Dellafiore Federica, Conte Gianluca, Baroni Irene, Pittella Francesco, Di Pasquale Cristina, Nania Tiziana, Saracco Carla, Roveron Gabriele, Caruso Rosario
Federica Dellafiore, MSc, RN, Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. Gianluca Conte, RN, Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. Irene Baroni, RN, Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. Francesco Pittella, MSc, RN, Nursing Degree Course, University of Milan, section of IRCCS Policlinico San Donato, San Donato Milanese, Italy. Cristina Di Pasquale, RN, Division of Urology, European Institute of Oncology, Milan, Italy. Tiziana Nania, RN, Nursing Degree Course, University of Milan, Section of IRCCS Policlinico San Donato, San Donato Milanese, Italy. Carla Saracco, RN, Associazione Italiana Operatori Sanitari di Stomaterapia (AIOSS), Milan, Italy. Gabriele Roveron, RN, Associazione Italiana Operatori Sanitari di Stomaterapia (AIOSS), Milan, Italy. Rosario Caruso, PhD, MSc, RN, Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
J Wound Ostomy Continence Nurs. 2019 Jan/Feb;46(1):38-43. doi: 10.1097/WON.0000000000000493.
The purpose of this study was to evaluate the validity and reliability of the Italian version of the Ostomy Adjustment Inventory-23 (OAI-23).
This is a methodological study evaluated psychometric properties of the OAI-23.
A sample of 230 patients with an ostomy was enrolled in an Italian university hospital from May to September 2017.
This study comprised two phases; during phase 1, the cultural-linguistic translation of the OAI-23 into Italian was completed. In addition, content and face validity were tested. In phase 2, psychometric testing of the OAI-23 was conducted in a cross-section sample of 258 Italian patients with a fecal ostomy.
The Italian version of the OAI-23 presents 23 items giving a 3-dimensional structure: acceptance, negative feelings, and social engagement. Accordingly, this 3-dimensional structure arise from an exploratory factorial analysis with the maximum likelihood robust estimator (RMSEA = 0.089 [95% CI = 0.063-0.113; P = .05], and CFI = 0.901, explaining 44% of the total variance). The internal consistency of the OAI-23 was good (Cronbach α for acceptance = 0.91; for negative feelings = 0.87; for social engagement = 0.93; for overall scale = 0.91).
The OAI-23 provides a valid and reliable assessment of patients' psychosocial adjustment to an ostomy. It provides important resource for clinical decision-making; for example, it may be used to design or tailor educational strategies to enhance psychosocial adjustment following creation of an ostomy.
本研究旨在评估造口调整量表23项意大利语版（OAI - 23）的有效性和可靠性。
这是一项评估OAI - 23心理测量特性的方法学研究。
2017年5月至9月，在一家意大利大学医院招募了230例造口患者作为样本。
本研究包括两个阶段；在第一阶段，完成了OAI - 23的文化语言意大利语翻译。此外，还测试了内容效度和表面效度。在第二阶段，对258例意大利粪便造口患者的横断面样本进行了OAI - 23的心理测量测试。
OAI - 23意大利语版有23个项目，呈现三维结构：接受度、负面情绪和社会参与度。相应地，这种三维结构源于采用最大似然稳健估计器的探索性因子分析（RMSEA = 0.089 [95% CI = 0.063 - 0.113；P = 0.05]，CFI = 0.901，解释总方差的44%）。OAI - 23的内部一致性良好（接受度的Cronbach α = 0.91；负面情绪的Cronbach α = 0.87；社会参与度的Cronbach α = 0.93；总体量表的Cronbach α = 0.91）。
OAI - 23为患者对造口的心理社会适应提供了有效且可靠的评估。它为临床决策提供了重要资源；例如，它可用于设计或定制教育策略，以增强造口术后的心理社会适应。
