Dervişoğlu Merve, Büyükkaya Besen Dilek, Günbaş Merve, Ertaş Mehtap, Emekdaş Barış
Internal Medicine Nursing Doctorate Program, Institute of Health Sciences, Dokuz Eylul University, 35390 Izmir, Türkiye.
Internal Medicine Nursing, Faculty of Nursing, Dokuz Eylul University, 35340 Izmir, Türkiye.
Healthcare (Basel). 2025 Apr 25;13(9):997. doi: 10.3390/healthcare13090997.
Hypoglycemia is a significant complication in diabetes management and presents an even greater risk for older adults. These individuals are particularly vulnerable to hypoglycemic episodes, which can result in serious health consequences. The Hypoglycemia Problem-Solving Scale (HPSS) evaluates problem-solving skills related to hypoglycemia; however, it has not yet been validated in Türkiye. This study aimed to evaluate the validity and reliability of the Turkish adaptation of the HPSS. : A descriptive, methodological, and cross-sectional study was conducted with 623 older adults (aged 65 and above) diagnosed with Type 2 diabetes and with a history of hypoglycemic episodes. The HPSS was adapted into Turkish, and its psychometric properties were assessed through content validity, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and reliability analyses. : The mean age of participants was 72 ± 5.5 years. Expert agreement on the items was high (Kendall's W = 0.83, < 0.05), and all items had a Content Validity Ratio (CVR) above 0.56. The overall Content Validity Index (CVI) was 0.97. Exploratory Factor Analysis (EFA) revealed seven factors explaining 74.22% of the total variance. The Kaiser-Meyer-Olkin (KMO) value was 0.85, and Bartlett's test of sphericity was significant (χ = 7590.85, < 0.001). Confirmatory Factor Analysis (CFA) demonstrated acceptable model fit (CFI = 0.952; χ/df = 2.536). The scale demonstrated high internal consistency (Cronbach's alpha = 0.88) and excellent test-retest reliability (r = 0.99, < 0.001). : The Turkish version of the Hypoglycemia Problem-Solving Scale is a valid and reliable instrument for evaluating problem-solving skills related to hypoglycemia in older adults with diabetes. It can be effectively utilized in clinical practice to support better hypoglycemia management and improve overall diabetes care.
低血糖是糖尿病管理中的一个重要并发症，对老年人来说风险更大。这些个体特别容易发生低血糖事件，这可能导致严重的健康后果。低血糖问题解决量表（HPSS）评估与低血糖相关的问题解决能力；然而，它尚未在土耳其得到验证。本研究旨在评估土耳其语版HPSS的有效性和可靠性。：对623名65岁及以上被诊断为2型糖尿病且有低血糖发作史的老年人进行了一项描述性、方法学和横断面研究。将HPSS翻译成土耳其语，并通过内容效度、探索性因素分析（EFA）、验证性因素分析（CFA）和信度分析来评估其心理测量特性。：参与者的平均年龄为72±5.5岁。专家对这些项目的一致性很高（肯德尔W系数=0.83，P<0.05），所有项目的内容效度比（CVR）均高于0.56。总体内容效度指数（CVI）为0.97。探索性因素分析（EFA）揭示了七个因素，解释了总方差的74.22%。凯泽-迈耶-奥尔金（KMO）值为0.85，巴特利特球形检验具有显著性（χ²=7590.85，P<0.001）。验证性因素分析（CFA）显示模型拟合度可接受（CFI=0.952；χ²/df=2.536）。该量表显示出较高的内部一致性（克朗巴赫α系数=0.88）和出色的重测信度（r=0.99，P<0.001）。：土耳其语版低血糖问题解决量表是评估糖尿病老年患者低血糖相关问题解决能力的有效且可靠的工具。它可在临床实践中有效应用，以支持更好的低血糖管理并改善整体糖尿病护理。
