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Development of a Scale to Measure Self-Care for

Journal of Korean Academy of Nursing 2003³â 33±Ç 1È£ p.9 ~ 16
KMID : 0806120030330010009
ÀüÁ¤ÀÚ/Jun JJ
±è¾Ö°æ/ÃÖ»ó¿Á/¾ÖÁ¤Èñ/Ãֹ̰æ/Àå¼±¾Æ/Kim AK/Choi SO/Ae JH/Choi MK/Jang SA

Abstract

Purpose: The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea.

Method: Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale
contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses.

Result: Factor analysis identified eight factors-¡°maintaining a clean air way¡±, ¡°taking medication¡±, ¡°support from family¡±, ¡°preventing infection¡±, ¡°managing symptoms¡±, ¡°breathing exercising¡±, and ¡°taking in nutrition¡±. The internal consistency of the total scale was Cronbach¢¥s ¥á=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients¢¥ satisfaction with medical services.

Conclusion: The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.
KeyWords
¸¸¼ºÆó¼â¼ºÆóÁúȯ, ÀÚ°¡°ü¸®(Chronic Obstructive Pulmonary Disease, Self-care, Factor analysis)
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