School of Nursing, University of South China, Hengyang, China.
Institute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Province Cooperative innovation Center for Molecular Target New Drug Study, University of South China, Hengyang, China.
Nurs Health Sci. 2020 Jun;22(2):364-373. doi: 10.1111/nhs.12657. Epub 2019 Nov 7.
Patient empowerment has been shown to have some positive impacts on self-efficacy, self-esteem, and recovery. However, information about the empowerment needs of patients after a percutaneous coronary intervention is scarce. The aim of this study was to develop a Chinese-language instrument to measure empowerment needs of such patients. The initial instrument was generated based on a literature review and interviews with patients after a percutaneous coronary intervention procedure. Content validity was tested with a panel of experts using the Delphi method. In total, 226 patients were recruited for psychometric tests using the revised instrument. Expert authority coefficient was 0.92, and content validity index was 0.95. The internal consistency reliability was demonstrated by Cronbach's α coefficients (0.86 for the total score, 0.66-0.74 for the dimensions). The newly developed 19-item, five-dimension instrument has shown satisfactory validity (face/content validity and construct validity) and internal consistency reliability. The instrument could help clinical nurses who have close contact with patients after a percutaneous coronary intervention to gain a better understanding of their empowerment needs and could help develop appropriate health education to address such needs.
患者赋权已被证明对自我效能、自尊和康复有一定的积极影响。然而，关于经皮冠状动脉介入治疗后患者赋权需求的信息却很少。本研究旨在开发一种中文工具来测量此类患者的赋权需求。初始工具是基于文献回顾和对经皮冠状动脉介入治疗后的患者访谈生成的。内容效度采用德尔菲法由专家组进行测试。共有 226 名患者使用修订后的工具进行了心理测量学测试。专家权威系数为 0.92，内容效度指数为 0.95。克朗巴赫α系数（总分 0.86，维度 0.66-0.74）证明了内部一致性信度。新开发的 19 项 5 维度工具具有良好的有效性（表面/内容效度和结构效度）和内部一致性信度。该工具可以帮助与经皮冠状动脉介入治疗后患者密切接触的临床护士更好地了解他们的赋权需求，并帮助制定适当的健康教育以满足这些需求。
