目的 编制痴呆患者照顾者护理能力评估量表并检验其信效度,为评估痴呆照顾者护理能力水平提供测评工具。方法 在Farran照顾者技能模型框架下,采用文献查询及半结构访谈形成量表条目池;最终量表经过专家咨询、预调查、正式调查后形成,共293例痴呆照顾者参与,并进行信效度检验。结果 最终痴呆照顾者护理能力评估量表包括5个维度36个条目。5个公因子累计方差贡献率为79.44%;I-CVI为0.857~1,S-CVI为0.985。总量表Cronbach α系数为0.936,总量表的折半信度系数为0.970,重测信度系数为0.980。结论 该量表具有较好的信度和效度,可作为测评痴呆照顾者护理能力的测评工具。
关键词：
痴呆; 照顾者; 护理能力; 信度; 效度
Objective To develop the Dementia Caregivers' Nursing Ability Scale and test its reliability and validity. Methods Based on the model of Caregiver Skill Building/Effectiveness, the item pool was formulated through literature review and semi-structured interview, the items were selected by experts consultation and the pilot survey of 30 dementia caregivers. Totally 293 dementia caregivers in the hospital and the elderly homes were selected for investigation to test the reliability and validity. Results The Dementia Caregivers' Nursing Ability Scale consisted 5 subscales and 36 items, the exploratory factor analysis identified five principal factors which explained 79.44% of the total variance. The item content validity index ranged from 0.857 to 1, the scale content validity index was 0.985. The Cronbach's α coefficient of the scale was 0.936, the split reliabilit was 0.970, and the test-retest reliability was 0.980. Conclusion Dementia Caregivers' Nursing Ability Scale has good reliability and validity, which can be used as a tool to measure the dementia caregivers' nursing ability.
[1] 樊惠颖,李峥. 怀旧疗法在老年痴呆患者中的应用进展[J]. 中华护理杂志, 2014, 49(6): 716-720.
[2] Thinnes A, Padilla R.Effect of educational and supportive strategies on the ability of caregivers of people with dementia to maintain participation in that role[J]. Am J Occup Ther, 2011, 65(5): 541-549.
[3] 王婧,Lily Dongxia Xiao,王瑶,等. 老年痴呆患者家庭照护者负担及其应对策略[J]. 中国老年学杂志, 2014, 34(8): 2295-2298.
[4] 张曙,陈雪萍. 痴呆老人的照护现状[J]. 中国老年学杂志, 2013, 33(24): 6328-6330.
[5] Vernooijdassen MJ, Felling AJ, Brummelkamp E, et al.Assessment of caregiver's competence in dealing with the burden of caregiving for a dementia patient: a Short Sense of Competence Questionnaire (SSCQ) suitable for clinical practice[J]. J Am Geriatr Soc, 1999, 47(2): 256-257.
[6] 夏莉,张泉水,刘晋洪,等. 深圳市宝安区老年人及其照料者对老年性痴呆知识知晓情况调查[J]. 中国社会医学杂志, 2011, 28(1): 36-37.
[7] 王志稳,肖顺贞. 痴呆患者居家生活环境现状及照顾者态度的调查[J]. 中华护理杂志, 2008, 43(10): 915-917.
[8] 刘东梅,王贞慧,高晖,等. 中日两国大学生对老年痴呆接触、态度和知识的比较[J]. 中国老年学杂志, 2014, 34(1): 231-233.
[9] 贺润莲,景彩丽,李变娥,等. 中文版阿尔茨海默病知识量表信效度研究[J]. 中华护理杂志, 2013, 48(9): 835-837.
[10] Farran CJ, McCann JJ, Fogg LG, et al. Developing a measurement strategy for assessing family caregiver skills: conceptual issues[J]. Alzheimers Care Today, 2009, 10(3): 129-139.
[11] 吴明隆. 问卷统计分析实务[M]. 重庆:重庆大学出版社, 2010: 195-208.
[12] 张文彤. SPSS统计分析高级教程[M]. 北京:高等教育出版社, 2013: 213-235, 365-377.
[13] Richardson TJ, Lee SJ, Berg-Weger M, et al.Caregiver health: health of caregivers of Alzheimer's and other dementia patients[J]. Curr Psychiatry Rep, 2013, 15(7): 367.
[14] Springate BA, Tremont G.Dimensions of caregiver burden in dementia: impact of demographic, mood, and care recipient variables[J]. Am J Geriatr Psychiatry, 2014, 22(3): 294-295.
[15] 葛高琪,王晶晶,陶克,等. 老年痴呆患者行为精神症状对照顾者负担的现状[J]. 中国老年学, 2017, 37(4): 1015-1017.
[16] Lum HD, Lo D, Hooker S, et al.Caregiving in heart failure: Relationship quality is associated with caregiver benefit finding and caregiver burden[J]. Heart Lung, 2014, 43(4): 306-310.
[17] Kiriake A, Moriyama M.Development and testing of the partnership scale for primary family caregivers caring for patients with dementia[J]. J Fam Nurs, 2016, 22(3): 339-367.
[18] Farran CJ, Fogg LG, McCann JJ, et al. Assessing family caregiver skill in managing behavioral symptoms of Alzheimer's disease[J]. Aging Ment Health, 2011, 15(4): 510-521.
[19] Chung P, Ellis-Hill C, Coleman P.Supporting activity engagement by family carers at home: maintenance of agency and personhood in dementia[J]. Int J Qual Stud Health Well-being, 2017, 12(1): 1267316.
[20] 乔雨晨,常红,孟茜. 痴呆患者照顾者需求的质性研究[J]. 解放军护理杂志, 2016, 33(3): 19-22.
[21] 田红梅,田海英,颜海萍, 等. 养老机构护理人员阿尔茨海默病知识现状调查[J]. 广东医学, 2015, 36(5): 770-772.
[22] 郝薇,武杰,张晖,等. 居家痴呆老人亲属照顾者支持性照护需求的研究[J]. 中国护理管理, 2015, 15(11): 1294-1297.
[23] 李晶,张秋霞,罗晓晖. 老年痴呆症患者的家庭照护者研究[J]. 老龄科学研究, 2013, 1(7): 56-61.
[24] 王永红,胡雁,陈三妹,等. 大型外科手术患者主要照护者照护能力问卷的信效度研究[J]. 护士进修杂志, 2011, 26(15): 1349-1351.
[25] Lund L, Ross L, Petersen MA, et al.The validity and reliability of the 'Cancer Caregiving Tasks, Consequences and Needs Questionnaire' (CaTCoN)[J]. Acta Oncol, 2014, 53(7): 966-974.
