ABSTRACT
The continuous assessment of functional independence level in daily activities of elderly, residing in nursing homes is necessary. It seems that one of the important characteristics of the proper tools is their shortness. This study was designed to evaluate the reliability and validity of the 3-item, 4-item and 5- item versions of Barthel index in the elderly, residing in a nursing home. After translating the tools, sampling was performed by using census method in Kashan Golabchi nursing home in 2006 [n=100]. The questionnaires were completed through interview and observation. Inter-rater agreement was assessed. The tools reliability was determined via internal consistency method. Their validity was determined via Concurrent validity and Known-groups approach. The data were analyzed using Pearson correlation coefficient, Intra-class Correlation Coefficient [ICC], Kappa, Cronbach's alpha coefficient and Kruskal-wallis test. In all of the assessed tools, the inter-rater reliability for every item was good [Kappa>0.61]. In relation to the total score, all of the tools Intra-class correlation coefficients were more than 0.9. The questionnaires reliability coefficients [internal consistency] were calculated 0.83-0.93. Item-total correlation confirmed their reliability too. Their concurrent validity with Persian Original Barthel index were confirmed [r=0.98, p<0.0001]. The known-groups approach also revealed that these tools are valid [p<0.0001]. The Persian versions of short 3, 4 and 5- item Barthel index for evaluation of disability in elderly, residing in Golabchi nursing home are valid and reliable
ABSTRACT
The prevalence of preterm labor in Iran is 6-10%, accounting for 80% of neonatal morbidity. The most effective tocolytic agents to delay the preterm labor have not yet been known. Therefore, this study aimed to compare the effects of Indomethacin [ICN] and Magnesium-Sulfate [Mgs] in delaying preterm labor and also to assess the maternal complications associated with the two drugs. This randomized clinical trial study was performed on 24-32 week pregnant women [n=60] at risk for preterm labor referred to Shabih-Khani maternity hospital in Kashan. The women were divided into two equal groups: intravenous Mg sulfate [control] or ICN rectal suppository [intervention] groups. Then, the delaying of preterm labor and also the maternal morbidity were assessed in both groups. No significant difference was seen in maternal and sociodemographic variables between the two groups. The delaying of preterm labor was the same for both groups and no case of preterm labor was seen in women during the first 48 hours of hospitalization. Moreover, there was no significant difference in variables [e.g. the maternal age, the number of gravida, gestational age, symptoms on admission, the number of prior preterm labors and a history of preterm labor] between the two groups. The most common complication in both groups was nausea. There was no case of oligohydramnios in the indomethacin group. Although the delaying of preterm labor was the same in both groups, Mg sulfate administration requires permanent nursing care. It seems that ICN can be used as one of primary tocolytic treatments in preterm labor
ABSTRACT
Life satisfaction is one of the most important indicators for evaluation of mental health status in general population including university students. In this field, the appropriate tool is necessary. So, this study was carried out in order to assess the reliability and validity of the SWLS in the students of Kashan Nursing and Midwifery Faculty [KNMF], Kashan, Iran, in 2008. In this descriptive study, the SWLS English version was translated into Persian; then, the subjects were selected using random stratified method in KNMF [n=161]. Reliability was determined via stability and internal consistency. Validity was determined via construct and concurrent validity. The data were analyzed using Pearson correlation coefficient, Intra-class correlation coefficient, Cronbach's alpha, Spearman-Brown, Guttman, independent t-test and exploratory factorial analysis. In 5-35 scale, the life satisfaction score was 22.15 +/- 6.18 [95%CLM=21.19-23.11]. The questionnaire reliability coefficient was calculated to be 0.85-0.9. Item-total correlation and test re-test confirmed its reliability too. Its correlation with Q-LES-QSF and one item life satisfaction scale was reported to be 0.7 and 0.78, respectively [p<0.0001]. The known-groups approach also revealed this tool was valid [p<0.0001]. The factorial analysis extracted one main factor whose Eigen value was 3/24; the mentioned factor can explain greater than 64% of the total variance. SWLS Persian version for evaluation of life satisfaction in the university students is valid and reliable
Subject(s)
Humans , Psychometrics , Students, Nursing , Validation Studies as Topic , Surveys and QuestionnairesABSTRACT
The rehabilitation interventions have an important role in the promotion of elderly health level especially who are residing in nursing homes. This study was designed to evaluate the reliability and validity of the Shah version of modified Barthel index [MBI] in older people residing in Kashan Golabchi nursing home. The Shah version of MBI was translated from English to Persian through forward-backward translation method. Sampling was performed using census method in Kashan Golabchi nursing home during 2006-7 [n=100]. The questionnaires were completed through interview, observation and inter-rater agreement coefficient was assessed. Reliability was determined via internal consistency and validity was determined via concurrent validity, exploratory factor analysis and known-groups approach. Inter-rater reliability coefficient [Kappa] for every item was more than 0.6; Interrater reliability in the total MBI was 0.998. The questionnaire reliability coefficient [internal consistency] was 0.96-0.99 and item-total correlation confirmed its reliability too. Its concurrent validity with Persian original Barthel index was confirmed [r=0.993, P<0.0001] and the known-groups approach revealed its validity [P<0.0001]. The results of factor analysis signified its monofactoriality with Eigen value of 8.268 and the mentioned factor could explain the 82.68% of the total variance. The Persian Shah version of MBI for evaluation of disability in elderly people residing in Golabchi nursing home is a valid and reliable tool