Advances in Nursing & Midwifery

Abstract

Abstract

Background:

prevention 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

development 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:

assessment 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

subscales, the overall test re test reliability was 0.97.

.

Conclusion

reliable and valid instrument to measure self-care needs for prevention of diabetic foot

among individuals with type two diabetes mellitus.

Key words

EFERENCES

-Azizi F (2008). [Started learning course "foot care nurse" promise for prevention and care of diabetic foot]. Iranian

Journal of Endocrinology and Metabolism. 4 (10) 297-298. (Persian).

-Burns N, Grove SK (2006). Understanding Nursing Research Building an Evidence Based Practice. 4

th

edition. St

Louis, Mosby.

-Darvishpoor Kakhaki A et al (1384). [Instrument development to measure diabetic client quality of life.] Iranian

Journal of Endocrinology & Metabolism.7 (2) 149-155. (Persian)

-Dehghan Nayyeri N, JalaliNia F (2005). [Theory Development and Nursing Theory]. Tehran, Boshra Pub. (Persian).

-Evans s et al (2000). Selecting a mental health need assessment scale: Critical appraisal of standardized measure.

Journal of Evaluation in Clinical Practice. 6(4)379-393.

-HejaziSh (2007). [Introduction to the Principle and Methods in Medical Research]. Tehran: Islamic Azad University.

Tehran, Medical Unit Pub. (Persian).

-Holloway F (1994) Need in community psychiatry: A consensus is required. Psychiatric Bulletin.18 (6)321-323.

-Moore JB (1995). Measuring the self-care Practice of children and adolescents: Instrument development. Maternal-

Child Nursing Journal. 23(3) 101-108.

-Moore JB et al (2005). Development and examination of self-care Instrument to measure nutrition practices for

English Spanish speaking adolescent. Self- Care and Dependent Care Nursing. The Official Journal of International

Orem Society 13(1) 9-16.

-Munro BH (2005). Statistic Methods in Health Care Research. 5

th

edition. Philadelphia, Mosby Co.

-Myles J (2007). Management of diabetic foot ulcer. Practice Nurse. 33 (2) 38- 42.

-Orem DE (2001) Nursing Conceptsof Practice. 6

th

edition. St Louis, A Harcourt HealthSciences Co.

-Pashasharifi H (1384). [Psychometric Principles and Mental Trial]. 10

th

edition. Tehran, Roshd. (Persian).

-Phipps WJ et al (2003). Medical Surgical Nursing: Health & Illness. 6

th

edition. USA, Mosby Inc.

-Polit DF, Beck TC (2006). Essentials of Nursing Research, Method, Appraisal and Utilization. 6

th

edition.

Philadelphia, Lippincott Williams and Wilkins.

-Reynolds T et al (2000) Assessment of need for elderly. British Journal of Psychiatry. 176(5) 444-452.

-Shuldham C et al (2007). Evaluation of European heart failure self-care behavior scale in a united kingdom

population . Journal of Advanced Nursing. 60 (1) 87-95.

-Slade M et al (2004). Does meeting needs improve quality of life ? Psychotherapy and Psychosomatics. 73(3) 183-189.

-Slade M et al (2006). Patient-rated unmet needs and quality of life improvement. The British Journal of Psychiatry.

188(3) 290-295.

-Sousa VD et al (2008). Factor analysis of the appraisal of self-care agency scale in American adults with diabetes

mellitus. The Diabetes Educator. 34(1) 98-108.

-Stuck AE et al (1995) A trial of annual in-home comprehensive geriatric assessment for elderly people living in the

community. New England Journal of Medicine. 333(18) 184-189.

-Waller Amy et al .Validity, reliability and clinical feasibility of a need assessment tool for people with progressive

cancer'. Psycho-Oncology, September 23 2009. [Online]. http://onlinelibrary.wiley.com/doi/10.1002/pon.1624

-Walters K et al (2000). Assessing need from patient, carer and professional perspectives: The Camberwell assessment

of need for elderly people in primary care. Age and Ageing. 29(6)05-510.

-Weinger K et al (2005). Measuring diabetes self-care. A psychometric analysis of the Self-Care Inventory-revised with

adults. Diabetes Care. 28(6)1346-1352.

-Yaghmaei F (2007). [Measuring Behavior in Research by Valid & Reliable Instruments.] Tehran: ShahidBeheshti

Medical Sciences University Press. (Persian).

-Yaghmaei F, Yaghmaei P (1380). [Development an Iranian Instrument to measure attitude to computer]. 1(2) 31-3.

(Persian).