尿毒症病患訊息需求量表之建立與測試

Developing and Testing of Informational Needs Scale in Uremic Patients

10.7081/NR.200012.0641

林秋菊(Chiu-Chu Lin)；金繼春(Chi-Chun Chin)；梁靜祝(Ching-Chu Liang)；賴永勳(Yung-Hsiung Lai)

訊息需求 ； 透析治療 ； 尿毒症患者 ； informational needs ； dialysis treatment ； uremic patient

護理研究

8卷6期（2000 / 12 / 01）

641 - 651

繁體中文

本研究旨在建立並測試「尿毒症病患訊息需求量表」，研究分二階段進行。階段一是發展研究工具(instrument development)：研究者查證與訊息需求及透析治療相關文獻，並與腎臟專科醫師、護理師及透析病人討論，再加上本身的臨床經驗來發展問卷項目(item)，並由八位專家審閱確立問卷的內容效度。階段二是測試量表的信效度：本研究以內在一致性信度、二週間隔再測信度及因素分析來檢定尿毒症病患訊息需求量表。本研究採問卷訪談法，立意取樣南部22家設有透析中心的醫院或診所之144位尿毒症病人爲研究對象。「尿毒症病患訊息需求量表」經由因素分析萃取出五個因素，分別爲：子解腎臟移植的可行性、認識透析治療、瞭解透析治療對個人、家庭及社會層面的影響、認識尿毒症、瞭解飲食及水份的控制。此五個因素可解釋的總變異量爲49.63%，顯示本量表具有良好的建構效度。在信度方面，「尿毒症病患訊息需求量表」之五個因素的Cronbach's　α 與再測信度係數分別介於0.80-0.94與0.70-0.82，顯示本量表具有良好的內在一致性且具穩定性。

The purpose of this study was to develop and to test an instrument for measuring informational needs of uremic patients undergoing dialysis treatment. The study was divided into two phases, developing the instrument and testing validity and reliability. In phase one, the researcher reviewed the literature about informational needs and dialysis treatment, discussed with nephrology physicians, RD clinical nurse specialists and uremic patients and wrote down personal experiences serving as sources for item derivation. Eight experts reviewed the instrument for content validity. In phase two, the psychometric properties of the Informational Needs Scale in Uremic Patients were examined: including internal consistency reliability, two weeks test-retest reliability, and the dimensionality of the Informational Needs Scale in Uremic Patients through factor analysis. A structural interview method was employed in the study. A convenience sample for this study consisted of 144 uremic patients who received dialysis treatment in the dialysis center of twenty-two hospitals in Southern Taiwan. Five factors within the Informational Needs Scale in Uremic Patients were identified by factor analysis, including (1) understanding the feasibility of kidney transplantation, (2)knowledge of dialysis treatment, (3) understanding the influences of dialysis treatment on personal, family and social life, (4) understanding uremia, and (5) understanding dietary and fluid control. These five factors explained 49.36% of variance of the Informational Needs Scale in Uremic Patients. The coefficient of the Cronbach’s and test-retest reliability in these five factors of the Informational Needs Scale in Uremic Patients were 0.80-0.94 and 0.70-0.82, respectively. The results showed that the instrument had a satisfactory internal validity and reliability.

1. Benson, J.,Clark, F.(1982).A guide for instrument development and validation.The American Journal of Occupation Therapy,36(12),789-800.
2. Burns, N.,Grove, S. K.(1993).The practice of nursing research: Conduct, critique & utilization.
3. Cohen, F.,Lazarus, R. S.(1979).Coping with the stress of illiness.Health psychology.
4. Derdiarian, A.(1987).Informational needs of recently diagnosed cancer patients-Part Ⅱ. Method and description.Cancer Nursing,10(3),156-163.
5. Derdiarian, A.(1987).Informational needs of recently diagnosed cancer patients-A theoretical framework, Part Ⅰ..Cancer Nursing,10(2),107-115.
6. Kasl, S.,Cobb, B.(1966).Health behavior, illness behavior, and sick role behavior. Ⅰ. Health and illness behavior.Archives of Environmental Health,12(2),246-266.
7. Krikelas, J.(1983).Information-seeking behavior: Patterns and concepts.Drexel Library Quarterly,15(2),5-20.
8. Lauer, P.,Murphy, S. P.,Powers, M. J.(1982).Learning needs of cancer patients: A comparison of nurses and patient perceptions.Nursing Research,31(1),11-16.
9. Leino-Kilpi, H.(1999).Keynote speaker identifies need for research and empowerment among patients.AORN Journal,70(5),863-864,866,869-872,874,876-877.
10. Lenz, E. R.(1984).Information seeking: A component of client decisions and health behavior.Advances in Nursing Science,6(3),59-72.
11. Luker, K. A.,Beaver, K.,Leinster, S. J.,Owens, R. G.,Degner, L. F.,Sloan, J. A.(1995).The informational needs of women newly diagnosed with breast cancer.Journal of Advanced Nursing,22,134-141.
12. Mills, M. E.,Sullivan, K.(1999).The importance of information giving for patients newly diagnosed with cancer: A review of the literature.Journal of Clinical Nursing,8,631-642.
13. Northouse, P. G.,Northouse, L. L.(1987).Communication and cancer: Issues confronting patients, health professionals, and family members.Journal of Psychosocial Oncology,5(3),17-46.
14. Nunnally, J. C.,Bernstein, I. H.(1994).Psychometric theory
15. Shuster, G.,Steeves, R.,Onega, L.,Richardson, B.(1996).Coping patterns among bone marrow transplant patients: A hermeneutical inquiry.Cancer Nursing,19(4),290-297.
16. Waltz, C. F.,Strickland, O. L.,Lenz, E. R.(1991).Measurement in nursing research
17. 江慧珠、劉雪娥、黃秋錦(1995)。影響接受連續可活動性腹膜透析病人需要之因素探討。護理研究，3(2)，106-115。
18. 李惠玲、顧乃平(1992)。乳癌病人於化學治療中訊息需求之探討。護理雜誌，39(2)，55-64。
19. 林秋菊、柯乃熒、蔡玲君、陳彰惠(1995)。健康信念、尿毒症認知和社會支持對慢性血液透析病人遵從行為之影響。高雄醫學科學雜誌，11(8)，470-480。
20. 林秋菊、張素凰(1985)。血液透析病人的壓力與應對型態一初步探討性的研究。公共衛生，12(3)，398-413。
21. 鄒海月、史馨如、楊清姿、沈墀(1990)。尿毒症患者對疾病認知及衛教需求的調查研究。榮總護理，7(3)，269-281。
22. 賴永勳(1998)。八十七年度透析評估工作報告。

1. Lin, Chiu-Chu,Hsieh, Hsiu-Fang,Chen, Mei-Chun,Chang, Shu-Chen(2013).Illness Representations and Coping Processes of Taiwanese Patients With Early-Stage Chronic Kidney Disease.The Journalof Nursing Research,21(2),120-128.
2. 劉波兒,傅淑禎,林麗君(2007)。一位末期腎病患者於加護病房面臨血液透析衝擊之護理經驗。弘光學報，50，43-53。
3. 楊美文、金繼春(2005)。癌症兒童主要照顧者資訊需求量表之發展與測試。醫護科技學刊，7(2)，163-174。