Abstract
ABSTRACTObjective:to construct and validate the contents of the Self-care Assessment instrument for patients with type 2 diabetes mellitus. Method:methodological study, based on Orem's General Theory of Nursing. The empirical categories and the items of the instrument were elucidated through a focus group. The content validation process was performed by seven specialists and the semantic analysis by 14 patients. The Content Validity Indices of the items, ≥0.78, and of the scale, ≥0.90, were considered excellent. Results:the instrument contains 131 items in six dimensions corresponding to the health deviation self-care requisites. Regarding the maintenance, a Content Validity Index of 0.98 was obtained for the full set of items, and, regarding the relevance, Content Validity Indices ≥0.80 were obtained for the majority of the assessed psychometric criteria. Conclusion:the instrument showed evidence of content validity.
Highlights
Diabetes mellitus (DM) stands out among the chronic diseases due to its high prevalence and its impact on morbidity and mortality indicators in the national[1,2] and global contexts[3]
Only C was divided into sub-dimensions
All the judges had a PhD and expertise to evaluate the construct, as evidenced by their performance of research on issues related to the construct (100%), publication of articles in indexed journals (85.7%), performance of training/specialization courses (85.7%) and recent clinical practice in the DM area (85.7%)
Summary
Diabetes mellitus (DM) stands out among the chronic diseases due to its high prevalence and its impact on morbidity and mortality indicators in the national[1,2] and global contexts[3]. The concept of selfcare in DM is related to a variety of factors, ranging from maintaining a healthy diet, self-monitoring of blood glucose, use of medications, regular physical activity, foot care, healthy coping and risk reduction[4,5]. From this perspective, the implementation of strategies aimed at the self-management of the disease and the encouragement of self-care is critical. A review study of the educational process showed positive results for the self-management of DM2 These results relate to the support provided for the self-management of the disease and the continuous monitoring in the control of blood glucose, as well as for the prevention of acute and chronic complications[6]
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