照顾者对脑卒中患者自我护理贡献量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2023.01.005

摘要/Abstract

摘要：

目的编制照顾者对脑卒中患者自我护理贡献量表并检验其信效度。方法在慢性病自我护理中域理论指导下，通过文献回顾、半结构式访谈结果初步构建量表的分量表、维度及条目池。通过专家函询法、预调查、项目分析、探索性因子分析筛选及修改条目、确定分量表维度，形成正式量表。2022年1月—5月，采用便利抽样法，选取224名脑卒中照顾者进行调查，检验量表的信效度。结果照顾者对脑卒中患者自我护理贡献量表包括3个分量表，共23个条目。照顾者对自我护理维持贡献分量表包含3个维度，累积方差贡献率为87.533%；照顾者对自我护理监测贡献分量表包含1个维度，累积方差贡献率为87.683%；照顾者对自我护理管理贡献分量表包含3个维度，累积方差贡献率为87.365%。3个分量表内容效度分别为0.973、0.988、0.990，且3个分量表的校标关联效度较好。3个分量表的Cronbach’s α系数分别为0.893、0.973、0.867，2周后重测信度分别为0.834、0.829、0.887。结论照顾者对脑卒中患者自我护理贡献量表信效度较好，可作为评估照顾者对脑卒中患者自我护理贡献的有效工具。

关键词: 脑卒中, 照顾者, 自我护理, 贡献, 量表, 信度, 效度

Abstract:

Objective To develop an instrument for measuring caregiver contribution to self-care of stroke patients，and to test its reliability and validity. Methods Under the guidance of the middle-range theory of self-care of chronic illness，the theoretical dimensions and item pool of the scale and subscale were preliminarily constructed through literature review and semi-structured interview results. Through expert correspondence，pilot study，item analysis and exploratory factor analysis，the items were screened and modified，and the dimensions of the scale and subscale were determined，and then a formal scale was formed. From January to May 2022，224 stroke caregivers were investigated by convenient sampling method to test the reliability and validity of the scale. Results The caregiver contribution to self-care of stroke patient scale included 3 subscales with 25 items. The subscale of caregiver contribution to self-care maintenance contained 3 dimensions，and the cumulative variance contribution rate was 87.533%. The subscale of caregiver contribution to self-care monitoring included 1 dimension，with a cumulative variance contribution rate of 87.683%. The subscale of caregiver contribution to self-care management contained 3 dimensions，and the cumulative variance contribution rate was 87.365%. The content validity of the 3 subscales was 0.973，0.988 and 0.990，respectively，and the criterion-related validity of the 3 subscales was good. The Cronbach’s α of the 3 subscales were 0.893，0.973 and 0.867，respectively. The test-retest reliability after 2 weeks was 0.834，0.829 and 0.887，respectively. Conclusion The caregiver contribution to self-care of stroke patient scale has good reliability and validity，and it can be used as an effective tool to evaluate the self-care contribution of caregivers to stroke survivors.

Key words: Stroke, Caregiver, Self-Care, Contribution, Scale, Reliability, Validity

王文娜, 张振香, 张杜杜, 赵静, 李世瑞, 薛孟寒. 照顾者对脑卒中患者自我护理贡献量表的编制及信效度检验[J]. 中华护理杂志, 2023, 58(1): 39-45.

WANG Wenna, ZHANG Zhenxiang, ZHANG Dudu, ZHAO Jing, LI Shirui, XUE Menghan. Development and psychometric test of the Caregiver Contribution to Self-care of Stroke Patient Scale[J]. Chinese Journal of Nursing, 2023, 58(1): 39-45.

图/表 4

表1 照顾者对脑卒中患者自我护理维持贡献分量表探索性因子分析结果（n=224）

Table 1 Exploratory factor analysis results of the subscale of Caregiver Contribution to Self-Care Maintenance of Stroke（n=224）

表2 照顾者对脑卒中患者自我护理监测贡献分量表探索性因子分析结果（n=224）

Table 2 Exploratory factor analysis results of the subscale of Caregiver Contribution to Self-Care Monitoring of Stroke（n=224）

表3 照顾者对脑卒中患者自我护理管理贡献分量表探索性因子分析结果（n=224）

Table 3 Exploratory factor analysis results of the subscale of Caregiver Contribution to Self-Care Management of Stroke（n=224）

表4 照顾者对脑卒中患者自我护理贡献量表信度分析结果（n=224）

Table 4 Reliability analysis results of the subscale of Caregiver Contribution to Self-Care of Stroke（n=224）

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