Khanian Zahra Sam, Ghaffari Fatemeh, Alipoor Zahra Jannat, Fotokian Zahra
Student Research Committee, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Heliyon. 2020 May 5;6(5):e03909. doi: 10.1016/j.heliyon.2020.e03909. eCollection 2020 May.
A standard scale to examine the empowerment status of older individuals with chronic obstructive pulmonary disease (COPD) can be used to assess their ability for self-care and disease management. This study aimed to design and validate the empowerment scale for the older individuals with COPD (ESOCOPD).
MATERIALS & METHODS: This study was conducted in two phases with a deductive-inductive approach: a qualitative phase for designing the tool (the grounded theory study re-analysis, a review of texts and interviews) and a quantitative phase for validation of the questionnaire (face and content validity and reliability). Reliability was determined by test-retest and Spearman's correlation coefficient.
Based on the results of the grounded theory study re-analysis and a review of texts and interviews, 47 items were designed, 14 of which were removed in the face and content validity assessment. The total Content validity index and content validity ratio of the questionnaire were found as 0.82 and 0.95, respectively.The final number of items in the scale was 33, and its dimensions included "information seeking, achieving independence, learning to live with COPD, participation in care, having critical thinking, psychosocial capacities management, and achieving goals". Intra-class correlation of questionnaire dimensions was 0.86-0.99.
The ESOCOPD can be used by health care and treatment providers to determine the patient's ability for self-care and disease management because of its small number of items, it's validation, and reliability.
一种用于评估慢性阻塞性肺疾病（COPD）老年患者赋权状况的标准量表，可用于评估他们的自我护理和疾病管理能力。本研究旨在设计并验证COPD老年患者赋权量表（ESOCOPD）。
本研究采用演绎-归纳法分两个阶段进行：设计工具的定性阶段（扎根理论研究再分析、文本回顾和访谈）和问卷验证的定量阶段（表面效度、内容效度和信度）。通过重测法和Spearman相关系数确定信度。
基于扎根理论研究再分析以及文本回顾和访谈的结果，设计了47个条目，其中14个在表面效度和内容效度评估中被删除。问卷的总内容效度指数和内容效度比分别为0.82和0.95。量表最终的条目数为33个，其维度包括“寻求信息、实现独立、学会与COPD共处、参与护理、具备批判性思维、心理社会能力管理和实现目标”。问卷各维度的组内相关系数为0.86 - 0.99。
由于ESOCOPD条目数量少、经过验证且具有可靠性，医疗保健和治疗提供者可使用该量表来确定患者的自我护理和疾病管理能力。
