Multicenter Validation of the Emotional State Instrument for Dialysis Patient.
Fecha
01/02/2019Autor
Estado
info:eu-repo/semantics/publishedVersionMetadatos
Mostrar el registro completo del ítemResumen
Este trabajo describe el proceso de validación del instrumento ES-D, un cuestionario semiestructurado para evaluar malestar emocional en pacientes renales en diálisis. BACKGROUND:
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.
OBJECTIVE:
The aim of the current multicenter study was to explore the ES-D's psychometric properties.
METHODS:
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.
RESULTS:
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.
CONCLUSIONS:
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.
Multicenter Validation of the Emotional State Instrument for Dialysis Patient.
Tipo de Actividad
Artículos en revistasISSN
0029-6562Palabras Clave
ansiedad, evaluación, enfermedad renal crónica, depresión, diálisis, malestar emocional, hemodiálisis, entrevista, enfermería, cuidados de enfermería, psicometría, cuestionarioanxiety, assessment, chronic kidney disease, depression, dialysis, emotional distress, hemodialysis,interviews, nursing, nursing care, psychometrics, questionnaire