Sternotomi skarına bağlı beden algısı ölçeğinin geliştirilmesi
Abstract
Bu araştırma, sternotomi skarına bağlı beden algısı ölçeğinin geliştirilmesi amacıyla yapılmıştır. Metodolojik nitelikteki bu araştırmanın evrenini İstanbul ili Anadolu yakasında bulunan bir üniversitenin Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi'nde sternotomi ile ameliyat olan hastalar, örneklemini ise aynı üniversitenin 23 Aralık 2020–23 Haziran 2021 tarihleri arasında polikliniğe kontrole gelen, ameliyatın üzerinden en az 3 ay geçmiş sternotomi skarı olan 150 hasta oluşturmuştur. Araştırma verilerinin toplanmasında Hasta Tanıtım Formu ve Sternotomi Skarına Bağlı Beden Algısı Ölçeği kullanılmıştır. Verilerin analizleri IBM SPSS Statistics V25.0 ve IBM AMOS istatistik paket programları kullanılarak değerlendirilmiştir. Araştırma verilerinin değerlendirilmesinde tanımlayıcı istatistikler, içerik analizi için uzman görüşü alınmış olup yapı geçerliliği için açıklayıcı ve doğrulayıcı faktör analizi yapılmıştır. Ölçeğin dil ifade uygunluğu 0,965, içerik uygunluğu 0,961 olarak bulunmuştur. Açıklayıcı faktör analizi sonucuna göre; ölçeğin KMO değeri 0,810 ve Bartlett'in küresellik testi değerleri Χ²=1980,9, p<0,001'dir. Ölçeğin toplamda açıkladığı varyans değeri %58,350 olarak hesaplanmış ve 23 maddeden oluşan 4 faktörlü yapı elde edilmiştir. Ölçekteki tüm maddelerin toplam korelasyon değerleri 0,20'nin üstünde, Ölçeğin toplam iç tutarlılığının değerlendirilmesinde Cronbach's Alpha kat sayısı 0,868, test tekrar test puanları r=0,810;p<0,001 ve r=0,998; p<0,001 arasındadır. Doğrulayıcı faktör analizine göre Χ2/df =1,681, RMSEA=0,068, NFI=0,842, CFI=0,923 değeri hesaplanmış ve ölçeğin iyi uyum gösterdiği sonucu elde dilmiştir. Bu araştırmada Sternotomi Skarına Bağlı Beden Algısı Ölçeği bireylerin sternotomi skarına bağlı beden algısı düzeyini ölçecek geçerli ve güvenilir ölçek olduğu sonucuna ulaşılmıştır. Ölçek sternotomi skarı olan bireylerin beden algısını değerlendirmede kullanılabilir.
This research was conducted to develop the scale of body image due to sternotomy scar. The population of this methodological study was the patients who underwent sternotomy surgery at the Thoracic and Cardiovascular Surgery Training and Research Hospital of a university located on the Anatolian side of Istanbul, and the sample consisted of the patients who came to the outpatient clinic of the same university between 23 December 2020 and 23 June 2021, at least after the operation. It consisted of 150 patients with sternotomy scar after 3 months. Patient Description Form and Body Perception Scale Due to Sternotomy Scar were used to collect the research data. Data analyzes were evaluated using IBM SPSS Statistics V25.0 and IBM AMOS statistical package programs. In the evaluation of the research data, descriptive statistics, expert opinion for content analysis, and explanatory and confirmatory factor analysis were performed for construct validity. The language expression suitability of the scale was 0.965, and the content suitability was 0.961. According to the exploratory factor analysis result; KMO value of the scale is 0.810 and Bartlett's sphericity test values are Χ²=1980.9, p<0.001. The total variance explained by the scale was calculated as 58.350% and a 4-factor structure consisting of 23 items was obtained. The total correlation values of all items in the scale were above 0.20, Cronbach's Alpha coefficient was 0.868 in the evaluation of the total internal consistency of the scale, test-retest scores were r=0.810, p<0.001 and r=0.998; p<0.001. According to the confirmatory factor analysis, Χ2/df = 1.681, RMSEA = 0.068, NFI = 0.842, CFI = 0.923 values were calculated and the result was that the scale showed good fit. In this research, it was concluded that the Body Perception Scale Due to Sternotomy Scar is a valid and reliable scale to measure the body image level of individuals due to sternotomy scar. The scale can be used to evaluate the body image of individuals with sternotomy scars.
This research was conducted to develop the scale of body image due to sternotomy scar. The population of this methodological study was the patients who underwent sternotomy surgery at the Thoracic and Cardiovascular Surgery Training and Research Hospital of a university located on the Anatolian side of Istanbul, and the sample consisted of the patients who came to the outpatient clinic of the same university between 23 December 2020 and 23 June 2021, at least after the operation. It consisted of 150 patients with sternotomy scar after 3 months. Patient Description Form and Body Perception Scale Due to Sternotomy Scar were used to collect the research data. Data analyzes were evaluated using IBM SPSS Statistics V25.0 and IBM AMOS statistical package programs. In the evaluation of the research data, descriptive statistics, expert opinion for content analysis, and explanatory and confirmatory factor analysis were performed for construct validity. The language expression suitability of the scale was 0.965, and the content suitability was 0.961. According to the exploratory factor analysis result; KMO value of the scale is 0.810 and Bartlett's sphericity test values are Χ²=1980.9, p<0.001. The total variance explained by the scale was calculated as 58.350% and a 4-factor structure consisting of 23 items was obtained. The total correlation values of all items in the scale were above 0.20, Cronbach's Alpha coefficient was 0.868 in the evaluation of the total internal consistency of the scale, test-retest scores were r=0.810, p<0.001 and r=0.998; p<0.001. According to the confirmatory factor analysis, Χ2/df = 1.681, RMSEA = 0.068, NFI = 0.842, CFI = 0.923 values were calculated and the result was that the scale showed good fit. In this research, it was concluded that the Body Perception Scale Due to Sternotomy Scar is a valid and reliable scale to measure the body image level of individuals due to sternotomy scar. The scale can be used to evaluate the body image of individuals with sternotomy scars.
Description
Keywords
Hemşirelik, Nursing