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测量出院准备情况:腹部手术后患者使用的一种工具的心理测量学评估

Measuring Discharge Readiness: Psychometric Evaluation of an Instrument for Patients After Abdominal Surgery.

作者信息

Ogunmuyiwa Ayodeji Olubunmi, Nwozichi Chinomso Ugochukwu, Ramos Mary Dioise, Oladoyin Olajumoke, Okoli Chinwe

机构信息

Department of Adult Health Nursing, School of Nursing, Babcock University, Ilishan-Remo, Nigeria.

Wellstar School of Nursing, Kennesaw State University, Kennesaw, GA, USA.

出版信息

J Nurs Meas. 2024 Sep 3. doi: 10.1891/JNM-2024-0017.

Abstract

Discharge readiness is an important aspect of quality care improvement but is poorly understood among clinicians. This study aims to develop and validate an abdominal surgery discharge readiness instrument (ASDRI). Through quantitative methods, ASDRI was crafted from qualitative exploration, literature review, and theoretical foundation. The psychometric analysis involved 344 patients with abdominal surgery aged 18 years and above using SmartPLS 4.0.9 software version. The validated ASDRI contains both convergent and discriminant validities. The Average Variance Extracted (AVE) values for all the constructs were above the recommended cutoff point ( = 0.4) and demonstrated acceptable reliability ( = 0.64 - 0.936; = 0.81 - 0.95). The ASDRI, comprising 28 items across five factors, emerges as a valid and reliable tool for assessing discharge readiness after abdominal surgery, emphasizing patient-centered discharge planning.

摘要

出院准备情况是改善医疗质量的一个重要方面,但临床医生对此了解甚少。本研究旨在开发并验证一种腹部手术出院准备情况评估工具(ASDRI)。通过定量方法,ASDRI是在定性探索、文献综述和理论基础上构建而成的。心理测量分析使用SmartPLS 4.0.9软件版本,涉及344例18岁及以上的腹部手术患者。经过验证的ASDRI同时具备收敛效度和区分效度。所有构念的平均提取方差(AVE)值均高于推荐的临界值(= 0.4),并显示出可接受的信度(= 0.64 - 0.936;= 0.81 - 0.95)。ASDRI由五个因素的28个项目组成,是一种有效且可靠的工具,用于评估腹部手术后的出院准备情况,强调以患者为中心的出院计划。

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