Development of a self-management behaviour scale for liver cirrhosis

Objective: To develop a self-management behaviour tool for liver cirrhosis patients in China. Methods: A provisional scale comprising 30 items was developed based on the results of literature review, semi-structured interviews, expert consultation and pilot study. Patients with hepatic cirrhosis (n ...

Full description

Bibliographic Details
Main Authors: Qian Wang, Yan Wang, Jian Gao, Jian-Tong Han, Yan-Ping Li
Format: Article
Language:English
Published: Elsevier 2015-03-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013214001082
Description
Summary:Objective: To develop a self-management behaviour tool for liver cirrhosis patients in China. Methods: A provisional scale comprising 30 items was developed based on the results of literature review, semi-structured interviews, expert consultation and pilot study. Patients with hepatic cirrhosis (n = 180) from four grade A tertiary hospitals in Tianjin and Handan Infectious Disease Hospital were assessed using the provisional self-management scale comprising 30 items in four dimensions. The reliability and validity of the scale were tested and a final version of the self-management scale for liver cirrhosis comprising 24 items was concluded. Results: The overall Cronbach's α for the scale was 0.80, ranging from 0.60 to 0.69 in each dimension. The test–retest correlation was 0.84, ranging from 0.54 to 0.72 in each dimension. Content validity for the scale was 0.93. Nine factors were extracted by a factor analysis method, which were limited to four factors according to a scree test. The cumulative variance contribution rate was 56.98%. Conclusion: This scale has good reliability and validity and can be used to evaluate self-management behaviour of hepatic cirrhosis patients and provides a reference for behaviour intervention.
ISSN:2352-0132