Wound Management and Prevention, cilt.70, sa.2, ss.1-13, 2024 (SCI-Expanded)
Background:
Living with an ostomy is a chronic condition, and self-care in such cases
improves patient outcomes.
Purpose: To adapt
and test the psychometric properties of the Turkish version of the Ostomy
Self-Care Index (T-OSCI) and the Turkish version of the Caregiver Contribution
to Self-Care in Ostomy Patient Index (T-CC-OSCI).
Methods: A
psychometric study was conducted on a convenience sample of 202 adult patients
with an ostomy and their 165 caregivers. Translation and back translation, face
and content validity, construct validation, and reliability assessment of the
T-OSCI and the T-CC-OSCI were performed. Exploratory factor analysis was used
to evaluate the construct validity. Reliability was established using Cronbach
α coefficients, ceiling and floor effects, and the Hotelling T test, Wilcoxon
signed rank test, and intraclass correlation coefficient.
Results: Content
validity values were in the range of 0.85 to 1 for both the T-OSCI and the
T-CC-OSCI. Exploratory factor analysis demonstrated generally acceptable factor
loadings. The overall index revealed a high level of internal consistency
(T-OSCI = 0.968, T-CC-OSCI = 0.862). No statistically significant difference
was found between test-retest measurements. There was no indication of either
ceiling or floor effects, or response bias.
Conclusion: The
T-OSCI and the T-CC-OSCI are valid and reliable indexes to measure the
self-care of patients with an ostomy and their caregivers. These indexes may allow
health care professionals to evaluate self-care in research and clinical
settings, identify educational needs, and collaborate in developing and
supporting appropriate self-care initiatives for patients with an ostomy and
their caregivers.