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Development and psychometric evaluation of the perceived care tension questionnaire for caregivers of hemodialysis patients: A mixed method study. | LitMetric

Development and psychometric evaluation of the perceived care tension questionnaire for caregivers of hemodialysis patients: A mixed method study.

J Educ Health Promot

Community-Oriented Nursing Midwifery Research Center, Department of Adult and Geriatric Nursing, Nursing and Midwifery School, Shahr-e-Kord University of Medical Sciences, Shahr-e-Kord, IR Iran.

Published: December 2021

AI Article Synopsis

  • The study addresses the significant stress and tension experienced by family caregivers of hemodialysis patients, who often neglect their own needs in favor of their loved ones' requirements.
  • A new measurement tool called the Perceived Care Tension Questionnaire for Caregivers of Hemodialysis Patients (PCTQHFC) was developed through a mixed methods approach, including qualitative item creation and quantitative validation using statistical analyses.
  • The PCTQHFC demonstrated strong psychometric validity and reliability, indicating it is an effective instrument for identifying caregiver tensions, paving the way for targeted interventions by health professionals and policymakers.

Article Abstract

Background: The complex, multifaceted care environment and the threatening situation of caring for hemodialysis patients cause tension in their family caregivers. Due to the severe tension, family caregivers are likely to ignore their basic needs and only pay attention to the patient's needs and related issues. This study was conducted with the aim of designing and evaluating the Perceived Care tension Questionnaire for Caregivers of Hemodialysis Patients (PCTQHFC).

Materials And Methods: The present study was a sequential exploratory mixed methods study of scale development variant conducted in two phases: qualitative and quantitative. This study was conducted in 2019 in Shahrekord. The qualitative phase included item development and scale development. In the quantitative phase (Item Analysis), the validation characteristics of the tool were examined using face, content and construct validity, and its reliability by internal consistency and stability. Findings were performed using software SPSS 18.

Results: Principal components analysis with orthogonal rotation to generate factors, showed that five factors, namely emotional exhaustion, inadequate social support, care burden, confusion and ambiguity and lack of adaptability skills had an eigenvalue of higher than 1, so that they explained, respectively, 75.98%, 61.36%, 72.49%, 76.33%, and 70.31% of the total variance. The internal consistency was obtained 0.811 and the inter-class correlation coefficient for the whole instrument 0.832.

Conclusion: PCTQHFC is a culturally appropriate measure with strong psychometric properties. The instrument designed in this study measures the care tension of hemodialysis patients. Therefore, researchers, health-care providers, and community health policymakers can plan and implement interventions to reduce the tension of caregivers of hemodialysis patients by analyzing and identifying the tensions of caregivers.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8826871PMC
http://dx.doi.org/10.4103/jehp.jehp_1505_20DOI Listing

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