Development and validation of self-care requisites assessment
Advances in Nursing & Midwifery,
Vol. 21 No. 75 (2012),
24 October 2012
,
Page 16-21
Abstract
Abstract
Background:
Assessment of patient’s needs is the first step for recognizing problems andprevention of complications. Assessment tools are needed in order assess needs, and plan
nursing care to prevent complications such as diabetic foot ulcer .The purpose of the present
study was to develop self-care requisites assessment tool for prevention of diabetic foot
ulcer and examine its validity and reliability.
Material and Methods
: This methodological study consisted of two phases, phrase I wasdevelopment of the comprehensive assessment form, for which a qualitative study and a
literature review was conducted. Phase 2consisted of testing the instrument for validity and
reliability. In qualitative study unstructured interviews were conducted with 8 patients with
type 2 diabetes. Validity of the instrument was measured by content validity, concurrent
validity (criterion related validity) and construct validity. A sample of153 type two diabetic
patients were selected to conduct factor analysis of the tool. Reliability was confirmed by
internal consistency. Data were analyzed by SPSS statistical software.
Findings:
The initial form consisted of 103 items. Final version of self –care requisitesassessment form for preventing diabetic foot ulcer consisted of 43 items with 5 sub scales.
Validity was established for content, construct and concurrent validity. Content validity was
assured by a panel of experts .Concurrent validity was measured by comparing the scores
from assessment tool with self-care agency and diabetic clients' quality of life scales, which
demonstrated an acceptable correlation among the scores. Internal consistency reliability of
the tool was demonstrated with Cronbach's
P coefficient ranged from 0.70 to 0.89 forsubscales, the overall test re test reliability was 0.97.
.
Conclusion
The self-care requisite assessment tool for prevention of diabetic foot ulcer is areliable and valid instrument to measure self-care needs for prevention of diabetic foot
among individuals with type two diabetes mellitus.
Key words
: Orem model, Tool development, Diabetes, self-care requistis
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