Napolitano Daniele, Biagioli Valentina, Bartoli Davide, Cilluffo Silvia, Martella Piergiorgio, Monaci Alessandro, Vellone Ercole, Cocchieri Antonello
Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Department of Medical and Surgical Sciences-DIMEC, University of Bologna, Bologna, Italy.
J Clin Nurs. 2025 Mar 3. doi: 10.1111/jocn.17712.
To test the psychometric properties of the Self-Care of Chronic Illness Inventory (SC-CII) in patients living with inflammatory bowel disease (IBD).
A cross-sectional, multicenter study.
A total of 452 IBD patients were recruited from nine centres across Italy. Participants completed the SC-CII, the Self-Care Self-Efficacy Scale (SCSES), and a sociodemographic questionnaire. Structural validity was assessed using confirmatory factor analysis (CFA). Reliability was evaluated with Cronbach's alpha and McDonald's Omega. Construct validity was determined through correlations between SC-CII and SCSES scores.
CFA confirmed the SC-CII's structural validity, demonstrating its multidimensional self-care maintenance, self-care monitoring, and self-care management structure. Reliability scores were satisfactory, with robust internal consistency. Significant positive correlations between SC-CII and SCSES scores confirmed its construct validity.
The SC-CII is a valid and reliable tool for assessing self-care behaviours in IBD patients. Its application in clinical and research settings can facilitate the evaluation of self-care practices, supporting the development of targeted interventions to improve patient outcomes.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The SC-CII helps identify self-care deficits in IBD patients, enabling tailored interventions for better patient-centred care.
The study addressed the need for validated tools to assess self-care in IBD patients, crucial for managing conditions like IBD. The SC-CII proved valid and reliable, with CFA confirming its structure and correlations with self-efficacy supporting validity. It offers a robust tool to assess and promote self-care behaviours.
The STROBE checklist ensured accurate and comprehensive reporting.
IBD patients helped align the SC-CII with their experiences, ensuring its relevance.
ClinicalTrials.gov identifier: NCT06015789.
测试慢性病自我护理量表（SC-CII）在炎症性肠病（IBD）患者中的心理测量特性。
一项横断面多中心研究。
从意大利的九个中心招募了总共452名IBD患者。参与者完成了SC-CII、自我护理自我效能量表（SCSES）和一份社会人口学问卷。使用验证性因素分析（CFA）评估结构效度。通过Cronbach's alpha和McDonald's Omega评估信度。通过SC-CII与SCSES得分之间的相关性确定构想效度。
CFA证实了SC-CII的结构效度，表明其具有多维度的自我护理维持、自我护理监测和自我护理管理结构。信度得分令人满意，具有较强的内部一致性。SC-CII与SCSES得分之间的显著正相关证实了其构想效度。
SC-CII是评估IBD患者自我护理行为的有效且可靠的工具。其在临床和研究环境中的应用可以促进对自我护理实践的评估，支持制定有针对性的干预措施以改善患者结局。
对专业和/或患者护理的意义：SC-CII有助于识别IBD患者的自我护理缺陷，从而能够进行量身定制的干预，以提供更好的以患者为中心的护理。
该研究满足了对评估IBD患者自我护理的有效工具的需求，这对于管理IBD等疾病至关重要。SC-CII被证明是有效且可靠的，CFA证实了其结构，与自我效能的相关性支持了其效度。它提供了一个强大的工具来评估和促进自我护理行为。
STROBE清单确保了准确和全面的报告。
IBD患者帮助使SC-CII与他们的经历保持一致，确保了其相关性。
ClinicalTrials.gov标识符：NCT06015789。
