Alzheimer Hastalığıyla İlişkili Yaşam Kalitesi Ölçeği (AHİYK)’nin Türkçe Versiyonunun Geçerlilik Güvenilirlik Çalışması

Yıl 2020, Cilt: 10 Sayı: 4, 631 - 636, 30.12.2020

Meral Bozdemir Sibel Karşıdağ Şevki Sahin Nilgün Çınar

https://doi.org/10.16899/jcm.739551

Öz

Amaç: Çalışmada Alzheimer Hastalığı ile İlişkili Yaşam Kalitesi (AHİYK) Ölçeği – (Alzheimer’s Disease Related Quality of Life (ADRQL) Scale)’nin psikometrik özellikleri ve AHİYK ölçeği puanı ile bakım verenlerin duygu durumları arasındaki ilişki incelenmiştir.
Gereç ve Yöntem: Çalışmanın örneklemini, evde (N=30) ve bakım evinde (N=30) bakım gören toplam 60 muhtemel AH hastasının bakım vereni oluşturmaktadır. Klinik değerlendirme ölçeğine göre evre 1 ve 2 AH hastaları çalışma kapsamına alınmıştır. Hastaların bilişsel durumları Standardize Mini-Mental Test (SMMT) ile değerlendirilmiştir. Fonksiyonel durumu AH işbirliği çalışması - günlük yaşam aktiviteleri (ADCS-ADL) ölçeği ile değerlendirilmiştir. Bakım verenlerin duygu durumlarını değerlendirmek için Pozitif ve Negatif Duygu Ölçeği (PANAS) uygulanmıştır. Bu parametreler, bakım veren tarafından doldurulan AHİYK ölçeği ve 5 alt boyutu ( A.Sosyal etkileşim, B. Benlik bilinci C: Duygulanım ve duygudurum, D. Etkinliklerden keyif alma, E. çevre ile etkileşim) ile karşılaştırılmıştır. Güvenirlilik açısından 3 hafta sonra AHİYK ölçeği bakım verenlere tekrar uygulanmıştır.
Bulgular: AHİYK total puanı ve B alt boyutu ile ADCS-ADL ölçeği arasında anlamlı düzeyde bir korelasyon saptanmıştır (sırasıyla r=0.27, r=0.38 p≤0.05). SMMT ile AHİYK ölçeğinin toplam puanı, A, B, C alt boyutları arasında anlamlı düzeyde korelasyon saptanmıştır (sırasıyla AHİYK total puan r=0.72, A boyutu r=0.83, B boyutu r=0.47, C boyutu r= 0.43, p≤0.05). AHİYK ölçeğininnin iç tutarlılık güvenirliği için Cronbach alfa katsayısı (α) ( ( α = 0.75) hesaplanmıştır. Ölçeğin tekrarlanan test güvenirlilik sonuçlarına göre AHİYK birinci ölçüm ile ikinci ölçümün gerek toplam puanları gerek alt boyutlarının puanları, anlamlı düzeyde korelasyona sahiptir.
Sonuç: Bulgular AHİYK’nın Türkçe versiyonunun geçerli ve güvenilir bir ölçme aracı olduğunu göstermektedir.

Anahtar Kelimeler

Alzheimer Tipi Demans, Yaşam Kalitesi, Geçerlik ve Güvenirlik

Validity and Reliability Study of the Turkish version of the Alzheimer’s Disease-Related Quality of Life (ADRQL) Scale

Öz

Aim: In this study we determined the psychometric properties of the Alzheimer's Disease-Related Quality of Life (ADRQL) Scale and adapted it into Turkish. We also investigated the relationship between the ADRQL scale and the emotional states of the caregivers.
Materials and Methods: The sample of the study involves caregivers of 60 possible AD patients who are given care at home (N = 30) and nursing home (N = 30). Stage 1 and 2 AD patients were included in the study according to The Clinical Dementia Rating Scale (CDR). The cognitive status of the patients was evaluated by the Standardized Mini-Mental State Examination (SMME). The functional status was evaluated by AD Cooperative Study – Activities of Daily Living (ADCS-ADL) Scale. Positive and Negative Emotion Scale (PANAS) was applied to evaluate the emotional states of the caregivers. These parameters were compared with the ADRQL scale filled by the caregiver and its 5 subscales (A. Social Interaction, B. Awareness of Self C: Feelings and Mood, D. Enjoyment of Activities, E. Response to Surroundings). To evaluate test-retest reliability, the ADRQL scale was applied to caregivers fort the second time, after 3 weeks.
Results: There was a significant correlation between ADRQL total score and B subscale (r = 0.27, p≤0.05) and ADCS-ADL scale (r = 0.38 p≤0.05). There was a significant correlation between SMME and ADRQL scale total score, A, B, C subscale (ADRQL total score r = 0.72, A subscale r = 0.83, B subscale r = 0.47, C subscale r = 0.43, p≤0.05). Cronbach's alpha (α) (α=0.75) was used to calculate the internal consistency reliability of the ADQRL. According to the test-retest reliability results of the scale, ADRQL shows a significant correlation between both the total scores and subscales scores of the first measurement and second measurement.
Conclusion: Results show that the Turkish version of ADRQL is a valid and reliable measurement instrument.

Anahtar Kelimeler

Alzheimer Desiase, Quality of Life, Validity and Reliabilitation

Kaynakça

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