Böbrek Nakli Alıcılarında İlişki ve Cinsellik Ölçeği’nin Türkçe Versiyonunun Geçerlik ve Güvenirliği

Öz

Amaç: Bu çalışmanın amacı; böbrek nakli alıcılarında İlişki ve Cinsellik Ölçeği’nin Türkiye’de geçerlik ve güvenirliğini değerlendirmektir. Gereç ve Yöntemler: Metodolojik tipte olan bu çalışma Kasım 2016-Şubat 2017 tarihleri arasında bir Üniversite Hastanesi’nin Organ Nakli Polikliniği’ne başvuran 150 böbrek nakli alıcısı ile yapılmıştır. Veri toplama araçları olarak “Hasta Tanılama Formu”, “İlişki ve Cinsellik Ölçeği” ve “Arizona Cinsel Yaşantılar Ölçeği” kullanılmıştır. Veriler, SPSS 23 paket programında sayı, yüzde, ortalama, standart sapma, içerik geçerliği, faktör analizi, korelasyon analizi, cronbach alfa katsayısı hesaplanarak analiz yapılmıştır. Ölçeğin geçerliliği, kapsam geçerlilik indeksi ve doğrulayıcı ve açıklayıcı faktör analizleri kullanılarak test edilmiştir. Ölçek uyarlama dil geçerliğinde Dünya Sağlık Örgütü’nün önerdiği ölçeklerin adaptasyon ve çeviri süreci prosedürü izlenmiştir. Anketin faktör yapısı, Türk böbrek nakli alıcı popülasyonuna uygulanabileceğini ima ederek iyi bir uyum göstermiştir. Bulgular: Geçerlik analizi sonucunda ölçeğin 3 alt boyuttan oluştuğu belirlenmiştir. Orijinal ölçekten madde çıkarılmamıştır. Ölçeğin genel Cronbach alfa katsayısı 0.84 olarak bulunmuştur. Temel bileşenler analizi, varyansın %66.40’ını açıklayan 3 faktörü ortaya çıkarmıştır. Ölçeğin madde toplam puan korelasyonları ve alt boyutları arasındaki korelasyonları pozitif yönde, orta düzeyde ve istatistiksel olarak anlamlı (p<0.01) olduğu saptanmıştır. Sonuç: İlişki ve Cinsellik Ölçeği’nin içerik geçerliği, yapı geçerliği ve güvenilirlik analizleri, ölçeğin böbrek nakli alıcılarında ilişki ve cinselliği ölçmek için Türkiye’de geçerli ve güvenilir bir araç olarak kullanılabileceğini ortaya koydu.

Anahtar Kelimeler

• Böbrek nakli
• İlişki ve cinsellik ölçeği
• Geçerlik
• Güvenirlik

Validity and Reliability of a Turkish Version of the Relationship and Sexuality Scale for Kidney Transplant Recipients

Abstract

Objective: The aim of this study was to evaluate the validity and reliability of Relationship and Sexuality Scale for kidney transplant recipients in Turkey. Material and Methods: This methodological study was conducted with 150 kidney transplant recipients applied to transplant center of a university hospital between November 2016 and February 2017. “Patient Identification Form”, “Relationship and Sexuality Scale” and “The Arizona Sexual Experiences Scale” were used as data collection instruments. The data were analyzed on SPSS 23 through numbers, percentage, mean, standard deviation, content validity index, factor analysis, correlation analysis and coefficient alpha. The validity of the scale was tested using the content validity index and confirmatory and exploratory factor analyses. The process of adaptation and translation of instruments by World Health Organization was followed to provide language validity. Expert opinion was received for content validity and it was found to be coherent. The questionnaire’s factor structure demonstrated good fit, implying that it could be applied to the Turkish kidney transplant recipients population. Results: The scale consisted of three sub-dimensions according to validity testing. None of the original items were excluded. The general cronbach’s alpha coefficient of the scale was found 0.84. The principal components analysis revealed 3 factors explaining 66.40% of the variance. Correlations between item-total correlation and sub-dimensions were found positive, medium-level and statistically significant (p<0.01). Conclusion: Content validity, construct validity, and reliability analyses of the Relationship and Sexuality Scale revealed that the scale may be used to measure relationships and sexuality of kidney transplant recipients in Turkey.

Keywords

• Kidney transplantation
• Relationship and sexuality scale
• Validity
• Reliability

References

1. 1. Aitbaev KA, Murkamilov IT, Fomin VV. Hypolipidemic Therapy and Chronic Kidney Disease: Effects on Cardiovascular Risks and Renal Dysfunction. Kardiologiia 2019;59(2):79-87.
2. 2. World Kidney Day. Chronic Kidney Disease. [cited 2019 Jun 5]. Available from: https://www.worldkidneyday.org/facts/chronic-kidney-disease/.
3. 3. Süleymanlar G, Ateş K, Seyahi N. Registry of the Nephrology, Dialysis and Transplantation in Turkey. Ankara: By the Turkish Society of Nephrology; 2017. [cited 2019 May 9]. Available from: http://www.nefroloji.org.tr/folders/file/18104_REGISTRY2017_kontrol_v1.pdf
4. 4. Heng AE, Montaurier C, Cano N, Caillot N, Blot A, Meunier N, Pereira B, Marceau G, Sapin V, Jouve C, Boirie Y, Deteix P, Morio B. Energy expenditure, spontaneous physical activity and with weight gain in kidney transplant recipients. Clinical Nutrition. 2015;34(3):457-464.
5. 5. World Health Organization (WHO). Defining sexual health: report of a technical consultation on sexual health, 28–31 Jan 2002. Geneva. [cited 2018 Sep 13]. Available from: https://www.who.int/reproductivehealth/publications/sexual_health/defining_sexual_health.pdf
6. 6. Ergün G, Çakır C. School of health science’s senior students of knowledge, attitudes and behavivour properties about sexual health. Acibadem University Health Sciences Journal 2015;6(2):99-104.
7. 7. Sabanciogullari S, Taşkın Yılmaz F, Güngör Fİ, Söylemez S, Benli RB. Sexual function in patients with chronic renal failure on hemodialysis and its effects on patients’ perception of health and life satisfaction. Sexuality and Disability. 2015;33(2);175–186.
8. 8. van Ek GF, Krouwel EM, van der Veen E, Nicolai MPJ, Ringers J, Den Oudsten BL, Putter H, Pelger RCM, Elzevier HW. The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. Progress in Transplantation. 2017;27(4):354-359.

