巴西血液透析慢性肾病患者依从性调查问卷的验证

Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis.

作者信息

Lins Silvia Maria de Sá Basilio, Leite Josete Luzia, Godoy Simone de, Fuly Patrícia Dos Santos Claro, Araújo Silvia Teresa Carvalho de, Silva Ítalo Rodolfo

机构信息

Universidade Federal do Rio de Janeiro, Anna Nery Nursing School. Rio de Janeiro, Brazil.

Universidade de São Paulo, Ribeirão Preto College of Nursing, Department of General and Specialized Nursing. Ribeirão Preto, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2017 May-Jun;70(3):558-565. doi: 10.1590/0034-7167-2016-0437.

DOI:10.1590/0034-7167-2016-0437

PMID:28562804

Abstract

OBJECTIVE

To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis.

METHOD

We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct).

RESULTS

The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01.

CONCLUSION

We verified, by the presented results, that the instrument has been validated for use in Brazil.

摘要

目的

验证用于评估血液透析慢性肾病（CKD）患者依从性的调查问卷。

方法

我们验证了该工具的以下心理测量特性：可靠性（稳定性和内部一致性）和有效性（表面效度、内容效度和结构效度）。

结果

依从性问题的组内相关系数达到0.98，认知问题的组内相关系数达到0.91。在所检查的14个问题中，12个问题的kappa值>0.8，而Cronbach's alpha值为0.57。专家确保了该工具的表面效度和内容效度，其总体内容效度指数为0.96。通过Mann-Whitney检验分析的结构效度得以实现，因为所有领域均显示出显著相关性（p<0.01）。