Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Diyabetik Ayak Öz Bakım Davranış Ölçeği'nin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması
Turkish Adaptation of the Diabetic Foot Self-Care Behaviors Scale: Validity and Reliability Study
Ahmet SEVENa , Öznur ADADIOĞLUb , Esin DANÇc
aKahramanmaraş Sütçü İmam Üniversitesi Afşin Sağlık Yüksekokulu, Hemşirelik Bölümü, Kahramanmaraş, Türkiye
bSakarya Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Sakarya, Türkiye
cSakarya Yenikent Devlet Hastanesi, Sakarya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1180-7
doi: 10.5336/nurses.2024-103303
Article Language: TR
Full Text
ÖZET
 Amaç: Diyabetin en ciddi ve yaygın komplikasyonlarından biri olan diyabetik ayak, dünya genelinde hızla artan yüksek prevalansları ve alt ekstremite ampütasyonları gibi ciddi komplikasyonlarla ilişkileri nedeniyle önemli bir sağlık sorunudur. Diyabetlilerde gelişebilecek diyabetik ayağa yönelik öz bakım davranışlarının, erken belirlenmesi olası komplikasyonları önleme açısından önemlidir. Çalışma ''Diyabetik Ayak Öz Bakım Davranışları Ölçeği'nin (DAÖBDÖ)'' Türkçe uyarlamasının geçerlik ve güvenirliği incelemek amacıyla yapıldı. Gereç ve Yöntemler: Metodolojik olarak planlan araştırma verileri, çalışmaya katılma kriterlerini karşılayan 318 diyabetli bireyden toplandı. Ölçeğin güvenirliği için; Cronbach alfa değerinden, madde toplam korelasyon ve test tekrar test uyumu için sınıf içi korelasyon katsayısı [intraclass correlation coefficient (ICC)] analizinden; geçerliliği için ise kapsam geçerliği ve faktör analizlerinden yararlanıldı. Bulgular: DAÖBDÖ'nün iç tutarlık güvenirliğini belirlemek için yapılan analiz sonucunda, tüm ölçek için Cronbach alfa değeri α=0,753 olarak tespit edildi. DAÖBDÖ'nün genel boyutunda bulunan maddeler için maddetoplam korelasyonlarının 0,361 ile 0,605 arasında değiştiği ve uygulanan ICC testi sonucunda test-tekrar test ölçümleri arasında 0,993 ilişki olduğu görüldü. Ölçeğin kapsam geçerlilik indeksinin 0,80'nin üzerinde 0,957 olduğu, elde edilen, χ2 /df, uyum iyiliği indeksi, artan uyum indeks, Karşılaştırmalı uyum indeksi, yaklaşık ortalama karekök hatası ve standartlaştırılmış kök ortalama kare kalıntı bulguları incelendiğinde, ölçeğinin 7 ifadeden oluşan tek faktörlü yapısının genel olarak iyi uyum sağladığı görüldü. Sonuç: DAÖBDÖ'nün Türkiye'deki diyabetli bireyler için uygun güvenilir ve geçerli bir ölçüm aracı olduğu bulundu.

Anahtar Kelimeler: Davranış; diyabetik ayak; hemşirelik; öz bakım
ABSTRACT
 Objective: Diabetic foot, one of the most serious and common complications of diabetes, is an important health problem due to its rapidly increasing high prevalence worldwide and its associations with serious complications such as lower extremity amputations. Early determination of self-care behaviors for diabetic feet that may develop in diabetics is important to prevent possible complications. The study was conducted to examine the validity and reliability of the Turkish adaptation of the Diabetic Foot Self-Care Behaviors Scale (DFSCBS). Material and Methods: The methodologically designed research were collected from 318 diabetics who met the inclusion criteria. For the reliability of the scale; from Cronbach's alpha value, intraclass correlation coefficient (ICC) analysis for item-total correlation and test-retest agreement; Content validity and factor analyzes were used for validity. Results: As a result of the analysis performed to determine the internal consistency reliability of the DFSCBS; the Cronbach Alpha value for the entire scale was determined as α=0.753. It was observed that the item-total correlations for the items in the general dimension of DFSCBS varied between 0.361 and 0.605, and as a result of the applied ICC test, there was a correlation of 0.993 between test-retest measurements. When the χ2 /df, goodness-of-fit index, incremental fit indices, comparative fit index, root mean square error of approximation and standardized-root mean square residua findings of the scale were examined, it was seen that the scale's single-factor structure consisting of 7 statements generally fit well. Conclusion: It was determined that DFSCBS is a reliable and valid measurement tool for individuals with diabetes in Türkiye.

Keywords: Behaviors; diabetic foot; nursing; self-care
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