9. 9. Sikora-Grabka E, Adamczak M, Kuczera P, Wiecek A. Serum sex hormones concentrations in young women in the early period after successful kidney transplantation. Endokrynologia Polska. 2018;69(2):150-155.
10. 10. Mirone V, Longo N, Fusco F, Verze P, Creta M, Parazzini F, Imbimbo C. Renal transplantation does not improve erectile function in hemodialysed patients. European Urology. 2009;56(6):1047-1054.
11. 11. Seyahi N, Ateş K, Süleymanlar G. Current status of renal replacement therapies in Turkey: Turkish Society of Nephrology Registry 2014 summary report. Turkish Journal of Nephrology. 2016;25(2):135-141.
12. 12. Pertuz W, Castaneda DA, Rincon O, Lozano E. Sexual dysfunction in patients with chronic renal disease: Does it improve with renal transplantation? Transplantation Proceedings. 2014;46(9):3021-3026.
13. 13. United States Renal Data System (USRDS). CKD in the United States. 2016 USRDS Annual Data Report, Volume 1. [cited 2019 Jan 8]. Available from: https://www.usrds.org/2016/download/v1_c01_Gen_Pop_16.pdf
14. 14. Özşaker E. Transplantation and quality of life. Balıkesir Health Sciences Journal 2014;3(3):166-173.
15. 15. Şahin AF, Cihan A, Akgül K,Demir Ö, Gürkan A, Çelik A, Can E, Esen AA. Sexual functions after renal transplantation in males. Turkish Journal of Urology 2009; 35(1):23-27.
16. 16. Antonucci M, Palermo G, Recupero SM, Bientinesi R, Presicce F, Foschi N, Bassi P, Gulino G. Male sexual dysfunction in patients with chronic end-stage renal insufficiency and in renal transplant recipients. AArchivio Italiano di Urologia e Andrologia 2016;87(4):299-305.
17. 17. Birol L. Hemşirelik Süreci - Hemşirelik Bakımında Sistematik Yaklaşım. İzmir: Etki Matbaacılık; 2009.
18. 18. Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. (8th ed.). Philadelphia: Wolters Kluwer Health; 2013.
19. 19. Berglund G, Nystedt M, Bolund C, Sjödén PO, Rutquist LE. Effect of endocrine treatment on sexuality in premenopausal breast cancer patients: a prospective randomized study. Journal of Clinical Oncology. 2001;19(11):2788–2796.
20. 20. Kazemi-Saleh D, Pishgoo B, Farrokhi F, Fotros A, Assari S. Sexual function and psychological status among males and females with ischemic heart disease. The Journal of Sexual Medicine. 2008;5(10):2330-2337.
21. 21. Tavallaii SA, Mirzamani M, Heshmatzade Behzadi A, Assari S, Khoddami Vishteh HR, Hajarizadeh B, Einollahi B. Sexual function: A comparison between male renal transplant recipients and hemodialysis patients. The Journal of Sexual Medicine 2009;6(1):142–148.
22. 22. Ryan C, Sadlier M, De Vol E, Patel M, Lloyd AA, Day A, Lally A, Kirby B, Menter A. Genital psoriasis is associated with significant impairment in quality of life and sexual functioning. Journal of the American Academy of Dermatology. 2015;72(6):978-983.
23. 23. Assari S, Ahmadi K, Kazemi Saleh D. Gender Differences in the Association between Lipid Profile and Sexual Function among Patients with Coronary Artery Disease. International Cardiovascular Research Journal. 2014;8(1):9-14.
24. 24. McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM, Manber R. The Arizona Sexual Experience Scale (ASEX): reliability and validity. Journal of Sex & Marital Therapy. 2000;26(1):25-40.
25. 25. Soykan A. The reliability and validity of Arizona Sexual Experiences Scale in Turkish ESRD patients undergoing hemodialysis. International Journal of Impotence Research. 2004;16(6):531-534.
26. 26. World Health Organization (WHO). Process of translation and adaptation of instruments. 2017. [cited 2019 Jun 8]. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/
27. 27. Ozdamar K. Ölçek ve test geliştirme yapısal eşitlik modellemesi: Ibm, Spss, Ibm Spss Amos ve Minitab uygulamalı. (1th ed.). Eskişehir: Nisan Kitabevi; 2016.
28. 28. Alpar R. Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik güvenirlik (3th ed.). Ankara: Detay Yayıncılık; 2014.
29. 29. Çapık C. Use of confirmatory factor analysis in validity and reliability studies. Journal of Anatolian Nursing and Health Sciences 2014:17(3);196-205.
30. 30. Kılcan B, Çepni O, Kılınç AÇ. Development of the attitude towards refugee students scale. Journal of Human Sciences 2017;14(2):1045-1057.