Development of the Self-Management Behavioral Scale of Hemodialysis Patient to Evaluate its Reliability and Validity

Abstract

The objective of this study was to develop the self-management behavioral scale of hemodialysis patient and to study its reliability and validity. In August 2003, we investigated in 133 patients that consent was obtained, among hemodialysis patients in maintenance phase who go to a dialysis hospital in A city.
The number of valid response was 129 patients (87 male and 42 female), and age was 59±11 years (mean±SD). After item selection was performed depending on response bias and answer deficiency, a factor analysis performed in these items extracted three factors which are 22 items of first factor "compliance of diet therapy and water restriction", 5 items of second factor "management of therapeutic measure and prevention of complication", and 6 items of third factor "adjustment of physical and psychosocial life". Cronbach's α for each factors was from 0.687 to 0.922, and scale in general was 0.919. In addition, each factors and scale in general was significantly correlated with preventive health behavior scale.
The self-management behavioral scale of hemodialysis patient was almost recognized about reliability and validity. Hereafter the scale will be utilized for assessment index of nursing care to promote patient self-management in diet and daily life.