize the evidence on their measurement properties.
Many instruments have been developed to assess self-care in many different populations and conditions. Clinicians and researchers should select the most appropriate self-care instrument based on the knowledge of their measurement properties.
Systematic review of measurement instruments according to the protocol recommended by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) panel.
PubMed, Embase, PsycINFO, Scopus and CINAHL databases were searched from inception to December 2015.
Studies testing measurement properties of self-report instruments assessing self-care in healthy adults, published in the English language and in peer review journals were selected. Two reviewers independently appraised the methodological quality of the studies with the COSMIN checklist and the quality of results using specific quality criteria.
Twenty-six articles were included in the review testing the measurement properties of nine instruments. Seven instruments were based on Orem's Self-care theory. Not all the measurement properties were evaluated for the identified instruments. No self-care instrument showed strong evidence supporting the evaluated measurement properties.
Despite the development of several instruments to assess self-care in the adult population, no instrument can be fully recommended to clinical nurses and researchers. Further studies of high methodological quality are needed to confirm the measurement properties of these instruments.
本研究的目的如下：识别为评估健康成年人自我护理而开发的工具；确定这些工具所基于的理论；其效度和信度特性，并综合关于其测量特性的证据。
已经开发了许多工具来评估许多不同人群和情况下的自我护理。临床医生和研究人员应基于对其测量特性的了解来选择最合适的自我护理工具。
根据基于共识的健康测量工具选择标准（COSMIN）小组推荐的方案对测量工具进行系统评价。
检索了从数据库建立至2015年12月的PubMed、Embase、PsycINFO、Scopus和CINAHL数据库。
选择发表在英文同行评审期刊上的、测试评估健康成年人自我护理的自我报告工具测量特性的研究。两名评审员使用COSMIN清单独立评估研究的方法学质量，并使用特定质量标准评估结果质量。
该综述纳入了26篇测试9种工具测量特性的文章。7种工具基于奥瑞姆自我护理理论。并非对已识别工具的所有测量特性都进行了评估。没有一种自我护理工具显示出有力证据支持所评估的测量特性。
尽管已经开发了几种评估成年人群自我护理的工具，但没有一种工具可以完全推荐给临床护士和研究人员。需要进一步开展高质量的方法学研究来确认这些工具的测量特性。
