| Budget Amount *help |
¥2,140,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2006: ¥1,100,000 (Direct Cost: ¥1,100,000)
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| Research Abstract |
The purpose of this study was to develop a scale for measuring the self-care agency for symptom management of patients receiving cancer pain treatment, and to examine the reliability and validity of the scale. This research was based on the models of self-care proposed by Orem. A draft of the scale was developed on the basis of interviews with cancer patients, nurses, and literature review. A pilot test and a pretest were conducted to clarify the subscale and extract question items. The scale comprised 50 items. This study was conducted with the approval of the relevant hospitals and the Research Ethics Committee of the University of Hyogo, College of Nursing Art & Science.
Subjects were receiving inpatient or outpatient medication treatment in hospitals in western Japan. Self-administered questionnaires were collected by mail. SPSS ver14 was used to analyze data. Questionnaires were distributed to subjects in 21 hospitals. A total of 260 questionnaires were returned (recovery rate: 58.
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0%), of which 251 were usable.
Reliability coefficient was calculated from scale and subscale scores; internal consistency was examined by Cronbach's a. The reliability coefficient (Cronbach's a) for this scale was 0.93. A questionnaire for assessing the self-care agency of late middle-aged patients with chronic diseases (revised version of SCAQ) was used as an external criterion. The correlation between SCAQ and the present scale was medium (r=.58, p<.001); the validity of this scale was confirmed. Construct validity was evaluated using factor analyses. Factor analyses identified 7 constructs, and factor validity was confirmed.
As detailed above, the reliability and validity of the 45-Question Scale for the Measurement of Self-care agency for Cancer Pain Management were supported, although some challenges remain. This scale is expected to provide nurses and/or patients' families with information for assessing self-care agency in pain management of patients receiving treatment of cancer pain. Less
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