Psychometric properties of the Caregiving Burden Scale for Family Caregivers with Relatives in Nursing Homes: Scale development
Psychometric properties of the Caregiving Burden Scale for Family Caregivers with Relatives in Nursing Homes: Scale development
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DOI：
10.1111/j.1742-7924.2010.00149.x
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发表时间：
2010-01-01
影响因子：
1.7
通讯作者：
Kai, Ichiro
中科院分区：
文献类型：
--
作者：
Fukahori, Hiroki;Yamamoto-Mitani, Noriko;Kai, Ichiro
目的：大多数家庭照顾者在允许虚弱的亲属进入长期护理机构后，继续照顾他们。这种照料的特点不同于家庭照料环境中的照料。因此，需要一种新的工具来评估机构环境中家庭照料者的负担。本研究的目的是编制一个新的量表--养老院有亲属的家庭照料者照顾负担量表，并验证其信度和效度。受试者是七家疗养院和三家疗养院居民家庭成员的便利样本，分别用于验证研究和日本的重测研究。统计分析包括探索性/验证性因素分析、内部一致性、并发/区分效度和重测信度。结果：由16个条目组成的四因素问卷被选为最具解释力的问卷。在验证性因素分析中，适合度指数高度支持这些结果。总分的Cronbach‘sα系数为0.86，四个领域的Cronbach’sα系数在0.77~0.87之间。该量表与养老院烦恼量表呈中度相关，表明该量表具有较好的同时效度。结论：研制的日本养老院护理负担量表具有较好的信度和效度，可用于日本养老院护理负担的测量。未来使用该量表的研究可能会导致改善对长期护理环境中有亲属的家庭成员的护理。
Aim:Most family caregivers continue their caregiving for frail relatives after admitting them to long-term care facilities. The characteristics of this caregiving differ from those related to caregiving in home-care settings. Thus, a new tool to evaluate the burden of family caregivers in institutional settings is needed. The aim of this study was to develop a new scale, the Caregiving Burden Scale for Family Caregivers with Relatives in Nursing Homes, and to confirm its validity and reliability.Methods:We conducted two cross-sectional questionnaire surveys. The participants were a convenience sample of family members of residents in seven nursing homes for the validation study and in three nursing homes for the test-retest study in Japan. Statistical analyses examined exploratory/confirmatory factor analyses, internal consistency, concurrent/discriminate validity, and test-retest reliability.Results:A four-factor solution with 16 items was selected as the most interpretable questionnaire. In the confirmatory factor analysis, the indices of fitness highly supported these results. The Cronbach's alpha coefficient for the total score was 0.86 and varied between 0.77 and 0.87 in the four domains. The scale showed moderate correlation with the Nursing Home Hassles Scale, suggesting its concurrent validity. The four domains had only a medium correlation with each other, indicating discriminate validity.Conclusions:The developed scale has acceptable validity and reliability for measuring the caregiving burden of family members with relatives in Japanese nursing homes. Future studies using the scale might lead to the improvement of care for family members with relatives in a long-term care setting.