Seo Ae-Rim, Kim Bo-Kyoung, Park Ki-Soo
Department of Preventive Medicine and Institute of Health Science, College of Medicine, Gyeongsang National University, Jinju 52727, Korea.
Healthcare (Basel). 2022 Jun 20;10(6):1149. doi: 10.3390/healthcare10061149.
The satisfaction of patients receiving integrated care with End-Stage Renal Disease (ESRD) is widely advocated and patients with ESRD have special health needs, but few studies have investigated whether integrated care was associated with health outcomes. Our aims were to evaluate the psychometric properties of the Korean-translated patient assessment of chronic illness care (PACIC) in patients with ESRD, and to evaluate whether PACIC evaluated by patients was associated with health outcomes.
ESRD patients on hemodialysis (n = 172) at 2 dialysis centers. Data quality, internal consistency and correlation between items and scales were assessed. To test the external validity, the association between PACIC and the health behaviour and outcomes of hemodialysis patients was analyzed.
The mean score of the PACIC items was 3.0. The item-scale correlation (0.67-0.85) and test-retest correlation (0.72-0.82) regarding scales for internal consistency showed excellent consistency. Total PACIC score was significantly associated with dietary self-efficacy (β = 0.22) and serum potassium (Exp(B) = 1.65). Higher overall PACIC score was significantly associated with higher physical health status (β = 3.52).
The Korean-translated PACIC questionnaire is a tool with reliability and validity. Comprehensive treatment strategies for ESRD patients may improve their health behaviors and outcomes.
终末期肾病(ESRD)患者接受综合护理的满意度得到广泛提倡,且ESRD患者有特殊的健康需求,但很少有研究调查综合护理是否与健康结局相关。我们的目的是评估韩国翻译版慢性病护理患者评估量表(PACIC)在ESRD患者中的心理测量特性,并评估患者评估的PACIC是否与健康结局相关。
选取2个透析中心接受血液透析的172例ESRD患者。评估数据质量、内部一致性以及各条目与量表之间的相关性。为检验外部效度,分析PACIC与血液透析患者健康行为及结局之间的关联。
PACIC各条目的平均得分为3.0。内部一致性量表的条目-量表相关性(0.67 - 0.85)和重测相关性(0.72 - 0.82)显示出极佳的一致性。PACIC总分与饮食自我效能感显著相关(β = 0.22),与血清钾也显著相关(Exp(B)=1.65)。PACIC总体得分越高,与更高的身体健康状况显著相关(β = 3.52)。
韩国翻译版PACIC问卷是一种具有信效度的工具。针对ESRD患者的综合治疗策略可能会改善他们的健康行为和结局。