ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
The validity and reliability of Turkish version of the Duke anticoagulation satisfaction scale
Jülide Gülizar Yıldırım, Ayla Bayık Temel
Ege Üniversitesi, Hemşirelik Fakültesi Halk Sağlığı Hemşireliği Anabilim Dalı, İzmir, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.9664
Background: This study aims to evaluate the reliability and validity of the Turkish version of Duke Anticoagulation Satisfaction Scale (DASS) which was developed to assess the requirements and perceptions of patients receiving anticoagulant treatment.

Methods: In this methodological study, 227 volunteer patients (119 males, 108 females; mean age 55.8±15.2 years; range 20 to 86 years) using oral anticoagulants were recruited. Duke Anticoagulation Satisfaction Scale, which consists of 25 items and was developed in a three factors structure (limitations, hassles and burdens, and positive impacts), had high internal consistency (a=0.88) and high test-retest reliability (r=0.80) in the original study. Content validity index, Cronbach alpha, test-retest reliability, item total score correlation, and principal and confirmatory factor analysis were used to evaluate the data. The scale is answered in seven-Likert type, and high scores indicate worse patient satisfaction.

Results: Scale mean score was 85.0±25.1 (range, 36-161 points). Scale content validity index was 0.99, and Cronbach alpha coefficient was 0.91. Total score correlations were between 0.21 and 0.79 (p<0.001 and p<0.01). Test-retest reliability was very high (r=0.98, p<0.001). Confirmatory factor analysis of the scale demonstrated an acceptable level of compliance root mean square error of approximation (RMSEA: 0.103, X2= 922.29 df: 272 p=0.000).

Conclusion: Turkish version of the scale was demonstrated to be valid in terms of internal consistency reliability, content validity, and construct validity. The scale is an objective tool which may be used by health professionals to assess the problems and care requirements of patients using anticoagulants.

Keywords : Anticoagulants; patient satisfaction; reliability and validity; scale; warfarin
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