Shih SN |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=1.027 ------>paper_class3=2 ------>paper_class2=1 ------>vol=17 ------>confirm_bywho=None ------>insert_bywho=jenchent ------>Jurnal_Rank=15.6 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=77 ------>medlineContent= ------>unit=H0100 ------>insert_date=20080429 ------>iam=3 ------>update_date=None ------>author=??? ------>change_event=6 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=Journal of Clinical Nursing ------>paper_name=A health need satisfaction instrument for Taiwan's single-living older people with chronic disease in the community ------>confirm_date=None ------>tch_id=086003 ------>pmid=18298757 ------>page1=67 ------>fullAbstract=AIMS: The aims of this study were to explore health needs and need satisfaction of Taiwan~s single-living older people with chronic disease in the community, develop a culturally sensitive Health Need Satisfaction Instrument and examine the relationships between health needs and need satisfaction. BACKGROUND: Until now, there has been no reliable instrument for health professionals to assess, comprehensively, health needs and needs satisfaction for Chinese single-living older people with chronic disease in the community. DESIGN: Between-method triangulation design was used. The first phase explored the contextual content of health needs from the perspectives of a purposive sampling (n = 44) using the explorative qualitative method. The second phase developed the Health Need Satisfaction Instrument and established its reliability and validity. The final phase implemented the instrument in a cohort study (n = 110) and examined the relationship between the respective/overall health needs and need satisfaction. RESULTS: A Health Need Satisfaction Instrument with good validity and reliability encompassing tangible, psychospiritual and informational needs was developed. A significant correlation between tangible and psychospiritual needs (r = 0.238, p < 0.05) and between tangible and informational needs (r = 0.306, p < 0.01) was found. Three types of need satisfaction were inter-related (p < 0.01). A negative correlation between global health needs and need satisfaction (r = -0.223, p < 0.05) was found. Each domain of need satisfaction was negatively correlated with that particular type of health needs (p < 0.01), except for psychospiritual need (r = 0.339, p < 0.01). A measurement model between health needs and need satisfaction was established. CONCLUSION: This study set a successful example of a rigorous, cross-cultural instrument development process for community-based Taiwan~s single-living older people. RELEVANCE TO CLINICAL PRACTICE: Using Health Need Satisfaction Instrument, the less satisfied multidimensional health needs of community-based Taiwan~s single-living older people with chronic disease can be more accurately assessed and met. ------>tmu_sno=None ------>sno=18293 ------>authors2=Gau ML ------>authors3=Tsai JC ------>authors4=Li IC ------>authors5=Liou YM ------>authors6=Shih FJ ------>authors6_c= ------>authors=Shih SN ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=A Health Need Satisfaction Instrument for Taiwan~s single-living older people with chronic disease in the community. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=5a ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2008 ------>submit_flag=None ------>publish_month=1 |