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題名：自覺糖尿病自我管理量表之兩階段翻譯及信效度測試
書刊名：護理暨健康照護研究
作者：林淑滿／林素蘭／吳月珠／張純明／吳秀麗
作者(外文)：Lin, Shu-man／Lin, Su-lan／Wu, Yueh-chu／Chang, Chwen-ming／Wu, Hsiu-li
出版日期：2011
卷期：7:3
頁次：頁198-206
主題關鍵詞：糖尿病；自我管理；信度；效度；翻譯；Diabetes；Self-management；Reliability；Validity；Translation
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:14
  • 點閱點閱:284
背景 : 糖尿病照護除了治療外，最重要的是糖尿病病人要能自己做好自我管理；因為，超過 90%的糖尿病照護，需要他們在居家環境中自行完成。對專業人員來說，最具挑戰性的工作，是如何讓病人做好自我管理，因為涉及的因素多且複雜。因此，如何能在有限的門診時間內，讓專業人員很有效能的評估病人的糖尿病自我管理能力，並依此規畫出屬於糖尿病病人的個人照護計畫，是糖尿病照護重要的一環。 目的 : 透過雙向翻譯，發展自覺糖尿病自我管理量表（ Perceived Diabetes Self-Management Scale, PDSMS）中文版並測試其信、效度。 方法 : 本研究採橫斷式研究設計，分為兩個階段，第一階段為雙向翻譯建立中文版自覺糖尿病自我管理量表。第二階段為專家內容效度的檢測。於量表確認後，採立意取樣 168名糖尿病個案進行量表信度測量。兩個星期後再從原本 168名的個案中隨機挑出 37名個案進行再測信度。 結果 : 中文版的自覺糖尿病自我管理量表共八題項，本文以因素分析法求得良好之建構效度，將量表分為「正向語詞」和「負向語詞」。量表之內容效度指標值為 .75；Cronbach’s α為 .926，其內在一致性佳；兩週後使用組內相關係數檢測再測信度為 .966（p值 < .001）。結果顯示本量表具良好之信、效度，可做為自覺糖尿病自我管理的評估工具。 結論/實務應用 : 台灣的糖尿病衛教人員，向來缺少評估個案的適當工具，而此自覺糖尿病自我管理量表，可以對糖尿病患者的自我管理能力，作一簡單而快速的評估，以提供符合個別化的糖尿病照護計畫。除此外，此量表也被建議可用於其它的慢性病病人，作為評估其自覺自我管理能力的工具，以便提供合宜的照護計畫。
Background: Aside from receiving proper medical treatment, patient self-management is the most important part of diabetes care. Over 90% of diabetes care is conducted in the patient’s living environment. It has been a consistent challenge for healthcare professionals to make patients follow self-management instructions as well as to deal with the many complicated factors involved. Within the limited time permitted during clinic visits, health professionals must effectively assess patient self-management abilities and design a proper, patient-specific self-care program. Purpose: This study developed a Chinese version of the Psychometric Properties section of the Perceived Diabetes Self-Management Scale (PDSMS) using two-way translation and then examined reliability and validity. Methods: This cross-sectional study was executed in two phases. In the first, the researchers translated the English version PDSMS into Chinese using forward and backward translation. In the second, three healthcare professionals expert in diabetes care verified content validity. The study recruited 168 participants with diabetes, and two weeks later 37 were re-tested to check instrument reliability. Results: The Chinese version PDSMS consisted of 8 items. Factor analysis obtained good construct validity, yielding four “positive words” and four “negative words.” The content validity index was .75, Cronbach’s α was .926 (good internal consistency), and the intraclass correlation coefficient of test-retest reliability was .966 (p-value <.001) two weeks after the first test. Results suggest that the scale can be used as a valid tool to assess diabetes self-management due to its high reliability and validity. Conclusions/Implications for Practice: Diabetes educators suffer from a lack of appropriate assessment tools to measure diabetes self-management effectively. Devising a personal care plan is thus critical to proper self-care. The PDSMS developed in this study can help achieve this purpose. This tool may also be applied to chronically ill patients in order to evaluate self-management capabilities prior to designing individualized care plans.
期刊論文
1.Surwit, R. S.、van Tilburg, M. A. L.、Zucker, N.、McCaskill, C. C.、Parekh, P.、Feinglos, M. N.、Lane, J. D.(2002)。Stress management improves long-term glycemic control in type 2 diabetes。Diabetes Care，25(1)，30-34。  new window
2.吳淑芳、Courtney, Mary、Edwards, Helen、McDowell, Jan、Shortridge-Baggett, Lillie M.、張嘉容、洪心慈(20060100)。糖尿病個案自我效能增進訓練及應用。臺灣醫學，10(1)，115-122。  延伸查詢new window
3.American Diabetes Association(2010)。Standards of medical care in diabetes--2010。Diabetes Care，33(Suppl. 1)，S11-S61。  new window
4.Stratton, I. M.、Adler, A. I.、Neil, H. A. W.、Matthews, D. R.、Manley, S. E.、Cull, C. A.、behalf of the UK Prospective Diabetes Study Group(2000)。Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): Prospective observational study。British Medical Journal，321(7258)，405-412。  new window
5.吳淑芳(20060200)。國外量表之兩階段翻譯及信、效度測試。護理雜誌，53(1)，65-71。new window  延伸查詢new window
6.Hill-Briggs, F.(2003)。Problem solving in diabetes self-management: A model of chronic illness self-management behavior。Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine，25(3)，182-193。  new window
7.Williams, G. C.、Freedman, Z. R.、Deci, E. L.(1998)。Supporting autonomy to motivate glucose control in patients with diabetes。Diabetes Care，21，1644-1651。  new window
8.郭寶蓮、蔡秀鸞、陽琪(20021100)。充能訓練對糖尿病患者糖化血色素、自我效能和照護之成效。臺灣醫學，6(6)，848-857。  延伸查詢new window
9.Polit, Denise F.、Beck, Cheryl Tatano(2006)。The content validity index: Are you sure you know what's being reported? Critique and recommendations。Research in Nursing and Health，29(5)，489-497。  new window
10.Lin, C. C.、Anderson, R. M.、Hagerty, B. M.、Lee, B. O.(2008)。Diabetes self-management experience: A focus group study of Taiwanese patients with type 2 diabetes。Journal of Clinical Nursing，17(5A)，34-42。  new window
其他
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2.Anderson, R. M., Goddard, C. E., Garcia, R., Guzman, J. R., & Vazquez, F.(1998)。Using focus groups to identify diabetes care and education issues for Latinos with diabetes。  new window
3.Brody, G. H., Jack, L., Jr., Murry, V. M., Landers-Potts, M., & Liburd, L.(2001)。Heuristic model linking contextual processes to self-management in African American adults with type 2 diabetes。  new window
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5.Buysschaert, M., & Hermans, M. P.(2004)。Non-pharmacological management of type 2 diabetes。  new window
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7.Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., et al.(2008)。National standards for diabetes self-management education。  new window
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9.Gentili, P., Maldonato, A., Bloise, D., Burla, F., Coronel, G., & Paolantonio, T. D.(2000)。Personality variables and compliance with insulin therapy in type 2 diabetic subjects。  new window
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12.International Diabetes Federation(2005)。Diabetes deaths to increase dramatically over next ten years。  new window
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21.Wallston, D. A., Rothman, R. L., & Cherrington, A.(2007)。Psychometirc properties of the perceived diabetes selfmanagement scale (PDSMS)。  new window
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