Incirkuş Kübra, Nahcivan Nursen
Department of Public Health Nursing, Faculty of Health Sciences, Trakya University, Edirne, Turkey
Department of Public Health Nursing, Florence Nightingale Faculty of Nursing, İstanbul University–Cerrahpaşa, İstanbul, Turkey
Turk J Med Sci. 2020 Aug 26;50(5):1254-1261. doi: 10.3906/sag-1910-13.
BACKGROUND/AIM: The measurement of self-efficacy is an important step toward improving chronic disease management, enhancing adherence to treatment, and assessing patients with chronic diseases. The purpose of this study was to assess the validity and reliability of the Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale.
In this methodological study, the sample consisted of 211 patients receiving chronic disease care in 2 family health centers in İstanbul, Turkey. Data were analyzed with descriptive statistics, exploratory and confirmatory factor analyses, concurrent validity, Cronbach’s alpha, item-total correlation, and test-retest reliability.
Most of the sample were women (72%), primary school graduates (41.7%), hypertensive (68.7%), and had comorbidities (68.2%). The mean age of the sample was 60.5 ± 10.9. The scale mean was 5.66 ± 2.28. Cronbach’s alpha reliability was 0.90. Item-total correlations were between 0.64–0.85 and test-retest reliability was high (R = 0.95, P < 0.001). A positive, significant correlation was found in concurrent validity. According to the results of factor analysis, the scale had a 2-dimensional structure.
The Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale is a valid and reliable instrument to assess perceived the self-efficacy level of patient with chronic disease.
背景/目的：自我效能感的测量是改善慢性病管理、提高治疗依从性以及评估慢性病患者的重要一步。本研究的目的是评估土耳其语版慢性病管理自我效能6项量表的有效性和可靠性。
在这项方法学研究中，样本包括在土耳其伊斯坦布尔的2家家庭健康中心接受慢性病护理的211名患者。采用描述性统计、探索性和验证性因素分析、同时效度、克朗巴哈系数、项目与总分相关性以及重测信度对数据进行分析。
样本中大多数为女性（72%）、小学毕业（41.7%）、高血压患者（68.7%）且患有合并症（68.2%）。样本的平均年龄为60.5±10.9岁。量表平均分是5.66±2.28。克朗巴哈系数信度为0.90。项目与总分相关性在0.64 - 0.85之间，重测信度较高（R = 0.95，P < 0.001）。同时效度方面发现存在显著正相关。根据因素分析结果，该量表具有二维结构。
土耳其语版慢性病管理自我效能6项量表是评估慢性病患者自我效能感水平的有效且可靠的工具。
