Escala de conocimientos sobre úlceras de pie diabético CUPD-35elaboración y propiedades psicométricas en enfermeras de Colombia

  1. Isabel Cristina Marín Agudelo 1
  2. Pedro Luis Pancorbo Hidalgo 2
  3. Laura Parra Anguita 2
  1. 1 Universidad Católica de Oriente. Rionegro, Antioquia, Colombia
  2. 2 Universidad de Jaén. Jaén
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2024

Volume: 35

Issue: 1

Pages: 47-54

Type: Article

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More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

Introduction: Nurses play an essential role in the prevention and treatment of diabetic foot ulcers, so it is important that they are trained to achieve up-to-date knowledge. Appropriate and reliable tools to measure knowledge are useful for planning training programmes. Objective: To develop and obtain the psychometric properties of a new scale to measure nurses’ knowledge of diabetic foot ulcers prevention and treatment. Methodology: A first phase of item development and content validation by an expert panel. A second phase with a survey of a sample of 500 nurses in Colombia working in hospitals or wound clinics. Analysis using Rasch models and assessment of construct validity by a test of known groups. Results: The initial 48-item version of the scale showed adequate content validity. The survey and Rasch analysis resulted in the final version with 35 items (CUPD35) with good fit indices and high reliability (0.97). The mean knowledge score of this sample of nurses was 28.2 (80.2% of the maximum score), which means a good level of knowledge. Conclusions: The CUPD-35 scale is a reliable and valid tool for measuring knowledge of diabetic foot ulcers in Spanishspeaking nurses.

