痴呆患者居家老年照顾者生活质量评估量表的汉化和信效度检验

doi:10.3761/j.issn.0254-1769.2021.12.024

摘要/Abstract

摘要：

目的汉化痴呆患者居家老年照顾者生活质量评估量表并进行信效度检验。方法按照改良版的Brislin回译模型将痴呆患者居家老年照顾者生活质量评估量表翻译成中文,并对其进行文化调适,采用便利抽样法对242例痴呆患者的居家老年照顾者进行问卷调查,30 d后从中随机抽取50名照顾者重测,检验量表的信效度。结果中文版痴呆患者居家老年照顾者生活质量评估量表包括1个维度,共22个条目。量表的条目内容效度指数为0.83~1.00,全体一致内容效度指数为0.82,平均内容效度指数为0.91。量表结构模型适配指标的卡方/自由度为2.33,近似误差均方根为0.07,拟合优度指数为0.92,非规准适配指数为0.92。量表的Cronbach’s α系数为0.92,重测信度为0.81。结论中文版痴呆患者居家老年照顾者生活质量评估量表具有良好的信度和效度,可用于评估痴呆患者居家老年照顾者的生活质量,为研究者下一步减轻其负担、制订针对性的干预策略提供依据。

关键词: 痴呆, 居家护理, 老年人, 照顾者, 生活质量, 量表汉化, 社区保健护理

Abstract:

Objective To test the reliability and validity of Dementia Quality of Life Scale for Older Family Carers（DQoL-OC） in Chinese version. Methods According to the modified version of Brislin retranslation model,the original DQoL-OC was translated into Chinese version. The convenience sampling method was used to survey 242 older family caregivers from outpatient and inpatient patients. 50 caregivers of them were randomly selected to retest after 30 days,and the data was collected to analyze the reliability and validity. Results The Chinese version of DQoL-OC contains 22 items with one dimension,which is consistent with the original scale. The I-CVI was 0.83~1.00;the S-CVI/UA was 0.82;the S-CVI/Ave was 0.91;the structure validity χ²/DF was 2.33;the approximate error mean square root（RM-SEA） was 0.07;the fitting goodness index（GFI） was 0.92,and Tucker-Lewis coefficient（TLI）was 0.92.The internal consistency index Cronbach’s α coefficient was 0.92;the test-retest reliability was 0.81. Conclusion The Chinese version of DQoL-OC has good reliability and validity,which can be used to evaluate the quality of life of older family caregivers of dementia patients. It can provide corresponding bases for researchers to make targeted intervention strategies for the older family caregivers.

Key words: Dementia, Family Caregivers, Aged, Carers, Quality of Life, Scale Sinicization, Community Health Nursing

孙晶, 郑秀利, 杨支兰, 江志虹, 李燕雪, 寇佳姝. 痴呆患者居家老年照顾者生活质量评估量表的汉化和信效度检验[J]. 中华护理杂志, 2021, 56(12): 1901-1905.

SUN Jing, ZHENG Xiuli, YANG Zhilan, JIANG Zhihong, LI Yanxue, KOU Jiashu. Sinicization of the Dementia Quality of Life Scale for Older Family Carers of Patients and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2021, 56(12): 1901-1905.

