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題名 | 血液透析病患疲憊量表之發展=Development of a Novel Fatigue Scale for Hemodialysis Patients |
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作 者 | 林秋菊; 李瑜弘; 洪娟娟; 李碧娥; | 書刊名 | 臺灣醫學 |
卷期 | 10:4 民95.07 |
頁次 | 頁422-428 |
分類號 | 419.73 |
關鍵詞 | 血液透析; 疲憊量表; 量表發展; Hemodialysis; Fatigue scale; Scale development; |
語文 | 中文(Chinese) |
中文摘要 | 疲憊為長期血液透析病患常見的症狀之一。本研究目的旨在發展與測試血液透析病患之疲憊量表;量表之發展係依文獻分析出疲憊特質之構面,依此再擬定每個構面之題目,初步建立37題問卷項目,於南台灣三所血液透析中心,收集204位血液透析病患資料,進行量表信效度之測試。因素分析結果萃取出26個題項,涵蓋五個因素,分別為「精力與動機減退」、「體能減退」、「心智活動能力減退」、「日常活動能力減退」、「情緒低落失控」。此五個因素解釋總變異量達50.19%。26題總量表之內在一致性高,Cronbach's α為0.91,五個次量表之Cronbach's α則介於0.72-0.85。此份新量表與疲憊視覺類比量表之相關係數為0.64(P<.01)。初步結果顯示本研究所發展之疲憊量表具有良好之信效度,可作為評估工具,用來篩選有疲憊的透析病患,及早給予介入處置,以減少疲憊症狀影響病患生活品質。 |
英文摘要 | Fatigue is a prevalent symptom experienced by patients receiving hemodialysis. The purpose of this study was to develop a scale of hemodialysis-related fatigue. The dimensions of fatigue were first identified based on a literature review, which was used to form 37 items as a pool and were administered on 204 hemodialysis patients recruited from three hemodialysis centers located in southern Taiwan. Twenty-six items were extracted based on the result of factorial analyses that were categorized into five factors: "reduction in vigor and motivation", "reduction in physical ability", "reduction in mental ability", "reduction in daily activities", "distress and loss of control in mood." These five factors well explained 50.19% of the total variance. The Cronbach's α coefficient of the total scale, consisting of 26 items, was 0.91, while the Cronbach's α coefficients of the five subscales were in the range from 0.72 to 0.85. The correlation coefficient of hemodialysis fatigue scale with the fatigue visual analogue scale was 0.64 (P<.01). Results showed that this new scale had good reliability and validity. It suggested that this scale is appropriate used for an assessment tool to screen the hemodialysis patients with fatigue, and therefore to further provide interventions to decrease the impact of fatigue on the quality of lives of hemodialysis patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。