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Yıl:2013; Cilt: 24; Sayı: 4>> Özet
Türk Psikiyatri Dergisi; 2013;24(4):260-265
İntihar Girişiminde Bulunan Olgulara Yönelik Acil Sağlık Çalışanlarının Tutumları Ölçeği’nin (İGYTÖ) Geliştirilmesi; Geçerlik ve Güvenilirlik
G Er, Z Şimşek, AT Aker
Balıklıgöl Devlet Hastanesi, Şanlıurfa
Amaç: İntihar girişimi tamamlanmış intihar davranışında en önemli risk faktörlerindendir ve ilk müdahale genellikle acil servislerde yapılmaktadır. Acil sağlık çalışanlarının tutumları olguların uygun tedavi ve bakım almasını etkilemektedir. Türkiye’de bu alanda geliştirilmiş bir ölçme aracı bulunmamaktadır. Bu çalışmada, acil servis sağlık çalışanlarının intihar girişiminde bulunmuş bireylere yönelik tutumlarını belirleyen bir ölçme aracı geliştirmek amaçlanmıştır. Yöntem: Yöntemsel tipteki bu epidemiyolojik araştırmada, yazındaki benzer ölçek maddeleri ve acil sağlık çalışanlarının tutum ve düşüncelerinden oluşan 140 maddelik bir havuz oluşturulmuştur. Araştırmaya Şanlıurfa ilinde toplam 14 hastanenin acil servislerinde çalışan 251 doktor, hemşire ve acil tıp teknisyeni dahil edilmiştir. Analizlerde yüzey geçerliği için Lawshe kapsam geçerlik indeksi ve oranı, yapı geçerliği için faktör analizi (temel bileşenler) ve güvenilirlik için iç tutarlılık (Cronbach alpha) ve test-tekrar test yöntemi kullanılmıştır. Bulgular: Çalışmaya katılanların yaş ortalaması 27,9±5,15 olup, %50’si kadındır. Geçerlik analizleri sonucunda; “önleme ve koruma”, “bireysel yardım”, “kurumsal yardım”, “tetikleyiciler ve psikopatoloji”, “nedensel atıflar” ve “tıbbi yardım” alt ölçeklerinden oluşan, toplam varyansın %58,5’ ini açıklayan 28 maddelik tutum ölçeği geliştirilmiştir. Ölçeğin Cronbach alfa güvenirlik katsayısı 0,84’dür. Test-tekrar test analizinde ölçeğin ön ve son uygulamasından elde edilen puan ortalamaları arasında anlamlı farklılık saptanmamıştır. Sonuç: Geliştirilen ölçeğin psikometrik özellikleri genel olarak iyi ve kabul edilebilir düzeydedir.
Developing an Attitude Scale Towards Attempted Suicide Cases for Evaluating Emergency Medical Teams (ASETSA)
Objective: Suicide attempt is one of the most important risk factors for completed suicide, and generally, the first intervention is performed in the emergency department. The attitudes of health professionals towards suicide attempt cases affect their treatment and medical care. There is no related attitude assessment scale for health professionals in Turkey. The aim of this study was to develop a scale for assessing the attitudes of emergency medical teams towards cases of attempted suicide. Methods: In this methodological, epidemiological study, a pool of 140 items was compiled using a previously developed similar scale available in the literature, as well as, testimonies of health professionals. Two hundred and fifty-one doctors, nurses and emergency medical technicians from 14 local hospitals in Sanliurfa were included in this study. Surface validity was determined using the Lawshe content validity index and ratio. Factor analysis (principal components) was used to evaluate structural validity and internal consistency (Cronbach’s alpha), and test-retest reliability was analyzed. Results: The mean age of the study cohort was 27.9±5.15 years, and 50% of the participants were female. A 28-entry attitude scale, which explained 58.5% of the total variance, was developed, including subscales for prevention and protection, individual help, institutional help, triggers and psychopathology, casual attributions, and medical help. The Cronbach’s alpha parameter of the scale was 0.84. In test-retest analysis; there is no significant difference between point averages of the first and last application of the scale. Conclusion: The psychometric features of the developed scale were determined to be acceptable.

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