Clinical Nursing
Revision and reliability and validity testing of the Arteriovenous Fistula Assessment Scale
Miao Jinhong, Cai Ruoyu, Lei Yutian, Wang Xiaoxing, Wang Kankan, Zhang Xiaoya
Published 2023-09-21
Cite as Chin J Prac Nurs, 2023, 39(27): 2127-2132. DOI: 10.3760/cma.j.cn211501-20220919-02931
Abstract
ObjectiveTo translate and revise the Arteriovenous Fistula Assessment Scale (AVF-AS), test the reliability and validity of the Chinese version of AVF-AS.
MethodsThe modified Brislin translation model was used to translate, back translate and cross culture adjust AVF-AS, forming the Chinese version of AVF-AS. Using the convenient sampling method, 220 hemodialysis patients from the First Affiliated Hospital of Zhengzhou University were selected for investigation from July to September 2022. Two weeks later, 30 patients were randomly selected for retesting. The valid data were used for project analysis and reliability and validity evaluation.
ResultsThe Chinese version of AVF-AS consisted of 3 factors and 18 items. Consistency level between evaluators was 0.94, the item level content validity index was 0.83-1.00, average scale level content validity index was 0.94, and the calibration validity was 0.68.Three common factors(autogenous arteriovenous fistula blood flow, stenosis and ischemia, puncture location) were extracted from exploratory factors, and the cumulative variance contribution rate was 75.255%. The total scale's Cronbach α was 0.946, the half reliability of each dimension was 0.826 - 0.898, and the test-retest reliability was 0.907.
ConclusionsThe Chinese version of AVF-AS has good reliability and validity, and can be used as an effective tool to evaluate the autogenous arteriovenous fistula functional status of hemodialysis patients in China.
Key words:
Arteriovenous fistula; Maintenance hemodialysis; Scale; Reliability; Validity
Contributor Information
Miao Jinhong
Quality Control Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Cai Ruoyu
Blood Purification Centre, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Lei Yutian
Blood Purification Centre, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Wang Xiaoxing
Blood Purification Centre, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Wang Kankan
Department of Rheumatic Immunology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhang Xiaoya
Blood Purification Centre, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China