A study of development of quality indicator that evaluates the effect of home care service for the patients with neuro-intractable diseases

神经疑难杂症患者居家护理服务效果评价质量指标的制定研究

• 批准号: 11672356
• 负责人: ITO Keiichi
• 金额: $ 0.26万
• 依托单位: Tokyo Women's Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672356/
• 关键词: quality indicator; scale development; factor analysis; factor loading; Promax rotation; home health care; Neuro-intractable diseases; アウトカム指標; 効果判定; 日常生活動作; ケアの必要度; 尺度開発

[Purpose] The purpose of the research is to develop the quality indicator that judges the effect of home health care service for the patients and their caregivers with neuro-intractable diseases.[Methods] Data was analyzed qualitatively in order to examine the factors that inhibit the continuation of home health care, and provisional scale item (30 items) were made. The participants of this research were 442 patients and their caregivers : male ; 239, female ; 203.[Results ＆ Discussion] We constructed a 25-item new scale which measures the difficulty of the continuation of home health care to the patients/caregivers with cardio-vascular and neuro-intractable diseases by means of use of factor analysis. We applied the Promax rotation method in factor analysis and repeated it several times by changing the number of factors. Finally, 5 factors were extracted from the 25 item, in each of which the all items having more than 0.3 factor loadings. Each of factors were named as following : 1) the anxiety for disease and disability ; 2)caregiver strain ; 3) the motor dysfunction ; 4) the expression of symptom. ; 5) the interference of the social-network utilization. The constructed scale demonstrated high reliabilities ranging from 0.784 to 0.908.

[目的]建立神经难治性疾病患者及其照顾者家庭护理服务效果的质量评价指标。[方法]对资料进行定性分析，考察制约家庭护理持续的因素，并编制暂定量表条目(30个条目)。本研究以442名患者及其照顾者为研究对象，其中男性239人，女性203人。[结果与讨论]通过因子分析，我们编制了一份包含25个条目的新量表，用来衡量心血管疾病和神经难治性疾病患者/照顾者家庭护理的持续难度。我们将Promax旋转法应用于因子分析，并通过改变因子数来重复多次。最后，从这25个条目中提取了5个因子，每个条目的因子负载量都在0.3以上。各因素分别为：1)疾病和残疾焦虑；2)照顾者紧张；3)运动功能障碍；4)症状表现。(5)社会网络利用的干扰。编制的量表具有较高的信度，信度在0.784~0.908之间。