Dokuz Eylül University Faculty of Nursing, Inciralti, İzmir, Turkey.
Dokuz Eylül University Hospital, Inciralti, İzmir, Turkey.
Wound Manag Prev. 2024 Jun;70(2). doi: 10.25270/wmp.23016.
Living with an ostomy is a chronic condition, and self-care in such cases improves patient outcomes.
To adapt and test the psychometric properties of the Turkish version of the Ostomy Self-Care Index (T-OSCI) and the Turkish version of the Caregiver Contribution to Self-Care in Ostomy Patient Index (T-CC-OSCI).
A psychometric study was conducted on a convenience sample of 202 adult patients with an ostomy and their 165 caregivers. Translation and back translation, face and content validity, construct validation, and reliability assessment of the T-OSCI and the T-CC-OSCI were performed. Exploratory factor analysis was used to evaluate the construct validity. Reliability was established using Cronbach α coefficients, ceiling and floor effects, and the Hotelling T2 test, Wilcoxon signed rank test, and intraclass correlation coefficient.
Content validity values were in the range of 0.85 to 1 for both the T-OSCI and the T-CC-OSCI. Exploratory factor analysis demonstrated generally acceptable factor loadings. The overall index revealed a high level of internal consistency (T-OSCI = 0.968, T-CC-OSCI = 0.862). No statistically significant difference was found between test-retest measurements. There was no indication of either ceiling or floor effects, or response bias.
The T-OSCI and the T-CC-OSCI are valid and reliable indexes to measure the self-care of patients with an ostomy and their caregivers. These indexes may allow health care professionals to evaluate self-care in research and clinical settings, identify educational needs, and collaborate in developing and supporting appropriate self-care initiatives for patients with an ostomy and their caregivers.
肠造口术后是一种慢性疾病，此类情况下的自我护理可改善患者的预后。
改编并测试土耳其语版肠造口自我护理指数（T-OSCI）和土耳其语版造口患者照顾者对自我护理贡献量表（T-CC-OSCI）的心理测量学特性。
采用便利抽样法，选取 202 例成年肠造口患者及其 165 名照顾者进行心理测量学研究。对 T-OSCI 和 T-CC-OSCI 进行翻译、回译、表面效度和内容效度、结构效度验证以及信度评估。采用探索性因子分析评价结构效度。采用 Cronbach α 系数、天花板和地板效应以及 Hotelling T2 检验、Wilcoxon 符号秩检验和组内相关系数评估信度。
T-OSCI 和 T-CC-OSCI 的内容效度值均在 0.85 到 1 之间。探索性因子分析显示，各因子的负荷值均具有可接受性。总体指数显示出高度的内部一致性（T-OSCI = 0.968，T-CC-OSCI = 0.862）。测试-重测测量之间无统计学差异。无天花板或地板效应或反应偏倚的迹象。
T-OSCI 和 T-CC-OSCI 是有效且可靠的量表，可用于测量肠造口患者及其照顾者的自我护理能力。这些量表可使医护人员在研究和临床环境中评估自我护理，识别教育需求，并合作制定和支持肠造口患者及其照顾者的适当自我护理计划。
