Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1401
1
1
gregorian
2022
4
1
28
1
online
1
fulltext
fa
بررسی ویژگیهای روانسنجی مقیاس فعالیت فیزیکی دوک در بیماران مبتلا به نارسایی قلبی
The study of psychometric properties of the DASI in patients with heart failure
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">یک جنبه اصلی کیفیت زندگی در بیماران مبتلا به نارسایی قلبی، توانایی انجام فعالیتهای روزانه است. </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">در این راستا یکی از ابزارهای بررسی ظرفیت عملکردی شناخته شده؛ مقیاس فعالیت فیزیکی دوک</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">است. لذا مطالعه حاضر با هدف تعیین ویژگیهای روانسنجی مقیاس فعالیت فیزیکی دوک در بیماران مبتلا به نارسایی قلب انجام گرفته است</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">در این مطالعه </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">روششناسی</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">تعداد 120 بیمار مبتلا به نارسایی قلبی مراجعهکننده به کلینیک قلب بیمارستان افشار شهر یزد در سال 1397 به صورت نمونهگیری در دسترس وارد مطالعه شدند. نسخه اصلی مقیاس فعالیت فیزیکی دوک به روش استاندارد «</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">ترجمه وارون»</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal"> به فارسی ترجمه و روایی صوری، محتوایی، ملاکی، سازه و پایایی بررسی شد</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">: </span></span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">در بررسی روایی محتوا به شیوه کمی، شاخص روایی محتوا و نسبت روایی محتوا تأیید شد. </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">روایی ملاکی با استفاده از ضریب همبستگی اسپیرمن بین نمرات حاصل از طبقهبندی عملکردی انجمن قلب نیویورک و امتیاز حاصل از مقیاس فعالیت فیزیکی دوک با همبستگی معناداری (77/0-=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">r</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal"> ، 001/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">) تأیید شد. در بررسی روایی سازه</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">، تحلیل عاملی 2 عامل را شناسایی نمود که عامل 1 شامل گویههای دارای میزان سوخت و ساز</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal"> بالا و عامل 2 دارای گویههای با </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">سوخت و ساز</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal"> پایین بود و این دو عامل </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"><span style="font-weight:normal">61/52% واریانس کل را تبیین کردند. پایایی کل ابزار با استفاده ضریب آلفای کرونباخ 81/0 به دست آمد</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">.</span></span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="font-weight:normal">مقیاس فعالیت فیزیکی دوک از روایی و پایایی مناسبی برخوردار است و با توجه به ویژگیهای روانسنجی مناسب آن، میتوان از این مقیاس برای بررسی وضعیت عملکردی بیماران مبتلا به نارسایی قلبی استفاده نمود</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">.</span></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="font-weight:normal"></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim: </span></span></span><span style="font-size:10.0pt"><span style="font-weight:normal">Performing daily activities is a major element of quality of life in heart failure patients. The Duke Activity Status Index (DASI) is a tool to measure factional </span></span><span style="font-size:10.0pt"><span style="font-weight:normal">capacity</span></span><span style="font-size:10.0pt"><span style="font-weight:normal">. We aimed to examine the psychometric properties of the DASI in patients with heart failure</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials: </span></span></span><span style="font-size:10.0pt"><span style="font-weight:normal">In this methodological study using convenience sampling, we included 120 patients with heart failure referred to the heart clinic of Afshar hospital, Yazd in 2018. We first translated the original DASI to Farsi using forward and backward translation method. Then, we evaluated its face validity, content validity, criterion-related validity, construct validity (Exploratory Factor Analysis), and reliability (internal consistency)</span></span><span style="font-size:10.0pt"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results: </span></span></span></span><span style="font-size:10.0pt"><span style="font-weight:normal">In quantitative content validity, the content validity index and content validity ratio were confirmed. The criterion-related validity was confirmed using the Spearman correlation coefficient between the New York Heart Association functional classification scores and the DASI score (r=-0.77, <i>P</i><0.001) with a significant correlation. To assess construct validity, exploratory factor analysis revealed two factors, explaining 52.61% of the total variance. Factor 1 included items with high MET values and factor 2 included those with low MET values. The reliability of the DASI was determined using the Cronbach’s alpha coefficient that was 0.81</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="font-weight:normal">.</span></span></span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion: </span></span></span></span><span style="font-size:10.0pt"><span style="font-weight:normal">The DASI is of good validity and reliability</span></span> <span style="font-size:10.0pt"><span style="font-weight:normal">and due to its appropriate psychometric properties, this tool can be used to evaluate the functional status of patients with heart failure</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="color:black"></span></span></span></span></span></span></span></span><br>
مقیاس فعالیت فیزیکی دوک, نارسایی قلبی, روانسنجی
duke activity status index, heart failure, psychometrics
43
58
http://hayat.tums.ac.ir/browse.php?a_code=A-10-891-6&slc_lang=fa&sid=1
Fatemeh
Omrani
فاطمه
عمرانی