Multicenter Validation of the Emotional State Instrument for Dialysis Patients
| Autor: | Gloria del Peso, Rocío Rodríguez-Rey, Helena García-Llana, María Paz Ruiz-Álvarez, Rafael Selgas, Alicia Gómez-Gómez |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics Servicio de salud Cross-sectional study medicine.medical_treatment Dialysis patients Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine Emotional distress Surveys and Questionnaires Enfermos renales Humans Medicine In patient Affective Symptoms 030212 general & internal medicine Renal Insufficiency Chronic General Nursing Dialysis Aged 030504 nursing business.industry Método de evaluación Paciente Middle Aged Resilience Psychological Translating Cross-Sectional Studies ROC Curve Médicos y pacientes Multicenter study Spain Quality of Life Physical therapy Female 0305 other medical science business Healthcare providers |
| Zdroj: | Nursing Research. 68:39-47 |
| ISSN: | 1538-9847 0029-6562 |
| DOI: | 10.1097/nnr.0000000000000321 |
| Popis: | The Emotional State Instrument for Dialysis Patients (ES-D) is a brief semistructured questionnaire to assess emotional distress in patients undergoing dialysis. It was designed to be administered by a healthcare provider. A previous study showed preliminary indicators of its content and face validity.The aim of the current multicenter study was to explore the ES-D's psychometric properties.A total of 605 patients with kidney disease undergoing dialysis (524 hemodialysis and 81 peritoneal dialysis) in 19 Spanish dialysis centers completed the ES-D, along with anxiety, depression (Hospital Anxiety and Depression Scale), and resilience (Brief Resilience Scale) questionnaires. The 75 healthcare providers who performed the assessments completed a satisfaction survey.The ES-D showed adequate internal consistency (α = .73). Correlations between the ES-D scores and the scores for anxiety, depression, and resilience showed evidence of its convergent and concurrent validity. The receiver operating characteristic curve analyses showed that a cutoff of nine detected patients with moderate-to-severe emotional distress. According to these criteria, 35.4% of patients showed emotional distress. No significant differences were found between patients undergoing hemodialysis and peritoneal dialysis. The healthcare providers perceived the ES-D as useful for knowing the patients' emotional state, understanding patients' concerns, and establishing therapeutic relationships.The ES-D is a useful tool for healthcare providers to explore the emotional dimension of their patients. Thus, its development represents a step forward in the improvement of comprehensive assistance and the quality of life of patients with kidney disease undergoing dialysis. |
| Databáze: | OpenAIRE |
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