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参考文献 22

[1]	王锐. 临床痴呆学[M]. 北京: 人民军医出版社, 2006.
	Wang R. Clinical dementia[M]. Beijing: People’s Military Medi-cal Publishing House, 2006.
[2]	王颖. 《经济学家》:痴呆症成为困扰全球的新问题[N]. 社会科学报, 2020-09-17(007).
	Wang Y. The economist:dementia is a new global problem[N]. Social Social Science Weekly, 2020-09-17(007).
[3]	Zhang M, Chang YP, Liu YJ, et al. Burden and strain among familial caregivers of patients with dementia in China[J]. Issues Ment Heal Nurs, 2018, 39(5):427-432.
[4]	闫芳, 李淑然, 刘津, 等. 老年期痴呆和老年抑郁症的流行病学调查[J]. 中华医学杂志, 2002, 82(15):1025-1028.
	Yan F, Li SR, Liu J, et al. Incidence of senile dementia and depression in elderly population in Xicheng District,Beijing:an epidemiologic study[J]. Natl Med J China, 2002, 82(15):1025-1028.
[5]	李立玉, 王轶, 王志稳. 痴呆患者进食问题评估与管理指南的系统评价[J]. 中华护理杂志, 2019, 54(4):581-588.
	Li LY, Wang Y, Wang ZW. Quality appraisal and content analysis of guidelines on the assessment and management of eating problems among dementia patients[J]. Chin J Nurs, 2019, 54(4):581-588.
[6]	李树亚, 李峥. 痴呆患者病感失认的研究进展[J]. 中华护理杂志, 2021, 56(3):468-472.
	Li SY, Li Z. Research progress of anosognosia in dementia patients[J]. Chin J Nurs, 2021, 56(3):468-472.
[7]	张雪儿, 郭梦岩, 夏小倩, 等. 居家痴呆老年人走失前后行为特征及情境因素的质性研究[J]. 中华护理杂志, 2021, 56(7):1044-1048.
	Zhang XE, Guo MY, Xia XQ, et al. The behavioral and environmental patterns of getting lost among community-dwelling older adults with dementia:a qualitative study[J]. Chin J Nurs, 2021, 56(7):1044-1048.
[8]	张红杰, 魏会敏, 许鸣华, 等. 老年痴呆病人照料者心理健康和生活质量分析[J]. 现代预防医学, 2009, 36(15):2877-2878.
	Zhang HJ, Wei HM, Xu MH, et al. Analysis of the psychological states and quality of life of people nursing the senile dementia patients in community of Baoding City[J]. Mod Prev Med, 2009, 36(15):2877-2878.
[9]	周滢, 李峥. 老年痴呆照顾者哀伤的研究进展[J]. 中华护理杂志, 2018, 53(4):488-492.
	Zhou Y, Li Z. Grief in dementia caregivers:a literature review[J]. Chin J Nurs, 2018, 53(4):488-492.
[10]	冷敏敏, 赵雅洁, 李立玉, 等. 网络干预在痴呆老年人居家照护中应用的范围综述[J]. 中华护理杂志, 2021, 56(5):694-699.
	Leng MM, Zhao YJ, Li LY, et al. Internet-based interventions for family care of older people with dementia:a scoping review[J]. Chin J Nurs, 2021, 56(5):694-699.
[11]	张小满, 宋洁, 王业青, 等. 痴呆患者特异性生活质量测评工具及生活质量的研究进展[J]. 中国老年学杂志, 2019, 39(23):5867-5870.
	Zhang XM, Song J, Wang YQ, et al. Research progress of specific quality of life assessment tools and quality of life in patients with dementia[J]. Chin J Gerontol, 2019, 39(23):5867-5870.
[12]	齐佳宁, 郭起浩, 杨青, 等. 痴呆患者照顾者的自我效能感在患者相关损害和照顾者健康相关生活质量间的中介效应[J]. 中华现代护理杂志, 2021, 27(11):1401-1406.
	Qi JN, Guo QH, Yang Q, et al. Mediating effects of self-efficacy of family caregivers of dementia patients between patient-related impairment and caregivers’ health-related quality of life[J]. Chin J Mod Nurs, 2021, 27(11):1401-1406.
[13]	Oliveira DC, Vass C, Aubeeluck A. The development and validation of the dementia quality of life scale for older family carers(DQoL-OC)[J]. Aging Ment Health, 2018, 22(5):709-716. DOI PMID
[14]	王晓娇, 夏海鸥. 基于Brislin经典回译模型的新型翻译模型的构建及应用[J]. 护理学杂志, 2016, 31(7):61-63.
	Wang XJ, Xia HO. Construction and application of a new translation model based on Brislin’s classical back translation model[J]. J Nurs Sci, 2016, 31(7):61-63.
[15]	Lee CC, Li D, Arai S, et al. Ensuring cross-cultural equivalence in translation of research consents and clinical documents:a systematic process for translating English to Chinese[J]. J Transcult Nurs, 2009, 20(1):77-82. DOI URL
[16]	李峥, 刘宇. 护理学研究方法[M]. 2版. 北京: 人民卫生出版社, 2018.
	Li Z, Liu Y. Nursing research methods[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018.
[17]	美国精神医学学会. 精神障碍诊断与统计手册[M]. 5版. 北京: 北京大学出版社, 2015.
	American Psychiatric Association. Diagnostic and statistical ma-nual of mental disorders[M]. 5th ed. Beijing: Peking Univer-sity Press, 2015.
[18]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[19]	吴明隆. 结构方程模型:AMOS的操作与应用[M]. 2版. 重庆: 重庆大学出版社, 2010.
	Wu ML. Structural equation model:AMOS operation and application[M]. 2nd ed. Chongqing: Chongqing University Press, 2010.
[20]	张晨, 周云仙. 我国护理测量工具文献中内容效度指数应用误区分析[J]. 护理学杂志, 2020, 35(4):86-88,92.
	Zhang C, Zhou YX. Analysis on errors regarding content validity index used in evaluation of measurement tools in Chinese nursing literature[J]. J Nurs Sci, 2020, 35(4):86-88,92.
[21]	陈晓春, 张杰文, 贾建平, 等. 2018中国痴呆与认知障碍诊治指南(一):痴呆及其分类诊断标准[J]. 中华医学杂志, 2018, 98(13):965-970.
	Chen XC, Zhang JW, Jia JP, et al. 2018 China guidelines for diagnosis and treatment of dementia and cognitive disorders(I):standards for diagnosis of dementia and its classification[J]. Nat Med J China, 2018, 98(13):965-970.
[22]	李灿, 辛玲. 调查问卷的信度与效度的评价方法研究[J]. 中国卫生统计, 2008, 25(5):541-544.
	Li C, Xin L. Study on the reliability and validity of questionnaire[J]. Chin J Heal Stat, 2008, 25(5):541-544.