Inter-rater reliability of Health of Nations Outcome Scale (HoNOS) among mental health nurses in Aceh
| Main Author: | Idaiani, Sri; Centre for Applied Health Technology and Clinical Epidemiology, National Institute of Health Research and Development, Indonesia Ministry of Health |
|---|---|
| Format: | Article application/pdf eJournal |
| Bahasa: | ind |
| Terbitan: |
Badan Penelitian dan Pengembangan Kesehatan
, 2012
|
| Subjects: | |
| Online Access: |
http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/65 |
Daftar Isi:
- Latar belakang: Alat ukur Health of Nations Outcome Scale (HoNOS) dapat digunakan untuk keperluan rutin dan menilai perkembangan status fungsional pasien gangguan jiwa di klinik maupun komunitas. Tujuan penelitian adalah melakukan uji kesepakatan (agreement) bagi perawat jiwa yang akan menggunakan alat ukur ini di Indonesia.Metode: Lima puluh lima orang pasien psikosis yang sedang di rawat di Rumah Sakit Jiwa (RSJ) Provinsi Aceh dinilai secara bergiliran oleh 11 orang perawat jiwa menggunakan alat ukur HoNOS. Penilaian dilakukan pada bulan September 2011. HoNOS terdiri dari 11 pertanyaan. Kesesuaian di antara perawat terhadap masing-masing pertanyaan dinilai menggunakan koefisien intra-class classification correlation (ICC). Hasil: Empat puluh dua persen pasien berusia 31-40 tahun, termuda berusia 24 tahun dan tertua berusia 59 tahun, mayoritas laki-laki, dan 38% mengalami psikosis selama 5-10 tahun. Tiga puluh enam persen perawat berusia >40 tahun sebagai penilai, separuhnya perempuan, dan 55% telah bekerja lebih dari 10 tahun. Nilai ICC untuk masing-masing pertanyaan secara umum baik (berkisar antara 0,8-0,9). Kesepakatan yang baik didapatkan di antara perawat Rumah Sakit Jiwa, perawat Puskesmas, maupun gabungan keduanya. Kesimpulan: HoNOS memiliki inter-rater agreement yang baik dan dapat digunakan pada penelitian dengan setting yang sama. Untuk penggunaan di populasi yang lebih besar dan berasal dari daerah yang berbeda disarankan untuk melakukan uji reliabilitas serta validitas dengan jumlah sampel yang lebih besar. (Health Science Indones 2011;2:53-7).AbstractBackground: The Health of Nations Outcome Scale (HoNOS) instrument could be used for routine purposes and assessing the functional status of the mental health patients in clinical and community settings. The objective of this study was to evaluate the agreement of the scale among mental health nurses who would use this tool in Indonesia.Methods: Fifty five psychotic patients who were hospitalized at a mental hospital in Aceh were evaluated by 11 mental health nurses using the HoNOS instrument. The agreement between the nurses on each questionnaire item was evaluated using the intra-class correlation (ICC) coefficient.Results: Forty-two percent of the patients were 31-40 years of age, the youngest was 24 and the oldest was 59, most of them were males, and 38% had psychosis for 5-10 years. Thirty-six percent of the nurses aged >40 years as raters, half of them were females, and 55% had worked for >10 years. ICC values were generally good (ranging from 0.8 to 0.9) among the mental health hospital nurses, as well as the community health centers nurses and a combination of both.Conclusion: This instrument showed a good inter-rater agreement and could be used in future research with the same settings. For a wider use in different regions, it is recommended to test the reliability and the validity of the HoNOS in a larger study population. (Health Science Indones 2011;2:53-7)