Psychometric Properties of the Self Care Oral Anticancer Agents Index (SCOAAI)

IF 2.3 4区医学 Q1 NURSING Seminars in Oncology Nursing Pub Date : 2025-04-01 Epub Date: 2025-01-24 DOI:10.1016/j.soncn.2025.151810

Marco Di Nitto , Silvia Ucciero , Tatiana Bolgeo , Vincenzo Damico , Greta Ghizzardi , Sipontina Rita Zerulo , Mario Roselli , Rosaria Alvaro , Francesco Torino , Ercole Vellone

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Abstract

Objective

To test the Self-Care Oral Anticancer Agents Index (SCOAAI)’s psychometric properties (structural validity, convergent validity, predictive validity, and internal consistency) in a sample of patients with solid tumour on Oral anticancer agents (OAA).

Methods

A methodological research in five in- or out-patient Italian facilities. Structural validity was tested by confirmatory factor analysis, and internal consistency was assessed through Cronbach's alpha and composite reliability. The Mann–Whitney U-test was used to test associations between SCOAAI scores and patient's emergency room admission, re-hospitalization, mortality, and quality of life measured three months after baseline.

Results

We enrolled 356 patients; mostly were male (52.24%), and mean age was 59.10 years. Analyses demonstrated the SCOAAI's factorial validity and internal consistency. Moreover, patients that experienced emergency room admissions (U = 3484.5; P = .002) and re-hospitalization (U = 2446.0; P = .001) showed lower self-care maintenance scores; those who experienced emergency room admission (U = 3263.5; P = .019) and died at follow-up (U = 700.5; P = .025) had lower self-care monitoring scores; while patients that experienced re-hospitalisation (U = 2931.5; P = .040) and emergency room admission (U = 3285.0; P = .012) had lower self-care management scores. Patients with adequate self-care (≥ 70) reported significantly higher quality of life (self-care maintenance U = 1228.500, P < .001; self-care monitoring U = 3512.500, P < .001; self-care management U = 3287.500, P < .001).

Conclusion

According to our findings the SCOAAI is a valid and reliable tool. Patients with inadequate self-care can experience more emergency room accesses, re-hospitalization, death, and lower quality of life.

Implications for Nursing Practice

Adequate self-care behaviors can improve patient's outcomes and should be assessed by healthcare providers during the disease pathway.

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自我保健口服抗癌药物指数（SCOAAI）的心理测量特性。

目的在使用口服抗癌药（OAA）的实体瘤患者样本中测试口服抗癌药自我护理指数（SCOAAI）的心理测量特性（结构有效性、收敛有效性、预测有效性和内部一致性）：方法：在意大利五家住院或门诊机构进行方法研究。结构有效性通过确认性因子分析进行检验，内部一致性通过克朗巴赫α和复合信度进行评估。曼-惠特尼U检验用于检验SCOAAI评分与患者急诊入院、再次住院、死亡率以及基线三个月后的生活质量之间的关系：我们共招募了 356 名患者，其中大部分为男性（52.24%），平均年龄为 59.10 岁。分析表明，SCOAAI 具有因子有效性和内部一致性。此外，经历过急诊入院（U = 3484.5；P = .002）和再次住院（U = 2446.0；P = .001）的患者自我护理维持得分较低；经历过急诊入院（U = 3263.5；P = .019) 和随访时死亡 (U = 700.5; P = .025) 的患者自我护理监测得分较低；而再次入院 (U = 2931.5; P = .040) 和急诊入院 (U = 3285.0; P = .012) 的患者自我护理管理得分较低。具有充分自我护理能力（≥ 70 分）的患者的生活质量明显更高（自我护理维持 U = 1228.500，P < .001；自我护理监测 U = 3512.500，P < .001；自我护理管理 U = 3287.500，P < .001）：根据我们的研究结果，SCOAAI 是一种有效、可靠的工具。结论：根据我们的研究结果，SCOAAI 是一种有效、可靠的工具。自我护理不足的患者可能会经历更多的急诊就诊、再次住院、死亡和生活质量下降：对护理实践的启示：适当的自我护理行为可改善患者的预后，医疗服务提供者应在疾病过程中对其进行评估。

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.