Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kalp Yetersizliği Güçlendirme Ölçeği'nin Geçerlilik ve Güvenirliliği
The Validity and Reliability of Heart Failure Empowerment the Scale
Emine KARAMANa, Çiçek FADILOĞLUa, Yaşar Güneri ŞAHİNb, Yasemin YILDIRIMa, Fisun ŞENUZUN AYKARc
aİç Hastalıkları Hemşireliği AD, Ege Üniversitesi Hemşirelik Fakültesi,
bİzmir Ekonomi Üniversitesi Mühendislik ve Bilgisayar Bilimleri Fakültesi,
cİç Hastalıkları Hemşireliği AD, İzmir Üniversitesi Sağlık Bilimleri Fakültesi, İzmir
Turkiye Klinikleri J Nurs Sci. 2017;9(1):30-40
doi: 10.5336/nurses.2016-51773
Article Language: TR
Full Text
ÖZET
 Amaç: Güçlendirme, kalp yetersizliği olan bireylerin kendi hastalık yönetimlerini sağlamada önemli bir kavramdır. Sağlık profesyonelleri tarafından hastaların mevcut güçlülük düzeylerinin bilinmesi, hastaların desteklenebilmesi ve gerekli eğitim girişimlerinin planlanması açısından önem taşımaktadır. Bu çalışma, Diyabet Güçlendirme Ölçeği'ni kalp yetersizliğine ve Türkçe'ye uyarlayarak geçerlilik ve güvenirliliğini yapmak amacıyla metodolojik tipte gerçekleştirilmiştir. Gereç ve Yöntemler: Çalışma, bir üniversite hastanesinin kardiyoloji kliniğine başvuran, araştırmaya alınma kriterlerine uyan ve çalışmaya katılmayı kabul eden 150 hasta ile yapılmıştır. Veriler; hasta tanıtım formu ve kalp Yetersizliği Güçlendirme Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirmesinde gerekli geçerlilik-güvenirlilik analizleri kullanılmıştır. Açıklayıcı faktör analizi yapılmıştır. Çalışmaya katılan hastalardan yazılı onam alınmıştır. Bulgular: Hastaların yaş ortalaması 64,79±1,29 olup, %52'si kadın, ve %69,3'ü evlidir. Hastaların çoğu NYHA evre II olup, %87,3'ünde komorbit hastalığın olduğu görülmüştür. Ölçeğin dil geçerliliği çeviri-geri çeviri yöntemi ile sınanmıştır. İçerik geçerliliği için beş uzmandan görüş alınmış, yapılan analizde uzman görüşleri arasında uyum olduğu görülmüştür. Ölçeğin toplam Cronbach alfa skoru 0,932'dir. Ölçeğin orijinaline uygun olarak, öz farkındalık-hastalığın psikolojik yönlerini yönetme, hedefe ulaşabilme yeteneği, hedef belirleyebilme becerisi şeklinde üç faktör altında toplandığı görülmüştür. Yapılan temel bileşenler analizinde ölçek maddeleri orijinaline uygun toplanmıştır. Her faktörün öz değerinin birin üzerinde olduğu görülmüştür. Ölçeğin çözümlemesinde öz değerler Faktör 1 için 34,39, Faktör 2 için 49,01 ve Faktör 3 için 55,64'tür. Ölçeği oluşturan bu üç faktör toplam varyansın %55,64'ünü açıklamıştır. Sonuç: Kalp Yetersizliği Güçlendirme Ölçeği'nin Türkçe formunun kalp yetersizliği hastaları için geçerli ve güvenilir bir araç olduğu saptanmıştır.

Anahtar Kelimeler: Kalp yetersizliği; güçlendirme; geçerlik-güvenirlik
ABSTRACT
 Objective: Empowerment is an important concept in providing their own disease management of individuals who heart failure. Knowing the current strength level of patients by health professionals is important for the planning of the necessary educational initiatives and support patients. This study was conducted on the methodological type, the Diabetes Empowerment Scale was carried out to make the validity and reliability of heart failure and adapting to Turkish. Material and Methods: The study cardiology clinic of a university hospital to the applicant matching the inclusion criteria and agreed to participate in the research study was conducted with 150 patients. Data were collected by using patient identification form and Heart Failure Empowerment Scale. The necessary analyzes were used to evaluate reliability and validity of the data. Exploratory factor analysis was used. Written consent was obtained from patients participating in the study. Results: The average age of patients is 64.79±1.29, 52% female, 69.3% are married. Most of patients is NYHA class II is found to have comorbid disease 87.3%. The language validity of the scale was tested with the translation-back translation method. Opinions were taken from five experts for the content validity was found to be harmony between the expert in the analysis. Cronbach's alpha of the scale total score was 0.932. In accordance with the scale of the original, self-awareness-manage the psychological aspects of the disease, target reach capability, target determines the ability of, as was found that under three factors. The scale items were collected in the principal component analysis carried out in according with the original. The value of each factor has been shown to be above. Analysis of the scale Factor 1 for eigenvalues 34.39, Factor 2 for 49.01 and Factor 3 for 55.64. These three factors make up the scale explained 55.64% of the total variance. Conclusion: Heart Failure Empowerment Scale Turkish form was found to be a valid and reliable tool for patients with heart failure.

Keywords: Heart failure; empowerment; validity-reliability

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