Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kanser Gereksinimleri Ölçeği Kısa Formu: Ayaktan Tedavi Alan Hastalarda Türkçe Geçerlik ve Güvenirlik Çalışması
Cancer Needs Questionnaire Short-Form: Turkish Validity and Reliability Study in an Ambulatory Cancer Setting
İlknur DOLUa, Elif DÖNMEZb, Canan YARANOĞLUc
aBartın Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Bartın, TÜRKİYE
bSağlık Bilimleri Üniversitesi Hamidiye Hemşirelik Fakültesi, Onkoloji Hemşireliği ABD, İstanbul, TÜRKİYE
cSağlık Bilimleri Üniversitesi Gülhane Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(3):544-55
doi: 10.5336/nurses.2020-79505
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, ayaktan kemoterapi ünitesinde tedavi alan hastalarda kullanılmak üzere geliştirilen Kanser Gereksinimleri Ölçeği Kısa Formu'nun, Türkçe geçerlilik ve güvenirliğini test etmektedir. Gereç ve Yöntemler: Metodolojik araştırma tipinde planlanan bu araştırmanın evrenini, Ankara'da bir devlet hastanesinin ayaktan kemoterapi ünitesinde tedavi alan 18 yaş üstü bütün kanser hastaları, araştırma örneklemini ayaktan kemoterapi ünitesinde tedavi alan ve araştırma kriterlerini karşılayan 295 hasta oluşturdu. Ölçeğin güvenirliği Cronbach alfa katsayısı, madde toplam korelasyon değerleri ve 2 yarı test güvenirliğiyle incelenmiştir. Yapı geçerliliğinin belirlenmesi amacıyla açımlayıcı faktör analizi ve doğrulayıcı faktör analizi yapılmıştır. Bulgular: Çalışmaya katılan kanser hastalarının yaş ortalaması 56,19 (±14,9) idi. Kanser Gereksinimleri Ölçeği Kısa Formu'nun bütününe ilişkin Cronbach alfa katsayısının 0,87, Spearman-Brown korelasyon değeri 0,787 ve Guttman Split-Half değeri 0,779 olarak hesaplandı. Ölçek için Kaiser-Meyer-Olkin değeri 0,83 olarak hesaplandı ve Bartlett testi anlamlı bulundu (p<0,001). Temel bileşenler analizi ve varimaks rotasyonuna kullanılarak yapılan analiz sonucuna göre 5 faktör toplam varyansın %59,34'ünü oluşturmakta olup, faktör yükleri 0,319-0,716 arasında değişmekte idi. Doğrulayıcı faktör analizi sonucunda model uyum kriterleri incelenmiş ve kabul edilebilir aralıkta ki-kare (CMIN)=947,414, ki-kare/serbestlik derecesi=2,087, kök artık değerleri ortalaması=0,061, karşılaştırmalı uyum indeksi=0,790, ölçeklendirilmiş uyum indeksi=0,667, uyum iyiliği indeksi=0,840 olduğu görüldü. Sonuç: Sonuç olarak bu çalışma, Kanser Gereksinimleri Ölçeği Kısa Formu Türkçe versiyonunun ayaktan kemoterapi ünitelerinde tedavi alan, 18 yaş ve üzerinde olan bireylerin gereksinimlerini değerlendirmek amacıyla kullanılabilecek geçerli ve güvenilir bir ölçüm aracı olduğunu ortaya koymaktadır. Ölçeğin, ayaktan kemoterapi ünitelerinde çalışan sağlık profesyonelleri ve bu alanda çalışma yapan araştırmacılar tarafından kullanılabilir. Ölçeği kullanacak araştırmacıların toplam puan üzerinden değerlendirme yapmaları önerilmektedir.

Anahtar Kelimeler: Tümörler; erişkin; ihtiyaç tespiti; sağlık hizmetleri gereksinim ve talepleri; ayaktan tedavi
ABSTRACT
 Objective: To test the Turkish version of Cancer Needs Questionnaire short-form version in an ambulatory cancer setting. Material and Methods: The sample universe of this study, which was planned as a methodological study design, consisted of all cancer patients aged 18 and older receiving treatment in an ambulatory cancer setting in a state hospital in Ankara, the research sample was composed of 295 patients receiving treatment in the ambulatory cancer setting and meeting the research criteria. The reliability of the scale was examined by the Cronbach's alpha coefficient, item-total correlation values, and Split-Half reliability. Exploratory Factor Analysis and Confirmatory Factor Analysis were performed to determine the construct validity. Results: The mean age of participants was 56.19 (±14.9). The Cronbach alpha coefficient for the whole of the Cancer Needs Questionnaire short-form was calculated as 0.87, Spearman-Brown correlation value as 0.787, and Guttman Split-Half value as 0.779. The Kaiser-Meyer- Olkin value for the questionnaire was calculated as 0.83 and Bartlett test was found to be significant (p<0.001). According to the results of the analysis using principal component analysis and varimax rotation, 5 factors constituted 59.34% of the total variance, and the factor loads varied between 0.319 and 0.716. As a result of the confirmatory factor analysis, the model fit criteria were examined and it was found that the acceptable range was chi-square (CMIN)=947.414, chi-square/degrees of freedom=2.087, root mean square error of approximation=0.061, comparative fit index=0.790, normed fit index=0.667, goodness of fit index=0.840. Conclusion: In conclusion, this study shows that the Turkish version of the Cancer Needs Questionnaire short-form is a valid and reliable measurement tool to be used to evaluate the needs of individuals aged 18 and over who receive treatment in ambulatory cancer settings. It is thought that the questionnaire can be used by health professionals working in ambulatory cancer settings and researchers working in this field. It is recommended that the questionnaire was evaluated on the total score.

Keywords: Neoplasms; adult; needs assessment; health services needs and demand; ambulatory care
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