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[护理科学中的模型开发;理论模型的构建]

[Model development in nursing science; the construction of a theoretical model].

作者信息

Kyngäs H

机构信息

Oulun yliopisto, Hoitotieteen laitos.

出版信息

Hoitotiede. 1997;9(3):107-17.

PMID:9355377
Abstract

The aim of the paper is to describe the development of nursing theory. As an example, a theoretical model of the compliance of young diabetics and related factors is built. The content of the theoretical model is not described but the process of developing the model is presented. In the first phase, a hypothetical model of young diabetics' compliance was developed inductively. The data were collected by interviewing 51 young diabetics aged 13-17 years, by observing the behaviour of 18 of these young people during an adaptation course and by analysing their drawings (N = 17). The data were analysed by using continuous comparative analyses and content analyses. In the second phase, an instrument for testing the model was developed. For this purpose, data were collected with a questionnaire from young diabetics aged 12-17 years (N = 91). The content validity, construct validity and reliability of the instrument turned out to be quite good. In the third phase, the hypothetical model was tested and developed further by using LISREL (linear structural relations) analyses. The data were collected with a questionnaire from young diabetics aged 13-17 years (N = 346). In the fourth phase, the model was expanded using the qualitative data (N = 51). The categories which had been discovered by continuous comparative analyses were quantified. The data were analysed by cross-tabulation, the chi square test and discriminant analyses. A summary of the results has been presented by building a theoretical model of young diabetics' compliance and related factors.

摘要

本文旨在描述护理理论的发展。例如,构建了一个关于青少年糖尿病患者依从性及相关因素的理论模型。文中未描述该理论模型的内容,但介绍了模型的构建过程。在第一阶段,通过归纳法建立了青少年糖尿病患者依从性的假设模型。数据收集方式包括对51名年龄在13 - 17岁的青少年糖尿病患者进行访谈,观察其中18名青少年在适应课程中的行为,并分析他们的绘画作品(N = 17)。通过持续比较分析和内容分析对数据进行分析。在第二阶段,开发了一个用于检验该模型的工具。为此,使用问卷收集了12 - 17岁青少年糖尿病患者的数据(N = 91)。该工具的内容效度、结构效度和信度结果相当良好。在第三阶段,使用LISREL(线性结构关系)分析对假设模型进行检验并进一步完善。数据通过问卷收集自13 - 17岁的青少年糖尿病患者(N = 346)。在第四阶段,利用定性数据(N = 51)对模型进行扩展。通过持续比较分析发现的类别进行了量化。通过交叉表、卡方检验和判别分析对数据进行分析。通过构建青少年糖尿病患者依从性及相关因素的理论模型展示了结果总结。

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