用于生物改善病情抗风湿药物治疗类风湿关节炎的护理实践量表的研制

Development of a nursing practice scale for rheumatoid arthritis treatment with biological disease-modifying anti-rheumatic drugs.

作者信息

Song Fang, Nakatani Hisae, Sugiyama Eiji, Hirata Shintaro

机构信息

Graduate School of Biomedical and Health Sciences, Hiroshima University,Hiroshima, Japan.

Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan.

出版信息

Mod Rheumatol. 2024 Mar 28;34(3):479-487. doi: 10.1093/mr/road064.

DOI:10.1093/mr/road064

PMID:37340867

Abstract

OBJECTIVE

The objective of the study was to develop a nursing practice scale for rheumatoid arthritis treatment with biological disease-modifying anti-rheumatic drugs.

METHODS

An anonymous self-administered questionnaire survey was administered to 1826 nurses, 960 of whom were Certified Nurses by Japan Rheumatism Foundation (CNJRFs) and 866 were registered nurses (RNs). Using exploratory factor analysis, criterion validity, and known-groups technique, we assessed the reliability and validity of the self-created 19-item nursing practice scale to evaluate the care provided to patients with rheumatoid arthritis receiving biological disease-modifying anti-rheumatic drugs based on the nurse's role as clarified from a literature review of relevant studies.

RESULTS

A total of 698 (38.4%) responses were collected from 407 CNJRFs and 291 RNs. Exploratory factor analysis was conducted on 18 items to examine three factors: 'nursing to enhance patients' capacity for self-care', 'nursing in which patients participate in decision-making', and 'nursing in which team medical care is promoted'. Cronbach's α was .95. The Spearman's coefficient was ρ = .738 for criterion validity. Using the known-groups technique, CNJRFs had higher total scale scores than RNs (P < .05).

CONCLUSIONS

The results confirmed the reliability, criterion validity, and construct validity of the scale.

摘要

目的

本研究旨在开发一种用于评估使用生物性改善病情抗风湿药治疗类风湿关节炎的护理实践量表。

方法

对1826名护士进行了匿名自填式问卷调查，其中960名是日本风湿病基金会认证护士（CNJRFs），866名是注册护士（RNs）。基于对相关研究的文献综述所明确的护士角色，我们使用探索性因素分析、效标效度和已知群体技术，评估了自行编制的包含19个条目的护理实践量表的信效度，以评价为接受生物性改善病情抗风湿药治疗的类风湿关节炎患者提供的护理。

结果

共收集到来自407名CNJRFs和291名RNs的698份（38.4%）回复。对18个条目进行探索性因素分析，以检验三个因素：“增强患者自我护理能力的护理”、“患者参与决策的护理”和“促进团队医疗护理的护理”。克朗巴赫α系数为0.95。效标效度的斯皮尔曼系数为ρ = 0.738。使用已知群体技术，CNJRFs的量表总分高于RNs（P < 0.05）。