Development of an instrument to measure adaptation with patient\u27s lives in hospital

本研究では,入院患者の適応度測定尺度を作成し,その信頼性・妥当性について検討した.入院患者の適応の概念枠組みによって推定された構成要素に沿って,入院患者の適応度を評価する為の質問項目原案を作成した.T大学附属病院の入院患者105名から調査票を回収し,内容妥当性・表面妥当性・因子的妥当性・弁別的妥当性・基準関連妥当性・信頼性を検討した.その結果,入院患者適応度測定尺度は「患者役割因子」9項目,「治療・検査・看護的援助因子」9項目,「物理的環境因子」10項目,「日課因子」11項目,「ルール・規則因子」10項目,「医師との関係因子」9項目の計6因子58項目の因子構造を持つ尺度として,信頼性・妥当性が確認された.Adaptation with patient\u27s lives in hospital was constructed to survey patient\u27s adaptability to environmental change. The scale was designed for use in clinical practice and research. Subjects consisted of 105 hospitalized patients. Factor analysis revealed that 58 questions could be clearly separated into 6 components. These components were coincident with our conceptual framework. Cronbach\u27s avalue was more than 0.8, for all items in questionarrires, and for each factor. As a result, the adaptation with patient\u27s lives in hospital is measured by one multi-item scale that assesses 6 concepts; environment, dailylife, relationship, patient\u27s role, rule, and nursing care. These results suggest that the present questionnaire include all basic components necessary for evaluation of adaptation with patient\u27s lives in hospital. However, further research is required to examine the validity of this questionnaire with correction of question