Dokuz Maddelik Avrupa Kalp Yetmezliği Özbakım Ölçeği’nin Türkçe Geçerlilik ve Güvenilirliği

Abstract

Amaç: Bu çalışma 9 maddelik Avrupa Kalp Yetmezliği Özbakım Davranışları ölçeğinin Türkçe geçerlilik ve güvenilirliğinin test edilmesi amacı ile yapıldı (AKYÖB-9). 
Materyal ve Metot: Metodolojik olan bu çalışma yaş ortalaması 61,82±11,39 olan kalp yetmezliği tanısı almış 123 kalp hastası ile yapıldı. Dil adaptasyonu geçerlilik değerlendirmesi Cronbach’s alfa iç tutarlılık katsayısı ve madde toplam korelasyonu hesaplandı. 
Bulgular: Yapılan factor analizinde KMO indeks değeri 0,757, Bartlett’sphericityX² değeri 384,870, df: 36, p: 0,000. Cronbach’s alfa değeri 0,820 olduğu saptandı. Ölçeğin iki faktörü toplam varyansın %56,5’ini açıklamaktadır. Ölçeğin tamamı için iç tutarlılık güvenilirliği 0,820’dir. Ölçeğin tüm factor yükleri 0,40’ın üstünde ve maddelerin factor yükleri 0,511–0,817 arasında değişiyordu. Madde-toplam korelasyonları iki boyut için 0,381 ve 0,639’dı. 
Sonuç: AKYÖB-9 ölçeğinin Türkçe versiyonu kalp yetmezlikli hastaların özbakım davranışlarını ölçmede kullanılabilecek güvenilir bir araçtır.

Keywords

• kalp yetmezliği,özbakım; geçerlilik; güvenilirlik

The Turkish Version of Reliability and Validity of Nine Item-European Heart Failure Self-Care Behaviour Scale

Abstract

Aim: The aim of this study was to develop and assess the validity and the Turkish version of reliability of Nine Item European Heart Failure Self-Care Behaviour Scale (EHFScB Scale-9). 
Material and Method: This methodological study was conducted with 123 heart failure (HF) patients whose mean age was 61.82±11.39 years. The language adaptation, validity assessment and Cronbach’s alpha coefficients and the item-total correlation were examined. 
Results: Factor analysis of the scale found a KMO index of 0.757, a Bartlett’ssphericity of X²=384.870, df=36, and p=0.000. Two factors explain 56.5% of the total variance. Internal consistency reliability of the whole questionnaire was 0.820. All items of factor loadings were above 0.40 and factor loadings of the items ranged from 0.511–0.817 in the scales. Item-total correlations were 0.381 and 0.639 for the two dimensions. Conclusion: The Turkish version of the EHFScB-9 scale is a valid, reliable tool, which can be used to measure HF self-care behavior.

Keywords

• heart failure

References

1. 1. Kosiborod M, Krumholz H. Epidemiology of Heart Failure In: William T. Abraham HK, ed. Heart Failure A Practical Approach To Treatment 1 ed. İstanbul: AND 2007:9.
2. 2. Dickson VV, Knafl GJ, Wald J, Riegel B. Racial Differences in Clinical Treatment and Self Care Behaviors of Adults With Chronic Heart Failure. J Am Heart Assoc 2015;4(4):1–13.
3. 3. Heo S, Lennie TA, Okoli C, Moser DK. Quality of life in patients with heart failure: ask the patients. Heart Lung 2009;38(2):100–8.
4. 4. Riegel B, Lee CS, Dickson VV, Carlson B. An update on the selfcare of heart failure index. J Cardiovasc Nurs 2009;24(6):485– 97.
5. 5. Jaarsma T, Årestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Cardiovasc Nurs 2009;11(1):99–105.
6. 6. Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European Heart Failure Self-Care Behaviour Scale. Eur J Cardiovasc Nurs 2003;5(3):363–70.
7. 7. Cameron J, Worrall-Carter L, Page K, Riegel B, Lo SK, Stewart S. Does cognitive impairment predict poor self care in patients with heart failure? Eur J Heart Fail 2010;12(5):508–15.
8. 8. González B, Lupón J, Parajón T, Urrutia A, Herreros J, Valle V. Use of the European Heart Failure Self-care Behaviour Scale (EHFScBS) in a heart failure unit in Spain. Rev Esp Cardiol 2006;59(2):166–70.

