위암수술 환자의 자가간호수행 측정도구 개발
Development of a Self-Care Performance Scale for Patients with Stomach Cancer after Gastrectomy
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초록
Purpose: This study was to develop a valid and reliable self-care performance scale for stomach cancer patients with gastrectomies. Methods: The initial items for the self-care performance scale were derived by a literature review and in-depth interviews with stomach cancer patients with gastrectomies and a conceptual framework based on Orem’s theory was used. The identified items were evaluated for content validity by experts. The main survey with refined items was performed with a sample of 232 patients. The data were analyzed using item analysis, Pearson correlation coefficients, Cronbach’s alpha and factor analysis. Results: A 22 item instrument with 7 factors was developed and the total variance explained was 66.9%. The factors were ‘manage dietary restriction’, ‘avoid hazards’, ‘rest and elimination’, ‘manage social support and stress’, ‘regulation diet’, ‘meal portion control’ and ‘seek information and follow-up care’. The internal consistency, Cronbach’s alpha was .86 and reliability of the subscale ranged from .65 to .82. Conclusion: This study suggested that the self-care performance scale is a reliable and valid instrument to measure self-care performance for patients with stomach cancer after gastrectomy.
Abstract
Purpose: This study was to develop a valid and reliable self-care performance scale for stomach cancer patients with gastrectomies. Methods: The initial items for the self-care performance scale were derived by a literature review and in-depth interviews with stomach cancer patients with gastrectomies and a conceptual framework based on Orem’s theory was used. The identified items were evaluated for content validity by experts. The main survey with refined items was performed with a sample of 232 patients. The data were analyzed using item analysis, Pearson correlation coefficients, Cronbach’s alpha and factor analysis. Results: A 22 item instrument with 7 factors was developed and the total variance explained was 66.9%. The factors were ‘manage dietary restriction’, ‘avoid hazards’, ‘rest and elimination’, ‘manage social support and stress’, ‘regulation diet’, ‘meal portion control’ and ‘seek information and follow-up care’. The internal consistency, Cronbach’s alpha was .86 and reliability of the subscale ranged from .65 to .82. Conclusion: This study suggested that the self-care performance scale is a reliable and valid instrument to measure self-care performance for patients with stomach cancer after gastrectomy.
참고문헌 (25)
- "National Cancer Information Center"[URL]
- 오복자, "암환자교육이 암환자의 심리적 디스트레스와 자가간호지식 및 자가간호행위에 미치는 효과: 메타분석", Asian Oncology Nursing, 12(4), pp.257~266 (2012), 대한종양간호학회[DOI]
- 최자윤, "다학제적 개별 교육 프로그램이 방사선 치료를 받는 암환자의 돌봄 요구도에 미치는 효과", Asian Oncology Nursing, 8(1), pp.17~23 (2008), 대한종양간호학회
- 정혜윤, "항암화학요법에 관한 개별교육이 자가 간호 지식과 자가 간호 수행에 미치는 효과", Asian Oncology Nursing, 8(1), pp.8~16 (2008), 대한종양간호학회
- Kim JH, "A model for medication adherence in cancer patients receiving oral chemotherapy", pp.2012
- Davis-Evans C, "Alleviating anxiety and preventing panic attacks in the surgical patient", AORN Journal, 97(3), pp.355~361 (2012)
- Kim MY, "Development and effects of a web-based self-efficacy promoting program on stomach cancer patients with gastrectomy", pp.2008
- Song GY, "Cognitive perception, self care and quality of life in gastrectomy patients with early gastric cancer", master, pp.2009
- Orem DE, "Nursing: Concepts of practice" (1995), Mosby
- Lee HM, "A study on the quality of life following after curative surgery for gastric sancer", Ann Surg Treat Res, 60(4), pp.405~411 (2001)
- 박영옥, "위암환자의 위절제술 후 영양상태 및 섭취량 변화", 대한지역사회영양학회지, 17(1), pp.101~108 (2012), 대한지역사회영양학회
- Na IJ, "The effect of a telephone follow-up on the self-care and the satisfaction on nursing care in G-I surgical patients", J Korean Acad Nurs Adm, 5(2), pp.355~367 (1999)
- Yang BH, "Understanding & application of multivariate data analysis" (2009), Hakjisa
- Lee EO, "Nursing study and statistical analysis" (2009), Sumoonsa
- Devellis RF, "Scale development; theory and application second edition(applied social research methods)" (2003), SAGE Publications
- Aaronson NK, "The European organization for research and treatment of cancer QLQC30 : a quality-of life instrument for use in international clinical trials in oncology", Natl Cancer Inst, 85, pp.365~376 (1993)
- Vickery CW, "Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer", Eur J Cancer, 1(37), pp.966~971 (2001)
- Lee JH, "Quality of life for the gastric cancer patients after gastrectomy :reliability and validity study of the korean version of the EORTC QLQ C-30 and gastric cancer module", master, pp.2003
- Kline P, "A handbook of test construction: introduction to psychometric design" (1986), Methun
- Lee IS, "A study on the development of the korean family resilience scale", J Korean Acad Nurs, 34(3), pp.560~569 (2002)
- Kim SG, "Relationships between self-efficacy, self-care behavior and quality of llife in patients with hematologic malignancy", master, pp.2013
- Yoon IH, "A study on the relationship among quality of life, self-efficacy and self care of open heart surgery patients after hospital discharge", master, pp.2005
- An HJ, "A study of the quality of life in patients with breast cancer operations", master, pp.2005
- Kang BS, "Spss 17.0 social science statistical analysis" (2009), Hannarae Academy
- 이란, "유방암 환자의 자가관리에 대한 자기효능감 측정도구 개발", Journal of Korean Academy of Nursing, 42(3), pp.385~395 (2012), 한국간호과학회