Development and preliminary application of the Treatment Burden Scale for patients with chronic heart failure
10.3761/j.issn.0254-1769.2025.16.004
- VernacularTitle:慢性心力衰竭患者治疗负担量表的编制及信效度检验
- Author:
Mengqi MA
1
;
Xiaohong ZHANG
;
Hong HE
;
Wenjing ZHANG
;
Jianzhi LI
Author Information
1. 441021 湖北省襄阳市湖北文理学院附属医院襄阳市中心医院心血管内科CCU
- Publication Type:Journal Article
- Keywords:
Chronic Heart Failure;
Treatment Burden;
Scale;
Reliability;
Validity;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(16):1948-1954
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a Treatment Burden Scale for patients with chronic heart failure(CHF)and evaluate its reliability and validity,aiming to provide an effective tool for assessing treatment burden levels in this population.Methods According to Cumulative Complexity Model,the study was conducted in 2 phases.A preliminary item pool was established through literature review and semi-structured interviews,from August 2022 to March 2023,followed by expert consultation to finalize the initial scale.A convenience sample of CHF patients from 4 tertiary A hospitals in Hunan and Hubei provinces was conducted to refine scale items and assess psychometric properties,from June 2023 to April 2024.Results The final scale contained 26 items.Exploratory factor analysis revealed 6 domains,including family financial support burden,healthcare utilization burden,the challenges patients face in acquiring knowledge about proper medication use and water/sodium dietary management,the behavioral burden associated with tracking daily water/sodium intake and symptom patterns,psychological burden,and medication management burden,cumulatively explaining 68.661％of variance.Confirmatory factor analysis demonstrated satisfactory model fit;the x2/df was 2.076;the root mean square error of approximation was 0.070;the normed fit index was 0.912;the content validity score was 0.974.The total Cronbach's α coefficient of the scale was 0.903;the split-half reliability was 0.785;the test-retest reliability was 0.936.Conclusion The Treatment Burden Scale for CHF patients developed in this study has good reliability and validity psychometric properties,and it can be used to evaluate treatment burden levels and influencing factors in clinical practice.
