School of Nursing, Chang Gung University of Science and Technology, Taoyuan.
Geriatric and Long-term Care Research Center, Chang Gung University of Science and Technology, Taoyuan.
Clin Rehabil. 2024 Oct;38(10):1362-1371. doi: 10.1177/02692155241270968. Epub 2024 Aug 13.
Owing to the lack of a suitable tool for detecting the unmet needs of young stroke survivors, this study aims to develop a validated questionnaire for evaluating these unmet needs.
A cross-sectional, observational research design.
Chang Gung Memorial Hospital Linkou and Taoyuan branches in Taiwan.
A total of 211 participants (average age 53 years; within 6 months post-stroke) completed the questionnaire.
A qualitative approach was used to create an item pool. Experts verified item suitability, and content validity was evaluated using the item content validity index. Item analysis was applied to determine item quality, and factor analysis was used to explore construct validity. In addition, parallel analysis was employed to ascertain the optimal number of factors.
The scale development procedure resulted in a 27-item questionnaire that assesses the unmet needs of young stroke survivors after a stroke. The item content validity index was 1.0. The Unmet Needs Questionnaire has five factors: restoring prestroke abilities and life, rehabilitation-related resources, social support and self-adjustment, economic and post-stroke life adjustment, and stroke-related information. These five factors accounted for 54% of the variance. Cronbach's alpha for the total scale was 0.91, while the alpha for the subscales ranged from 0.74 to 0.88.
The Unmet Needs Questionnaire showed acceptable reliability and validity. It can help clinical professionals and government agencies identify stroke survivors' unmet needs and develop tailored care plans. Future research should explore the trajectory of post-stroke unmet needs using this tool.
由于缺乏检测年轻脑卒中幸存者未满足需求的合适工具，本研究旨在开发一种经过验证的问卷来评估这些未满足的需求。
横断面、观察性研究设计。
台湾长庚纪念医院林口及桃园分院。
共有 211 名参与者（平均年龄 53 岁；脑卒中后 6 个月内）完成了问卷。
采用定性方法创建项目池。专家验证了项目的适宜性，并使用项目内容效度指数评估内容效度。采用项目分析确定项目质量，并进行因子分析以探索结构效度。此外，还采用平行分析确定最佳因子数。
量表开发过程产生了一个 27 项的问卷，用于评估脑卒中后年轻幸存者的未满足需求。项目内容效度指数为 1.0。未满足需求问卷有五个因素：恢复发病前的能力和生活、康复相关资源、社会支持和自我调整、经济和脑卒中后生活调整以及脑卒中相关信息。这五个因素占总方差的 54%。总量表的克朗巴赫α系数为 0.91，而分量表的α系数范围为 0.74 至 0.88。
未满足需求问卷具有可接受的信度和效度。它可以帮助临床专业人员和政府机构识别脑卒中幸存者的未满足需求，并制定针对性的护理计划。未来的研究应该使用这个工具探索脑卒中后未满足需求的轨迹。
