Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hipoglisemik Güven Ölçeği'nin Geçerlik ve Güvenirliği
The Reliability and Validity of Hypoglychemic Confidence Scale
Dilek BÜYÜKKAYA BESENa, Merve DERVİŞOĞLUb
aDokuz Eylül Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD, İzmir, TÜRKİYE
bDokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İç Hastalıkları Hemşireliği Yüksek Lisans Programı, İzmir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(1):120-9
doi: 10.5336/nurses.2020-77284
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, Hipoglisemik Güven Ölçeği'nin (HGÖ) Türkçe geçerlik güvenirliğinin değerlendirilmesi amacı ile planlanmış metodolojik bir çalışmadır. Gereç ve Yöntemler: HGÖ, 9 maddelik bir öz bildirim ölçeğidir. HGÖ, en az 1 yıldır insülin kullanan ve en az 1 kez hipoglisemi yaşamış olan Tip 2 diyabetli bireylere uygulanmıştır. Ölçeğin geçerliğini test etmek için dil, kapsam, iç ölçüt, yapı-kavram geçerliği, güvenirliğini test etmek için de zamana göre değişmezlik ve iç tutarlılık analizleri yapılmıştır. Bulgular: HGÖ'nün dil geçerliği için çeviri ve geri çeviri aşamaları tamamlanıp uzman görüşüne sunulmuş ve ön uygulama yapılarak son şekli verilmiştir. Ölçeğin kapsam geçerliğinin belirlenmesinde uzman görüşü alınmış ve kapsam geçerlik indeksi hesaplanmıştır. Ölçeğin yapı kavram geçerliği açıklayıcı faktör analizi temel bileşenler yöntemi kullanılarak gerçekleştirilmiştir. Katılımcılardan toplanan verilerden elde edilen bulguların teorik ölçek yapısı ile uygunluğu, yapısal eşitlik modellemesinin bir türü olan doğrulayıcı faktör analizi ile araştırılmıştır. HGÖ'nün 3 hafta ara ile 2 kez uygulanmasıyla elde edilen sonucun istatistiksel olarak anlamlı olduğu bulunmuş ve ölçeğin yüksek derecede güvenirliğe (α=0,862) sahip olduğu belirlenmiştir. Sonuç: Ölçek, Tip 2 diyabetli bireylerin hipoglisemik güven düzeylerini belirlemek için kullanılabilecek geçerli ve güvenilir bir ölçme aracıdır.

Anahtar Kelimeler: Diyabet; hipoglisemi; hipoglisemik güven
ABSTRACT
 Objective: The research is a methodological study planned for evaluate the Turkish validity reliability of the Hypoglycemic Confidence Scale (HCS). Material and Methods: The HCS is a nine-item self-report scale. The HCS was applied to individuals with type 2 diabetes who have been using insulin for at least one year and have experienced hypoglycemia at least once. Language, content, internal criterion, and construct-concept validity were performed in order to test the validity of scale; time invariance and internal consistency analyzes were performed in order to test its reliability. Results: For the language validity of the Hypoglycemic Confidence Scale, the translation and back translation stages were completed, presented to the expert opinion, and finalized by its pre-application. Expert opinion was received in determining the content validity of the scale and the content validity index was calculated. The construct concept validity exploratory factor analysis of the scale was performed using the principal components method. The compatibility of the findings obtained from the data collected from the participants with the theoretical scale structure was investigated by confirmatory factor analysis, which is a type of structural equation modeling. It was found that the result obtained by applying the HCS twice with a three-week interval was statistically significant and it was determined that the scale has high reliability (α= 0,862). Conclusion: The scale is a valid and reliable assessment tool that can be used to determine the hypoglycemic confidence levels of individuals with type 2 diabetes.

Keywords: Diabetes; hypoglycemia; hypoglycemic confidence
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