Development of the Discharge Readiness Scale for Patients with Chronic Skin Wounds and its reliability and validity testing
10.3760/cma.j.cn115682-20250412-01882
- VernacularTitle:皮肤慢性创面患者出院准备度量表的编制及信效度检验
- Author:
Yanzi ZHAO
1
;
Yaqi SUN
;
Lijuan SHI
Author Information
1. 上海健康医学院附属崇明医院创面修复科，上海 202150
- Publication Type:Journal Article
- Keywords:
Skin;
Chronic wound;
Readiness for discharge;
Scales;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2025;31(35):4798-4803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop the Discharge Readiness Scale for Patients with Chronic Skin Wounds and evaluate its reliability and validity.Methods:The Discharge Readiness Scale for Patients with Chronic Skin Wounds was developed through literature review, semi-structured interviews, Delphi expert consultation, and a pre-survey. Convenience sampling was employed to select 320 patients with chronic skin wounds hospitalized at Chongming Hospital, Shanghai University of Medicine and Health Sciences and Qingdao Municipal Hospital from June 2023 to December 2024 for formal investigation, conducting scale reliability and validity analysis. The critical ratio method and correlation coefficient method were used for project analysis. Content validity of the scale was assessed using item-level content validity index and average scale-level content validity index, and construct validity was evaluated through exploratory factor analysis and confirmatory factor analysis. Reliability analysis employed Cronbach's α coefficient.Results:A total of 320 questionnaires were distributed, and 304 valid questionnaires were collected, with a valid response rate of 95.0%. The average scale-level content validity index was 0.91, and the item-level content validity index ranged from 0.80 to 1.00. Exploratory factor analysis revealed that the cumulative variance contribution rate of the five common factors was 67.483%. The overall Cronbach's α coefficient for the scale was 0.831. The final constructed scale comprised five dimensions of trajectory stage cognition, wound self-care skills, symptom management, psychosocial adaptation, and health information acquisition and resource utilization, with a total of 26 items.Conclusions:The Discharge Readiness Scale for Patients with Chronic Skin Wounds demonstrates good reliability and validity, providing clinical healthcare professionals with a standardized assessment tool.