Bibliographic References

  • 1. International Working Group on the Diabetic Foot. Guías del IWGDF para la prevención y el manejo de la enfermedad de pie diabético. IWGDF; 2019. Disponible en: https://iwgdfguidelines.org/wp-content/uploads/2020/03/IWGDF-Guidelines-2019_Spanish.pdf
  • 2. González de la Torre H, Berenguer Pérez M, Mosquera Fernández A, Quintana Lorenzo ML, Sarabia Lavín R, Verdú Soriano J. Clasificaciones de lesiones en pie diabético II. El problema permanece. Gerokomos. 2018;29:197-209.
  • 3. Bus S, Lavery LA, Monteiro-Soares M, Rasmussen A, Raspovic A, Sacco ICN, et al. On behalf of the International Working Group on the Diabetic Foot (IWGDF). IWGDF guideline on the prevention of foot ulcers in persons with diabetes (2019 update). Diabetes Metab Res Rev. 2020;36(S1):e3269.
  • 4. Segovia-Gómez T, Giralt-Veciana E, Ibars-Moncasí P, LázaroMartínez JL. Úlceras de pie diabético. En: García-Fernández FP, Soldevilla-Agreda JJ, Torra Bou JE, editores. Atención Integral de las Heridas Crónicas. 2.ª ed. Logroño: GNEAUPP-FSJJ; 2016. p. 333-52.
  • 5. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047-53.
  • 6. Registered Nurses’ Association of Ontario [RNAO]. Assessment and management of foot ulcers for people with diabetes. RNAO; 2005. Disponible en: http://healthsci.queensu.ca/assets/NSG_Simlab/ Old_Assets/536_bpg_assessment_foot_ulcer__1.pdf
  • 7. Abetz L, Sutton M, Brady L, McNulty P, Gagnon DD. The Diabetic Foot Ulcer Scale (DFS): a quality of life instrument for use in clinical trials. Practical Diabetes. 2002;19:167-175.
  • 8. Hui LF, Fong DYT, Yam M, Ip WY. Translation and validation of the Chinese diabetic foot ulcer scale-short form. Patient. 2008;1: 137-45.
  • 9. Hsieh MH, Chen YC, Ho CH, Lin CY. Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population - Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module. Diabetes Metab Syndr Obes. 2022;15:2391-403.
  • 10. Biçer EK, Nuray E. Evaluation of foot care and self-efficacy in patients with diabetes in Turkey: An interventional study. Int J Diabetes Dev Ctries. 2016;36:334-44.
  • 11. Alotaibi A, Gholizadeh L, Alek Al-Ganmi AH, Perry L. Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study. J Clin Nursing. 2018;27:23-4.
  • 12. Leung SY, Shiu ATY. New approach in diabetes foot care education: assessment and individualized education sessions. Proceedings of the 5th International Symposium on the Diabetic Foot. Noordwijkerhout, The Netherlands, 9-12 May 2007. p. 69.
  • 13. Shiu AT-Y, Wong RY-M. Diabetes foot care knowledge: a survey of registered nurses. J Clin Nursing. 2011;20:2367-70.
  • 14. Tamilselvi P, Rajasankar D, Kokilavani N. A study to assess the knowledge regarding diabetic foot ulcer among diabetic clients in a selected hospital, Kancheepuram District, Tamil Nadu. Asian J Nur Edu Research. 2013;3:1-4
  • 15. Abdullah WH, Al Senany S, Al-Otheimin HK. Capacity building for nurses’ knowledge and practice regarding prevention of diabetic foot complications. International Journal of Nursing Science. 2017;7:1-15.
  • 16. Sharmisthas S, Wongchan P, Hathairat S. A survey of nurses’ knowledge regarding prevention and management of diabetic foot ulcer in Bangladesh. BIRDEM Medical Journal. 2014;4:22-6.
  • 17. Stolt M, Suhonen R, Puukka P, Viitanen M, Voutilainen P, Leino-Kilpi H. Nurses’ knowledge of foot care in the context of home care: a cross-sectional correlational survey study. J Clin Nursing. 2015;24:2916-25.
  • 18. Kaya Z, Karaca A. Evaluation of Nurses’ Knowledge Levels of Diabetic Foot Care Management. Nurs Res Pract. 2018;2018:8549567.
  • 19. Abdulwassi HK, Safhi MA, Hashim RT, Fallatah AM, Hussein SS, Almusallam SA, et al. Knowledge of diabetic foot care management among medical students at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Saudi Med J. 2020;41:59-67.
  • 20. Alkhatieb M, Abdulwassi H, Fallatah A, Alghamdi K, Al-Abbadi W, Altaifi R. Knowledge of Diabetic Foot Among Nurses at a Tertiary Hospital in Saudi Arabia. Med Arch. 2022;76:190-7.
  • 21. Kumarasinghe SA, Hettiarachchi P, Wasalathanthri S. Nurses’ knowledge on diabetic foot ulcer disease and their attitudes towards patients affected: A cross-sectional institution-based study. J Clin Nurs. 2018;27:e203-12.
  • 22. Bilal M, Haseeb A, Rehman A, Arshad MH, Aslam A, Godil S, et al. Knowledge, attitudes, and practices among nurses in Pakistan towards diabetic foot. Cureus. 2018;10:e3001.
  • 23. Bing Wui N, Bin Azhar AA, Bin Azman MH, Bin Sukri MS, Harbaksh Singh AS, Bin Abdul Wahid AM. Knowledge and attitude of nurses towards diabetic foot care in a secondary health care centre in Malaysia. Med J Malaysia. 2020;75(4):391-5.
  • 24. Woldegiorgis Abate T, Enyew A, Gebrie F, Bayuh H. Nurses’ knowledge and attitude towards diabetes foot care in Bahir Dar, North West Ethiopia. Heliyon. 2020;6:e05552.
  • 25. Sari Y, Upoyo As, Sumeru A, Yusuf S, Haryanto N, Taufik A. Nursing students’ knowledge and attitude toward diabetic ulcer care and their contributing factors in Indonesia. Int J Nurs Sci. 2022;9:496-503.
  • 26. Sarmiento-Luna FB, Nava-Navarro V, Báez-Hernández FJ, Morales-Nieto A, Blanco-Álvarez VM. Validación del Instrumento: Conocimiento y Actitud de Enfermería para la prevención del pie diabético. Enfermería Global. 2023;70:101-10.
  • 27. Delgado-Rico E, Carretero-Dios H, Ruch W. Content validity evidences in test development: An applied perspective. Int J Clin Health Psychol. 2012;12:449-59.
  • 28. Escurra Mayaute LM. Cuantificación de la validez de contenido por criterio de jueces. Revista de Psicología. 1988;6:103-11.
  • 29. Aiken LR. Content validity and reliability of single items or questionnaires. Educ Psychol Meas. 1980;40:955-9.
  • 30. DeVellis RF. Scale development: Theory and applications, 26. Sage publications; 2016.
  • 31. Muñiz J. Las teorías de los tests: Teoría clásica y teoría de respuesta a los ítems. Papeles del Psicólogo. 2010;31:57-66.
  • 32. Rasch G. Probabilistic models for some intelligence and attainment tests (Copenhagen, Danish Institute for Educational Research), expanded edition (1980) with foreword and afterword by B.D. Wright. Chicago: The University of Chicago Press; 1981.
  • 33. Meyer JP. Applied measurement with jMetrik. 1st ed. New York: Routledge; 2014.
  • 34. Lincoln NB, Jeffcoate W, Ince P, Smith M, Radford KA. Validation of a new measure of protective footcare behaviour: the Nottingham Assessment of Functional Footcare (NAFF). Practical Diabetes International. 2007;24:207-11.
  • 35. Martinez-Gonzalez D, Doria M, Martínez-Alonso M, Alcubierre N, Valls J, Verdú-Soriano J, et al. Adaptation and validation of the Diabetic Foot Ulcer Scale-Short Form in Spanish subjects. J Clin Med. 2020;9:2497.
  • 36. Garcia-Klepzig JL, Sánchez-Ríos JP, Manu C, Ahluwalia R, Lüdemann C, Meloni M, et al. Perception of diabetic foot ulcers among general practitioners in four European countries: knowledge, skills and urgency. J Wound Care. 2018;27:310-9.
  • 37. Pourkazemi A, Ghanbari A, Khojamli M, Balo H, Hemmati H, Jafaryparvar Z, et al. Diabetic foot care: knowledge and practice. BMC Endocr Disord. 2020;20:40.
Data source: Dialnet