Zhao Jia, Ding Wenbin, Fan Benfang, Chen Chunxia, Wang Lihua
Department of Interventional Radiology, Nantong First People's Hospital, Nantong, 226001, People's Republic of China.
Nursing Department, Nantong First People's Hospital, Nantong, 226001, People's Republic of China.
Risk Manag Healthc Policy. 2024 Jan 12;17:117-126. doi: 10.2147/RMHP.S445841. eCollection 2024.
We develop the Readiness for Hospital Discharge Scale (RHDS) for patients with bile duct carcinoma catheterized after percutaneous transhepatic cholangial drainage (PTCD) and test the reliability and validity of the scale, so as to provide a quantitative tool for evaluating the discharge readiness of patients catheterized after PTCD.
The initial scale was developed following literature review, qualitative interviews, expert consultation, and other methods based on Meleis' Theory of Transition. We selected a total of 286 patients with bile duct carcinoma catheterized after PTCD from four tertiary A-grade hospitals in Nantong City. We conducted a cross-sectional survey using the initial scale to test the validity and reliability of the scale.
RHDS for patients catheterized post-PTCD consisted of five dimensions, with a cumulative variance contribution rate of 74.6%. The Cronbach's α coefficient of the scale was 0.856, and that of each dimension was between 0.740 and 0.891; the scale-content validity index (S-CVI) was 0.875.
RHDS for patients with bile duct carcinoma catheterized after PTCD developed in this study, has good reliability and validity, and can be a useful tool for evaluating the discharge readiness of patients with bile duct carcinoma catheterized after PTCD.
研制经皮经肝胆道引流（PTCD）置管胆管癌患者出院准备度量表（RHDS），并检验该量表的信效度，为评估PTCD置管患者的出院准备度提供量化工具。
基于梅莱伊斯的过渡理论，通过文献回顾、质性访谈、专家咨询等方法初步编制量表。选取南通市4家三级甲等医院的286例PTCD置管胆管癌患者，采用初步编制的量表进行横断面调查，检验量表的信效度。
PTCD置管患者的RHDS由5个维度构成，累积方差贡献率为74.6%。量表的Cronbach's α系数为0.856，各维度的Cronbach's α系数在0.740至0.891之间；量表内容效度指数（S-CVI）为0.875。
本研究研制的PTCD置管胆管癌患者RHDS具有良好的信效度，可作为评估PTCD置管胆管癌患者出院准备度的有效工具。
