REHABİLİTASYON HİZMETİ ALAN İNMELİ HASTALARDA POUND MEMNUNİYET ÖLÇEĞİ TÜRKÇE GEÇERLİLİK VE GÜVENİLİRLİĞİ

Yıl 2024, , 131 - 142, 27.08.2024

Emel Mete , Zubeyir Sarı

https://doi.org/10.21653/tjpr.1401868

Öz

Amaç: Bu çalışmada Pound Memnuniyet Ölçeği (PMÖ)’nin Türkçe geçerlilik ve güvenilirliğini araştırmak amaçlanmıştır.
Yöntem: PMÖ'nün Türkçeye uyarlanması (PMÖ-Tr) için çeviri süreci uluslararası yönergelere göre yapıldı. Yapısal geçerlilik, doğrulayıcı faktör analizi (DFA) ile gerçekleştirildi. PMÖ ile Fizyoterapide Hasta Memnuniyet Ölçeği (FHMÖ) ve SF-36 ölçekleri arasındaki ilişki yapı geçerliliği açısından değerlendirildi. Yakınsak geçerlilik, Ortalama Açıklanan Varyans değerleri hesaplanarak değerlendirildi. PMÖ-Tr’nin iç tutarlılığı; Cronbach's alpha katsayısı, birleşik güvenilirlik ve Bland Altman grafiği ile değerlendirildi. Zamansal tutarlılık ise test-tekrar test yöntemi ile değerlendirildi.
Sonuçlar: Bu çalışmaya 130 inme hastası dâhil edildi. DFA kapsamındaki uyum değerlerine göre PMÖ-Tr’in yapı geçerliliği açısından uygun bulundu (χ2/sd=1,779; RMSEA=0,075; GFI=0,911, AGFI=0,853; CFI=0,955; NFI=0,905). PMÖ-Tr toplam skoru ile FHMÖ arasında güçlü bir korelasyon saptandı (p=0,001; r=0,672). SF-36’un alt boyutları ile PMÖ-Tr’in hastane memnuniyeti arasında orta düzeyde bir korelasyon saptanırken (p=0,001; r=0,484-0,609), PMÖ-Tr’in ev memnuniyeti ile SF-36’un fiziksel fonksiyon (p=0,002; r=0,266) ve fiziksel rol güçlükleri (p=0,035; r=0,180) alt boyutları arasında zayıf bir korelasyon bulundu. Ayrıca PMÖ-Tr'nin iyi bir iç (Cronbach alpha= 0,895; CR=0,94) ve zamansal tutarlılığı (ICC= 0,976) olduğu belirlendi.
Tartışma: Pound Memnuniyet Ölçeği'nin Türkçe versiyonu (PMÖ-Tr) güvenilir ve geçerlidir. PMÖ-Tr, inmeli hastalarda rehabilitasyon ile ilgili memnuniyet düzeyinin değerlendirilmesinde klinisyenler ve araştırmacılar için yararlı olabilir.

Anahtar Kelimeler

Hasta Memnuniyeti, İnme, Rehabilitasyon

TURKISH VALIDITY AND RELIABILITY OF THE POUND SATISFACTION SCALE IN STROKE PATIENTS UNDERGOING REHABILITATION

Öz

Purpose: This study aimed to evaluate the Turkish validity and reliability of the Pound Satisfaction Scale (PSS).
Methods: For the adaptation of the PSS to Turkish (PSS-Tr), the translation and back-translation process was carried out by following the international guidelines. Confirmatory factor analysis (CFA) was performed to measure structural validity. The relationship between PSS-Tr and the Patient Satisfaction Scale in Physiotherapy (PSSP) and the SF-36 was assessed for construct validity. Convergent validity was evaluated computing by the Average Variance Extracted (AVE). Cronbach's alpha coefficient and Composite reliability (CR) for internal consistency of the PSS-Tr and Bland-Altman plot and test-retest reliability analysis for temporal consistency were used.
Results: The study included 130 stroke patients. The fit index values of the CFA showed that the structural validity of the PSS-Tr was appropriate (χ2/sd=1.779, RMSEA=0.075, GFI=0.911, AGFI=0.853, CFI=0.955, NFI=0.905). A high correlation was found between the PSS-Tr total score and the PSSP (p=0.001, r=0.672). A moderate correlation was found between the hospital satisfaction sub-dimension of PSS-Tr, and the sub-dimensions of SF-36 (p=0.001, r=0.484-0.609), while a low correlation was found between the home satisfaction sub-dimension of the PSS-Tr and the physical functioning (p=0.002, r=0.266) and physical role (p=0.035, r=0.180) sub-dimensions of SF-36. And also the PSS-Tr was found to have good internal (Cronbach alpha= 0.895, CR=0.94) and temporal consistency (ICC = 0.976).
Conclusion: The Turkish version of the Pound Satisfaction Scale (PSS-Tr) is reliable and valid. The PSS-Tr may be useful for clinicians and researchers in assessing satisfaction with rehabilitation in stroke patients.

Anahtar Kelimeler

Patient Satisfaction, Rehabilitation, Stroke

Kaynakça

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