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Lu J, Hong H, Xiong Z, Zhang Y, Zeng F, Xie Z, Yu M, Liu X, Li H, Xian D, Shen J. Development and preliminary validation of a PROS scale for Chinese bladder cancer patients with abdominal stoma. Sci Rep 2024; 14:2187. [PMID: 38273011 PMCID: PMC10810889 DOI: 10.1038/s41598-024-52624-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 01/22/2024] [Indexed: 01/27/2024] Open
Abstract
Bladder cancer is a common malignant tumor, and patients who have undergone radical cystectomy and urinary diversion require a lifelong abdominal stoma. This greatly affects their physiological, psychological, and social well-being. However, there is currently a lack of a self-assessment outcome scale specifically designed for bladder cancer patients with abdominal stomas. Therefore, we developed and validated a self-assessment outcome scale (PROS-BCAS) for Chinese bladder cancer patients with abdominal stomas. The scale was initially developed through literature research and expert consultation, and it comprised four dimensions: physiological, psychological, social, and treatment, with a total of 66 items. After item analysis, 44 items were retained. We collected scale data from 382 patients to examine its validity and reliability. The results showed that the PROS-BCAS scale had good content validity (S-CVI/Ave = 0.992), construct validity (KMO > 0.6), and discriminant validity (correlation coefficient 0.404-0.870). The Cronbach's alpha coefficients (0.801-0.954), test-retest reliability (0.778-0.956), and split-half reliability (0.896-0.977) all demonstrated good internal consistency for each dimension and the overall scale. The study demonstrated that the PROS-BCAS scale is a reliable and valid tool for accurately assessing the health-related quality of life of bladder cancer patients with abdominal stomas, providing reference for developing individualized clinical care plans.
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Affiliation(s)
- Jingya Lu
- Department of Nursing, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
- School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
| | - Hui Hong
- Department of Nursing, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- Intensive Care Unit, Department of Infection, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Zhufeng Xiong
- Department of Nursing, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
- School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
| | - Yonghui Zhang
- Department of Nursing, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China
| | - Fanyan Zeng
- School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China
| | - Zhiqin Xie
- Intensive Care Unit, Department of Infection, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China
| | - Mengjia Yu
- Department of Nursing, The 1st Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China
| | - Xiaohan Liu
- The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Huiting Li
- First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Daming Xian
- College of Mathematics and Computer Science, Nanchang University, Nanchang, Jiangxi, China
| | - Junjie Shen
- School of Software, Nanchang University, Nanchang, Jiangxi, China
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Zhang Q, Feng P, Weng Y, Lu X, Sun Y, Zhang L. Development and psychometric testing of burn inpatient nursing dependency assessment scale. J Adv Nurs 2022; 78:3483-3494. [PMID: 35975312 DOI: 10.1111/jan.15418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 07/26/2022] [Accepted: 08/03/2022] [Indexed: 11/29/2022]
Abstract
AIMS The aim was to develop and psychometrically test the burn inpatient nursing dependency assessment scale (BINDAS). DESIGN This was a scale development study. METHODS This study was conducted in four phases from November 2019 to November 2021. Items were generated and the initial scale was constructed in phase 1. The preliminary evaluation of items was conducted through expert reviews and a pilot study in phase 2. The scale, including item quality, reliability and validity, was validated with 420 individuals in phase 3. The translation of the scale from Chinese to English was performed in phase 4. RESULTS Content validity was satisfactory. Thirteen items were retained after item analysis, and three factors accounting for 73% of the total item variance were extracted through exploratory and confirmatory factor analyses. Predictive validity with nursing time spent with patients during 24 h was also estimated, with r = .66 (p < .01). Receiver operating characteristic analysis was conducted, and an area under the curve of the scale of 0.94 was obtained. Concurrent validity with Barthel index was estimated, with r = -.71 (p < .01). Cronbach's alpha coefficient for scale was .93, and the correlation between raters for total scores was .95. CONCLUSION Burn inpatient nursing dependency assessment scale is a psychometrically valid and reliable measurement instrument as well as objective other-rating scale with 12 items for scoring on a four-point scale (0, 1, 2 or 3) and 1 item for scoring on a two-point scale (0 or 2). BINDAS with 13 items was developed in this study. Nurses can give each patient a total score of 0-38. A high score indicates high nursing dependency. The 13-item scale consists of three factors: basic care need, physiological index, and psychology and adaptation. IMPACT This scale demonstrated satisfactory psychometric properties and can be used to evaluate patient dependency on nurses in burn units and optimize an individual's care plan to achieve efficient staff allocation.
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Affiliation(s)
- Qian Zhang
- Department of Nursing Administration, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China
| | - Ping Feng
- Department of Burns, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China
| | - Yanqiu Weng
- Department of Nursing Administration, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China
| | - Xiaoying Lu
- Department of Nursing Administration, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China
| | - Yuan Sun
- Department of Burns, Affiliate Huaihai Hospital of Xuzhou Medical University (the 71th Group Army Hospital of PLA Army), Xuzhou, China
| | - Lingjuan Zhang
- Department of Nursing Administration, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China
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