Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Öz Bakım Öz Yeterlilik Ölçeği'nin Türkçe Geçerlik Güvenirliğinin Sağlanması: Metodolojik Bir Araştırma
Ensuring the Validity and Reliability of the Self-Care Self-Efficacy Scale in Turkish: A Methodological Research
Güzel Nur YILDIZa
aMuş Alparslan Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Diyaliz AD, Muş, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):174-83
doi: 10.5336/nurses.2024-105063
Article Language: TR
Full Text
ÖZET
 Amaç: Hemşireler, hasta bakımında bakım uygulamalarını ve hasta eğitimlerini planlarken yaşlı bireylerin öz bakım öz yeterlilik düzeylerini arttırmaya yönelik girişimlerde bulunmalıdır. Bu çalışmanın amacı, ''Öz Bakım Öz Yeterlilik Ölçeği''nin Türkçe versiyonunun Türk toplumu bağlamında geçerli ve güvenilir bir ölçek olup olmadığını analiz etmektir. Gereç ve Yöntemler: Araştırmanın evrenini Türkiye'nin doğusunda bir devlet hastanesinin dâhiliye ve nöroloji polikliniklerine başvuran 65 yaş ve üstü hastalar oluşturdu. Araştırmanın örneklemini 509 birey oluşturdu. Araştırma verileri ''Tanıtıcı Bilgi Formu'' ve taslak halindeki ''Öz Bakım Öz Yeterlilik Ölçeği'' ile toplandı. Geçerlilik ve güvenirlik analizleri ve ölçme değişmezliği analizi yapıldı. Bulgular: Ölçeğin orijinal ölçek ile uyumlu olduğu ve 4 alt boyut 10 maddeden oluştuğu belirlendi. Ölçeğin uyum indekslerinin ''x2 =96,557, df=27(p<0,05), CMIN/df=3,576, GFI=0,904, CFI=0,953, RMR=0,071, SRMR=0,0561, NFI=0,937, TLI=0,922, IFI=0,954, PNFI=0,562'' şeklinde olduğu belirlendi. Ölçeğin Cronbach alfa katsayısının ''Klinik Bilgiye Dayalı Öz Bakım Davranışlarında Öz Yeterlilik'' alt boyutu için 0,884, ''Öz İzlemede Öz Yeterlilik'' alt boyutu için 0,907, ''Öz Bakımda Öz Yeterlilik'' alt boyutu için 0,890, ''Öz Yönetimde Öz Yeterlilik'' alt boyutu için 0,938 olduğu saptandı. Ölçeğin bütünü için Cronbach alfa katsayısının 0,947 olduğu belirlendi. Ölçek ve alt boyutlarının alt-üst %27'lik gruplar arasındaki puan ortalamalarının istatistiksel açıdan anlamlı olduğu tespit edildi. Ölçek ve alt boyutlar arasında pozitif yönde ilişki olduğu belirlendi. Cinsiyet değişkenine göre biçimsel, metrik ve ölçek değişmezliğinin sağlandığı ama katı değişmezliğin sağlanmadığı belirlendi. Sonuç: ''Öz Bakım Öz Yeterlilik Ölçeği'' Türk toplumu için kısa, kullanışlı, geçerli ve güvenilir bir ölçüm aracıdır. Yaşlıların öz bakıma yönelik öz yeterlilik düzeylerinin belirlenmesinde ve gerekli müdahalelerin planlanıp etkinliğinin değerlendirilmesinde kullanılması önerilmektedir.

Anahtar Kelimeler: Öz bakım; öz yeterlilik; hemşirelik bakımı; geçerlik; güvenirlik
ABSTRACT
 Objective: Nurses should take initiatives to increase the selfcare self-sufficiency levels of elderly individuals when planning care practices and patient education. The aim of this study is to analyze whether the Turkish version of the Self-Care Self-Efficacy Scale is a valid and reliable scale in the context of Turkish society. Material and Methods: The population of the study consisted of patients aged 65 and over who applied to the internal medicine and neurology outpatient clinics of a state hospital in the east. The sample of the study consisted of 509 individuals. The study data were collected with the ''Introductory Information Form'' and the draft ''SelfCare Self-Efficacy Scale''. Validity and reliability analyses and measurement invariance analysis were performed. Results: It was determined that the scale was compatible with the original scale and consisted of 4 sub-dimensions and 10 items. The fit indices of the scale were determined as ''x2 =96.557, df=27 (p<0.05), CMIN/df=3.576, GFI=0.904, CFI=0.953, RMR=0.071, SRMR=0.0561, NFI=0.937, TLI=0.922, IFI=0.954, PNFI=0.562''. Cronbach's Alpha coefficient of the scale were determined as 0.884 for the ''Self-Efficacy in Self-Care Behaviors Based on Clinical Information'' sub-dimension. 0.907 for the ''Self-Efficacy in Self-Monitoring'' sub-dimension, 0.890 for the ''Self-Efficacy in Self-Care'' sub-dimension, and 0.938 for the ''Self-Efficacy in Self-Management'' sub-dimension. Cronbach's Alpha coefficient for the entire scale were determined to be 0.947. The mean scores of the scale and its sub-dimensions between the lower and upper 27% groups were found to be statistically significant. It was determined that there was a positive relationship between the scale and its subdimensions. It was determined that formal, metric and scale invariance was provided according to the gender variable, but strict invariance was not provided. Conclusion: ''Self-Care Self-Sufficiency Scale'' is a valid and reliable measurement tool for Turkish society. Self-care for the elderly to determine the level of self-efficacy and to plan and implement the necessary interventions to evaluate its effectiveness.

Keywords: Self-care; self-sufficiency; nursing care; validity; reliability
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