Department of Pediatric Nursing, Institute of Health Sciences, Dokuz Eylul University, İzmir, Türkiye.
KTO Karatay University, Vocational School of Health Services, Konya, Türkiye.
Eur J Pediatr. 2024 Sep;183(9):3767-3776. doi: 10.1007/s00431-024-05650-z. Epub 2024 Jun 12.
BACKGROUND/AIM: Diabetes has become a global epidemic, necessitating effective self-management strategies. This is particularly crucial for parents of children with type 1 diabetes mellitus, as they must make numerous daily decisions and perform complex care activities. Therefore, the aim of this study was to develop a comprehensive diabetes self-management scale specifically for parents of children with type 1 diabetes. This scale aims to holistically address behaviors impacting diabetes self-management and to evaluate its psychometric properties.
A methodological, correlational, and cross-sectional study was conducted with a sample of 190 parents of children with type 1 diabetes mellitus. The scale items were reviewed by five experts to ensure they adequately covered the parents' evaluation of their children's diabetes self-management. Following this, a Turkish language expert assessed the draft scale for language accuracy, comprehensibility, and grammar. The data were analyzed using descriptive statistics (numbers and percentages), Cronbach's α reliability coefficient, factor analysis, and correlation analysis.
The Cronbach's alpha for the overall scale was 0.893, and the Cronbach's alpha for the subscales was between 0.757 and 0.845. The item-total score correlations ranged between 0.408 and 0.660 (p < .05). The exploratory factor analysis showed that the scale explained 61.427% of the total variance, and the factor loadings of items ranged from 0.574 to 0.859. The confirmatory factor analysis also showed that the factor loadings of the scale items ranged from 0.574 to 0.859.
The validity and reliability analyses revealed that the scale is a valid and reliable measurement tool for the Turkish culture.
背景/目的：糖尿病已成为全球性流行病，需要有效的自我管理策略。对于 1 型糖尿病患儿的父母来说，这一点尤为重要，因为他们必须做出许多日常决策并执行复杂的护理活动。因此，本研究旨在为 1 型糖尿病患儿的父母开发一种全面的糖尿病自我管理量表。该量表旨在全面评估影响糖尿病自我管理的行为，并评估其心理测量特性。
采用方法学、相关性和横断面研究方法，对 190 名 1 型糖尿病患儿的父母进行了样本研究。五位专家对量表项目进行了审查，以确保充分涵盖父母对子女糖尿病自我管理的评估。之后，一位土耳其语专家对草案进行了语言准确性、理解性和语法评估。使用描述性统计（数字和百分比）、Cronbach's α 可靠性系数、因子分析和相关分析对数据进行了分析。
总体量表的 Cronbach's α 为 0.893，分量表的 Cronbach's α 介于 0.757 至 0.845 之间。项目-总分相关性在 0.408 至 0.660 之间（p<.05）。探索性因子分析表明，该量表解释了 61.427%的总方差，项目的因子负荷在 0.574 至 0.859 之间。验证性因子分析也表明，量表项目的因子负荷在 0.574 至 0.859 之间。
效度和信度分析表明，该量表在土耳其文化中是一种有效的、可靠的测量工具。
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