9. 9. Riegel B, Moser DK, Anker SD, et al. State of the science promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation 2009;120(12):1141–63.
10. 10. Badır A. Chronic Heart Failure and Care In: Durna A, ed. Chronic Diseases and Care İstanbul: Nobel Medical Bookstore 2012: p.147–59.
11. 11. Vellone E, Jaarsma T, Strömberg A, et al. The European Heart Failure Self-care Behaviour Scale: new insights into factorial structure, reliability, precision and scoring procedure. Patient Educ Couns 2014;94(1):97–102.
12. 12. Köberich S, Glattacker M, Jaarsma T, Lohrmann C, Dassen T. Validity and reliability of the German version of the 9-item European Heart Failure Self-care Behaviour Scale. Eur J Cardiovasc Nurs 2013;12(2):150–8.
13. 13. Lee CS, Lyons KS, Gelow JM, et al. Validity and reliability of the European Heart Failure Self-care Behavior Scale among adults from the United States with symptomatic heart failure. Eur J Cardiovasc Nurs 2013;12(2):214–8.
14. 14. Pulignano G, Del Sindaco D, Minardi G, et al. Translation and validation of the Italian version of the European Heart Failure Self-care Behaviour Scale. J Cardiovasc Med 2010;11(7):493–8.
15. 15. Doris S, Lee DT, Thompson DR, Jaarsma T, Woo J, Leung EM. Psychometric properties of the Chinese version of the European Heart Failure Self-care Behaviour Scale. Int J Nurs Stud 2011;48(4):458–67.
16. 16. Lambrinou E, Kalogirou F, Lamnisos D, et al. The Greek version of the 9-item European heart failure self-care behaviour scale: A multidimensional or a uni-dimensional scale? Heart Lung 2014;43(6):494–9.
17. 17. Uchmanowicz I, Łoboz-Rudnicka M, Jaarsma T, ŁobozGrudzień K. Cross-cultural adaptation and reliability testing of Polish adaptation of the European Heart Failure Selfcare Behavior Scale (EHFScBS). Patient Prefer Adherence 2014;8:1521–6.
18. 18. Sedlar N, Lainscak M, Mårtensson J, Strömberg A, Jaarsma T, Farkas J. Factors related to self-care behaviours in heart failure: A systematic review of European Heart Failure Self-Care Behaviour Scale studies. Eur J Cardiovasc Nurs 2017;16(4):272–82.
19. 19. Jaarsma T, Strömberg A, Gal TB, et al. Comparison of self-care behaviors of heart failure patients in 15 countries worldwide. Patient Educ Couns 2013;92(1):114–20.
20. 20. Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins 2013. 21. Sun J. Assessing goodness of fit in confirmatory factor analysis. Meas Eval Couns Dev 2005;37(4):240–56.
21. 22. Burns N, Grove SK. Understanding nursing research: Building an evidence-based practice: Elsevier Health Sciences 2010.
22. 23. Özdamar K. Paket programlar ile istatistiksel veri analizi (Statistical data analysis with package programs). Eskişehir, Turkey: Kaan Publications 2004.
23. 24. Çavuşoğlu Y, Seferovic PM, Mebazaa A. Heart Failure and Importance of Collaboration of Professional Organizations: The Role of the Heart Failure Association of the European Society of Cardiology and Its Committee on National Heart Failure Societies. Anatol J Cardiol 2015;15(4):344–5.
24. 25. Evangelista LS, Shinnick MA. What do we know about adherence and self-care? J Cardiovasc Nurs 2008;23(3):250–7.
25. 26. Esin N. Veri Tolama Yöntem Ve Araçları & Veri Toplama Araçlarının Güvenilirlik Ve Geçerliliği. Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. İstanbul: Nobel Tıp Kitapevleri 2014:222–31.