Development of a scale for assessment of patient comfort after hip replacement

Abstract

<p>Session presented on Sunday, July 24, 2016:</p> <p><strong>Purpose:</strong> The aim of this study is the development of a "Hip Replacement Comfort Scale" and to analyze the validity and reliability of the scale.</p> <p><strong>Methods:</strong> This study was conducted as a methodological study to develop a new scale to assess patient comfort after hip replacement. This study was conducted in three stages. First stage is item development, second stage is trial application and third stage is psychometric analysis. In the first stage literature was reviewed, individual interviews held and expert opinion was received. In the second stage one hundred and eighty patients from three training and research hospital who underwent hip replacement surgery were voluntarily included in this study. In this stage, data collection forms for demographics and surgery, the "Hip Replacement Comfort Scale," and the "General Comfort Scale" were used. In the third stage after item analysis internal consistency and test re-test analyses were made for reliability. The scale's validity was evaluated with scope, surface, criterion and construct validity analysis.</p> <p><strong>Results:</strong> One hundred and twenty three (68.3 %) women participated in the study. The participants' average age was 59.63 and 125 (69.4%) of them was married. In the first stage forty three items were developed and thirty six items left after expert opinion. In the second stage trial application was held and in the third stage; reliability and validity analysis made after item analysis. Cronbach's alpha value was calculated as 0.758, a significant positive correlation was found between test and re-test, and the scale was considered valid by the scope, surface, and criterion analysis, indicating that the scale is reliable and can be used in the field. There are 26 items in the final scale, which uses averaged scale scores from 1 to 5. In our study, the average patient comfort score was 3.64-0.43.</p> <p><strong>Conclusion:</strong> The 'Hip Replacement Comfort Scale' is recommended for evaluating patients' comfort after hip replacement surgery and examining the effects of nursing interventions on patients' comfort.</p>