Chen Danlei, Liu Qing, Yu Zhihui, Pan Ting, Zhang Ailing, Chen Yan, Kong Fang, Ding ChengLiang
Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
BMC Nurs. 2024 Jul 10;23(1):472. doi: 10.1186/s12912-024-02131-4.
Crohn's disease (CD) patients require varying levels of supportive care. In order to facilitate caregivers and nurses in precisely evaluating the caregiving requirements of these patients, we developed the CD-specific Care Needs Scale (CD-CNS).
This study employed a mixed-methods approach, integrating qualitative and quantitative methodologies. The initial items of the scale were developed through qualitative interviews, Delphi expert consultation, and literature review, while the final items were refined through clinical testing. Qualitative interviews were conducted based on the supportive care needs framework and Maslow's hierarchy of needs, and scale items were constructed through a literature search and qualitative interviews. The initial version of the scale with 45 items was obtained after the items were verified and modified by expert consultation. A total of 250 CD patients admitted to the gastroenterology department of a hospital in China were selected for verification of the initial version of the scale. A self-designed general questionnaire was used to obtain patients' medical history and sociodemographic data, and the Chinese version of the Inflammatory Bowel Disease Questionnaire (IBDQ) was used as the criterion. Exploratory factor analysis (EFA) was performed on the CD-CNS to evaluate the dimensions, factor structure, reliability, criterion validity, and construct validity.
EFA identified 5 dimensions and retained 27 items with strong internal consistency reliability (α = 0.940). The Cronbach's α coefficients for each dimension ranged from 0.824 to 0.921. Criterion validity was assessed using Spearman's coefficient, which demonstrated a significant correlation with the IBDQ (P < 0.050). The test-retest reliability for each dimension after two weeks ranged from 0.655 to 0.895.
We developed and validated a new scale that can be used to assess the care needs of CD patients. This new tool can guide the specific supportive care of CD patients.
This study was reviewed and approved by the Ethics Committee of the Second Hospital of Nanjing (2021-LS-ky-022). The study was duly registered and approved online through the Trial Center of the Second Hospital of Nanjing in 2021. Confidentiality was ensured by anonymizing all the data. The entire study process was conducted under the supervision of the Ethics Committee of Nanjing Second Hospital. Informed consent was obtained from the patients, and each patient volunteered and agreed to participate.
克罗恩病（CD）患者需要不同程度的支持性护理。为了帮助护理人员和护士准确评估这些患者的护理需求，我们开发了克罗恩病特异性护理需求量表（CD-CNS）。
本研究采用混合方法，将定性和定量方法相结合。量表的初始项目通过定性访谈、德尔菲专家咨询和文献综述制定，最终项目通过临床测试进行完善。基于支持性护理需求框架和马斯洛需求层次理论进行定性访谈，并通过文献检索和定性访谈构建量表项目。经过专家咨询对项目进行验证和修改后，获得了包含45个项目的量表初始版本。选取中国一家医院胃肠病科收治的250例CD患者对量表初始版本进行验证。使用自行设计的一般问卷获取患者的病史和社会人口学数据，并使用中文版炎症性肠病问卷（IBDQ）作为标准。对CD-CNS进行探索性因子分析（EFA），以评估维度、因子结构、信度、效标效度和结构效度。
EFA确定了5个维度，保留了27个项目，内部一致性信度较高（α = 0.940）。各维度的Cronbach's α系数在0.824至0.921之间。使用Spearman系数评估效标效度，结果显示与IBDQ有显著相关性（P < 0.050）。两周后各维度的重测信度在0.655至0.895之间。
我们开发并验证了一种可用于评估CD患者护理需求的新量表。这一新工具可指导CD患者的特异性支持性护理。
本研究经南京医科大学第二附属医院伦理委员会审查批准（2021-LS-ky-022）。该研究于2021年通过南京医科大学第二附属医院试验中心进行了正式注册和在线批准。通过对所有数据进行匿名处理确保了保密性。整个研究过程在南京医科大学第二附属医院伦理委员会的监督下进行。获得了患者的知情同意，每位患者自愿并同意参与。
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