Development and application of a Fear of Movement Assessment Scale for patients with peripherally inserted central catheters
10.3761/j.issn.0254-1769.2025.09.012
- VernacularTitle:PICC置管患者运动恐惧评估量表的编制及应用
- Author:
Ziwei LI
1
;
Lijuan FENG
;
Xusheng CHEN
;
Yi HUANG
;
Jie YANG
Author Information
1. 430030 武汉市 华中科技大学同济医学院附属同济医院护理部
- Publication Type:Journal Article
- Keywords:
Peripherally Inserted Central Catheter;
Fear of Movement;
Scale;
Reliability;
Validity;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1099-1106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop and test the reliability and validity of a Fear of Movement Assessment Scale for patients with peripherally inserted central catheters(PICC),and to make a preliminary application.The aim is to provide an effective tool for nurses to accurately assess the level of fear of movement in patients with PICC and to develop targeted interventions.Methods Based on the psychological imagination belief model,the initial version of the scale was formed through literature review,semi-structured interviews,expert correspondence and a pre-survey.From February to April 2024,211 patients with PICCs were recruited from a tertiary hospital in Wuhan by convenience sampling for project analysis and reliability and validity test.From May to July 2024,256 patients with PICCs from 3 tertiary hospitals in Wuhan were selected by convenience sampling method for further validating the structural validity of the scale and for preliminary application.Results A total of 203 valid questionnaires were collected in February to April 2024,228 valid questionnaires were collected in May to July 2024.The fear of movement assessment scale for patients included 4 dimensions,including the perception of risk,belief of fear,avoidance of movement,and dysfunction,with a total of 17 items.The Cronbach's α coefficient was 0.922;the split-half reliability was 0.867;the test-retest reliability was 0.958.The content validity index at the item level was 0.867～1.000,and the content validity index at the scale level was 0.951.Both exploratory factor analysis and parallel analysis extracted 4 factors.The cumulative variance contribution rate was 61.348％.Confirmatory factor analysis showed that the model fitted well.The preliminary application results showed that the score of fear of movement in patients with PICCs was 53.95±11.08,which was moderately high.Conclusion The Fear of Movement Assessment Scale for patients with PICCs has good measurement properties,and can be used to assess the degree of fear of movement in patients with PICCs.
