PhD, RN, Professor, Faculty of Nursing, Public Health Nursing Department, Koc University, Istanbul, Turkey.
PhD, RN, Associate Professor, Faculty of Nursing, Public Health Nursing Department, Dokuz Eylul University, Izmir, Turkey.
J Nurs Res. 2019 Aug;27(4):e35. doi: 10.1097/jnr.0000000000000308.
When stroke survivors return to their lives in society, they often face issues such as physical or cognitive impairment, dependence on others, social isolation, and reduced self-esteem, which may lead to disastrous consequences in patients' self-perceived self-efficacy and self-confidence in everyday life. Self-efficacy plays an important role in the well-being of stroke patients. Accurate assessment of the stroke patients' self-efficacy by health professionals is critical to obtaining data regarding their functioning levels.
The aim of this study was to evaluate the psychometric properties of the Turkish version of the Stroke Self-Efficacy Questionnaire (T-SSEQ).
A sample of 185 stroke patients (mean age = 64.78 ± 10.7) was recruited from a university hospital in Izmir, Turkey. Data were collected between April and October 2016. Translation and back-translation processes were used to translate the T-SSEQ into Turkish. Data were analyzed using the Rasch partial credit model with the Winsteps program to investigate the response scale analysis, tests of fit to the model, unidimensionality, local dependency, item and person separation reliability, separation index, and differential item functioning.
The Rasch analysis showed goodness of fit for both the activity and self-management subscales. Moreover, both scales were identified as being unidimensional in structure. Furthermore, the participants were able to distinguish between the categories of the response options, and scale reliability was supported for both subscales using Rasch analyses.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: These results indicate that the T-SSEQ is acceptable for use with Turkish stroke patients in both practice and research settings. Furthermore, the questionnaire is suitable for nurses to use in designing interventions and evaluating stroke patients' self-efficacy in clinics, home care, and rehabilitation centers.
当中风幸存者重新回归社会生活时，他们常常面临身体或认知障碍、依赖他人、社交孤立和自尊心下降等问题，这可能导致患者在日常生活中自我效能感和自信心灾难性地降低。自我效能感在中风患者的幸福感中起着重要作用。健康专业人员准确评估中风患者的自我效能感对于获得有关其功能水平的数据至关重要。
本研究旨在评估土耳其版中风自我效能感问卷（T-SSEQ）的心理测量特性。
从土耳其伊兹密尔的一所大学医院招募了 185 名中风患者（平均年龄=64.78±10.7）作为样本。数据收集于 2016 年 4 月至 10 月之间。使用翻译和回译过程将 T-SSEQ 翻译成土耳其语。使用 Winsteps 程序的 Rasch 部分信用模型分析数据，以调查响应量表分析、对模型的拟合测试、单维性、局部依赖性、项目和人员分离可靠性、分离指数和差异项目功能。
Rasch 分析表明，活动和自我管理分量表的拟合度良好。此外，这两个量表在结构上都被确定为单维的。此外，参与者能够区分响应选项的类别，并且使用 Rasch 分析支持两个分量表的量表可靠性。
结论/对实践的意义：这些结果表明，T-SSEQ 在土耳其中风患者的实践和研究环境中是可以接受的。此外，该问卷适用于护士在诊所、家庭护理和康复中心设计干预措施和评估中风患者的自我效能感。
