BMJ open · 2026
Development and validation of the Good Limb Position Management Scale for Stroke Patients with Hemiplegia by Nurses: a cross-sectional study.
СтатьяВалидационное исследованиеМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Leng Minmin, Dong Yan, Liu Bei, Zhang Xinyue, Ji Xiaoxu, Sun Fangfang, Li Min, Yang Lijuan, Chen Xia
Аннотация
BACKGROUND: A good limb position (GLP) plays an important role in the rehabilitation process of patients who have had a stroke with hemiplegia. However, there remains a lack of effective assessment tools for clinical nurses to evaluate their GLP management practices.
OBJECTIVE: This study aimed to develop and test the psychometric properties of the Good Limb Position Management Scale for Stroke Patients with Hemiplegia by Nurses (GLPMSSPHN).
DESIGN: A quantitative and cross-sectional design.
SETTING: 89 hospitals in 16 cities of China.
PARTICIPANTS: A total of 516 participants completed the questionnaire and were finally used for the analyses.
MAIN OUTCOME MEASURES: An initial scale was developed based on the Capability, Opportunity and Motivation-Behaviour model combined with a comprehensive literature review, semi-structured interviews, Delphi expert consultations and a pilot test. A field survey was then performed using the initial scale to test the reliability and validity of the scale. Reliability analysis was conducted by calculating Cronbach's α coefficients and test-retest reliability. The results of exploratory factor analysis and confirmatory factor analysis were used as the validity index to further verify the model structure of the scale and develop a formal scale.
RESULTS: The GLPMSSPHN was formulated with 4 dimensions and 35 items. Exploratory factor analysis extracted four factors, with a cumulative variance contribution rate of 81.842%, and confirmatory factor analysis indicated that the scale had good construct validity. The Cronbach's α coefficient of the scale was 0.978, and the test-retest reliability was 0.863.
CONCLUSIONS: The GLPMSSPHN has ideal reliability and validity and provides a valid and reliable tool for clinical nurses to identify and assess the management level of GLP in patients who have had a stroke with hemiplegia.
OBJECTIVE: This study aimed to develop and test the psychometric properties of the Good Limb Position Management Scale for Stroke Patients with Hemiplegia by Nurses (GLPMSSPHN).
DESIGN: A quantitative and cross-sectional design.
SETTING: 89 hospitals in 16 cities of China.
PARTICIPANTS: A total of 516 participants completed the questionnaire and were finally used for the analyses.
MAIN OUTCOME MEASURES: An initial scale was developed based on the Capability, Opportunity and Motivation-Behaviour model combined with a comprehensive literature review, semi-structured interviews, Delphi expert consultations and a pilot test. A field survey was then performed using the initial scale to test the reliability and validity of the scale. Reliability analysis was conducted by calculating Cronbach's α coefficients and test-retest reliability. The results of exploratory factor analysis and confirmatory factor analysis were used as the validity index to further verify the model structure of the scale and develop a formal scale.
RESULTS: The GLPMSSPHN was formulated with 4 dimensions and 35 items. Exploratory factor analysis extracted four factors, with a cumulative variance contribution rate of 81.842%, and confirmatory factor analysis indicated that the scale had good construct validity. The Cronbach's α coefficient of the scale was 0.978, and the test-retest reliability was 0.863.
CONCLUSIONS: The GLPMSSPHN has ideal reliability and validity and provides a valid and reliable tool for clinical nurses to identify and assess the management level of GLP in patients who have had a stroke with hemiplegia.