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多发性硬化症患者应对问卷影响因素的开发与验证

Development and validation of the antecedents affecting coping questionnaire in patients with multiple sclerosis.

作者信息

Dehghani Ali, Keshavarzi Abdolkhalegh, Pourfarid Yasaman

机构信息

Department of Community Health Nursing, School of Nursing, Jahrom University of Medical Sciences, Motahari St, Jahrom, 7414846199, Iran.

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Neurol. 2025 Jul 1;25(1):254. doi: 10.1186/s12883-025-04270-w.

Abstract

BACKGROUND

Development of a self-report measure of antecedents affecting coping with multiple sclerosis lead to the identification of influential factors in the coping process and the provision of health cares with a focus on providing or modifying these factors. The current study aimed to develop and validate the antecedents affecting coping scale for multiple sclerosis patients.

METHODS

This methodological study was conducted in two stages. In the first stage, the concept of coping antecedents was explained using qualitative content analysis approach through interview with 11 MS patients, then the initial items were extracted and the questionnaire was developed. In the second stage, reliability and validation of the questionnaire were evaluated including face, content and construct validity. The76 items in primary items pool reduced to 24 items after evaluating validity and reliability.

RESULTS

Factor analyses revealed 5 factors: social support, awareness about disease, personal opinion and attitudes, spiritual - religious beliefs, and economic - environmental factors. Internal consistency and stability of the developed questionnaire as well as respectively confirmed with 0.92 and 0.95.

CONCLUSION

The 24 items developed questionnaires is valid and reliable for measurement of antecedents affecting coping among multiple sclerosis patients in Iran.

摘要

背景

一种用于测量影响多发性硬化症应对方式的先行因素的自我报告量表的开发,有助于识别应对过程中的影响因素,并为医疗保健提供重点,即提供或改变这些因素。本研究旨在开发并验证多发性硬化症患者影响应对的先行因素量表。

方法

本方法学研究分两个阶段进行。第一阶段,通过对11名多发性硬化症患者进行访谈,采用定性内容分析法解释应对先行因素的概念,然后提取初始项目并编制问卷。第二阶段,评估问卷的信效度,包括表面效度、内容效度和结构效度。在评估效度和信度后,初始项目库中的76个项目减少到24个项目。

结果

因子分析揭示了5个因子:社会支持、疾病认知、个人观点和态度、精神-宗教信仰以及经济-环境因素。所编制问卷的内部一致性和稳定性分别以0.92和0.95得到证实。

结论

所编制的24项问卷对于测量伊朗多发性硬化症患者影响应对的先行因素是有效且可靠的。

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