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http://dx.doi.org/10.12799/jkachn.2021.32.4.415

Development of the Self-Care Non-adherence Risk Assessment Scale for Patients with Chronic Illness  

Jo, Mirae (Department of Nursing, Baekseok Culture University)
Oh, Heeyoung (College of Nursing, Eulji University)
Publication Information
Research in Community and Public Health Nursing / v.32, no.4, 2021 , pp. 415-429 More about this Journal
Abstract
Purpose: The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea. Methods: This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Cronbach's α, and intra-class correlation coefficient. Results: The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's α of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.
Keywords
Chronic disease; Self care; Psychometrics; Factor analysis, statistical; Validation study;
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