The Turkish Version of the Haemodialysis Self‐Management Instrument: A Study of Validity and Reliability
Makaleler > Tam Makale · 2025
Yazarlar: Sevda Tüzün Özdemir, Öznur USTA YEŞİLBALKAN
International Journal of Nursing Practice, Uluslararası, Wos, 2025, cilt 31, ss e70058-e70058
DOI: 10.1111/ijn.70058
Özet
AIM: This study aims to adapt the 'Hemodialysis Self-Management Instrument (HDSMI-18)' to Turkish culture, and evaluate its psychometric properties. BACKGROUND: Self-management plays a critical role in improving patients' adherence to treatment and quality of life; however, self-management assessment tools specific to haemodialysis patients are limited. DESIGN: The research employed a methodological design. METHODS: The data were collected with a total of 200 haemodialysis patients receiving haemodialysis treatment between 15 July and 15 August 2024. Content Validity Index, Exploratory and Confirmatory Factor Analyses, Cronbach's alpha, Test-retest reliability and item-total score correlation were used in data analysis. RESULTS: The original HDSMI-18 consists of 18 items and four subdimensions (partnership, self-care, problem-solving, emotional management). However, the Turkish version of HDSMI-18 (HDSMI) comprises 17 items and introduces an additional fifth subdimension, 'self-control', alongside the four original subdimensions. The five-factor structure of the HDSMI demonstrated acceptable internal consistency and reliability. The scale's overall Cronbach's α coefficient was determined to be 0.77, with subscale coefficients ranging from 0.63 to 0.83. CONCLUSION: The HDSMI is a valid and reliable tool for assessing self-management behaviours among haemodialysis patients in the Turkish population.