Study of an Assessment Tool for Social Care Needs of Terminal Patients at Home and its reliability and validity
10.3761/j.issn.0254-1769.2025.01.014
- VernacularTitle:终末期患者居家社会照护需求评估工具的构建及信效度检验
- Author:
Yao XIAO
1
;
Xiaotian ZHANG
;
Yongting WEI
;
Yinghui MA
;
Ni GONG
;
Jing YANG
;
Zishen WANG
;
Peng YUE
Author Information
1. 100069 北京市 首都医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Home;
Terminal Period;
Social Care;
Needs;
Assessment Tool;
Reliability and Validity;
Palliative Care
- From:
Chinese Journal of Nursing
2025;60(1):99-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective A Social Care Needs Assessment Tool for Terminal Patients at Home is constructed and tested for its reliability and validity.Methods In view of the Social Ecosystem Theoiy,based on the semi-structured interviews,participatory observation and literature analysis of the social care needs of terminal patients at home,a questionnaire item pool was formed.Through 3 rounds of Delphi expert consultations,the initial version of the tool was formed.From April to December 2023,a convenient sampling method was used to select 504 terminal patients from 22 hospitals in 5 provinces as the research subjects.The reliability and validity of the tool were tested.Result The constructed tool in this study contained 3 dimensions:micro,meso,macro,with a total of 34 items.Cronbach's α of the tool was 0.966 and split-half reliability was 0.877;I-CVI at the item level was 0.875～1.000 and S-CVI/Ave was 0.989;the exploratory factor analysis results showed that the factors load of each dimension were greater than 0.4;the results of confirmatory factor analysis showed that the tool had good fitting degree.Conclusion The reliability and validity of the nursing-based social care needs assessment tool for terminal patients at home constructed in this study are good,and it can provide a valid tool for healthcare professionals to assess the home-based social care needs of terminal patients.
