Heart Failure Unit, Cardiology Department, "Rabin" Medical Center, Petah Tikva, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Social and Welfare Studies, Division of Nursing Science, Linköping University, Linköping, Sweden.
Heart Lung Circ. 2020 Jul;29(7):e121-e130. doi: 10.1016/j.hlc.2019.10.019. Epub 2019 Nov 25.
The assessment of self-care behaviour is important for tailoring care to patients and evaluating the effectiveness of heart failure (HF) disease-management programmes. The European HF Self-care Behaviour (EHFScB) scale is a validated instrument used worldwide.
The purpose of the study was to evaluate psychometric properties of the Hebrew version of the nine-item EHFScB scale in Israeli patients with HF.
To develop the Hebrew version of the EHFScB scale, forward and back translation was performed. The psychometric evaluation was based on data from 102 patients with HF (mean age 61±12 yr, male 75%, New York Heart Association [NYHA] class II 42% and NYHA class III 51%) included in two cross-sectional studies performed in 2007 and 2015-2017 in an Israeli hospital. Content validity, construct validity, known-groups validity, and discriminant validity were assessed. Reliability was evaluated with internal consistency.
Content validity and useability were confirmed by HF experts and patients with HF. Construct validity was tested using factor analysis and two factors were extracted (factor 1: consulting behaviour; factor 2: adherence to the regimen). Known-groups validity testing revealed a significant difference before and after an educational intervention in the total score (n=40 [41.6±23.8] vs [67.6±21.8]; p<0.01). A weak correlation between the self-care score and health-related quality of life (r= -0.299, p<0.01) was observed, showing that these concepts were related but not overlapping. Cronbach's alpha was 0.78 for the total scale, 0.76 for factor 1, and 0.68 for factor 2, suggesting that the internal consistency of this scale was acceptable.
Our study provides support for the useability, validity, and reliability of the nine-item Hebrew version of the EHFScB scale.
评估自我护理行为对于针对患者调整护理和评估心力衰竭（HF）疾病管理计划的有效性非常重要。欧洲心力衰竭自我护理行为（EHFScB）量表是一种在全球范围内使用的经过验证的工具。
本研究旨在评估经过验证的九项 EHFScB 量表的希伯来语版本在以色列 HF 患者中的心理测量特性。
为了开发 EHFScB 量表的希伯来语版本，进行了正向和反向翻译。基于 2007 年和 2015-2017 年在以色列一家医院进行的两项横断面研究中纳入的 102 例 HF 患者（平均年龄 61±12 岁，男性 75%，纽约心脏协会[NYHA]心功能分级 II 级 42%和 NYHA 心功能分级 III 级 51%）的数据进行心理测量评估。评估内容效度、结构效度、已知组有效性和判别效度。使用内部一致性评估可靠性。
HF 专家和 HF 患者确认了内容效度和可用性。使用因子分析测试结构效度，并提取了两个因子（因子 1：咨询行为；因子 2：遵守治疗方案）。在教育干预前后的已知组有效性测试中，总评分（n=40 [41.6±23.8] 与 [67.6±21.8]；p<0.01）显示出显著差异。自我护理评分与健康相关生活质量之间存在弱相关性（r= -0.299，p<0.01），表明这两个概念相关但不重叠。该量表的克朗巴赫α系数为 0.78（总量表）、0.76（因子 1）和 0.68（因子 2），表明该量表的内部一致性是可以接受的。
本研究为九项 EHFScB 量表的希伯来语版本的可用性、有效性和可靠性提供了支持。
