title: Development and Testing of Self-Management Scale for PD Patients.
abstract: OBJECTIVE
  To develop and evaluate the self-management scale for peritoneal dialysis (PD) patients.
  
  
  METHODS
  The item pool was formulated based on literature reviews and in-depth interviews. An initial scale containing five factors and 44 items was constructed through two rounds of Delphi expert consultation and a preliminary test. A total of 313 PD patients from the Jiangsu-Zhejiang-Shanghai area were surveyed to test the reliability and validity of the scale.
  
  
  RESULTS
  Five factors, namely solution bag replacement, troubleshooting during operation, diet management, complication monitoring, emotion management and return to social life, were extracted by exploratory factor analysis: the 28 items could explain 64.567% of the total variance; the content validity index was 0.963; the Cronbach's α coefficient and split-half coefficient were 0.926 and 0.960 respectively; and test-retest reliability was 0.937.
  
  
  CONCLUSIONS
  The scale has been proved to be a reliable and valid tool which allows PD nurses to evaluate the self-management ability of PD patients. The evaluation outcomes can serve as a basis for individualized nursing plans and interventions so as to provide highly effective nursing care.
authors.affiliation: The First Affiliated Hospital of Soochow University/School of Nursing, Soochow University, Suzhou 215006, China.
authors.forename: Xiao-hua
authors.initials: XH
authors.lastname: Wang
authors.affiliation: Jiangsu Shengze Hospital, Suzhou 215228, China.
authors.forename: Jian-hong
authors.initials: JH
authors.lastname: Pang
authors.affiliation: The First Affiliated Hospital of Soochow University/School of Nursing, Soochow University, Suzhou 215006, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Lin
authors.affiliation: School of Nursing, Soochow University, Suzhou 215006, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Jiang
authors.affiliation: School of Nursing, Soochow University, Suzhou 215006, China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
authors.forename: Guo-yuan
authors.initials: GY
authors.lastname: Lu
authors.affiliation: Department of Nephrology, The 6th People's Hospital affiliated to Shanghai Jiaotong University, Shanghai 200233, China.
authors.forename: Nian-song
authors.initials: NS
authors.lastname: Wang
mesh_terms: D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D015203:Reproducibility of Results; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: PD; reliability; self-management; validity