Abstract:

Objective To develop the scale of Caring Ability Assessment of Caregivers of Children with Type 1 Diabetes Mellitus,and to test its reliability and validity. Methods This study employed the caregiver skill model as its theoretical basis,using literature review,semi-structured interview,expert consultation and pilot survey to form the initial scale. Using convenience sampling method,276 caregivers in Qingdao from April to May 2021 were selected and investigated. The data was analyzed to determine the reliability and validity of the scale. 403 caregivers from June to August 2021 were selected for confirmatory factor analysis to further test the factor structure of the scale. Results The final version of the scale consisted of 5 dimensions,namely knowledge and attitude,care skill,personal qualities,management of self-emotion,family and social resource management,with 36 items in total. Exploratory factor analysis extracted 5 common factors,and the cumulative variance contribution rate was 72.112%. The scale-level content validity index of the total scale was 0.97,and the item-level content validity index were from 0.85 to 1.00. The scale’s Cronbach’s α coefficient and 2-week test-retest reliability were 0.949 and 0.929 respectively. The results of confirmatory factor analysis showed that the model fits well,indicating that the factor structure of the scale was stable. Conclusion The Caring Ability Assessment Scale of Caregivers for Children with Type 1 Diabetes Mellitus in this study has good reliability and validity which can be used as a tool to assess the caring ability of caregivers of children with type 1 diabetes,and help to find problems in the care process as early as possible.

Key words: Type 1 Diabetes Mellitus, Caregivers, Caring Ability, Scale, Reliability, Validity, Pediatric Nursing

摘要：

目的 编制1型糖尿病患儿照顾者照护能力量表并检验其信效度。 方法 以照顾者技能模型为理论基础,结合文献回顾法、半结构式访谈法、专家函询和预调查,形成初始量表。采用便利抽样法,选取2021年4月—5月在青岛市某三级甲等专科医院就诊和住院的276名1型糖尿病患儿的照顾者进行问卷调查,并进行项目分析和信效度检验;2021年6月—8月,选取在山东省及福建省3所三级甲等综合医院就诊和住院的403名1型糖尿病患儿的照顾者进行验证,进一步检验量表结构的稳定性。 结果 最终版量表包含知识与态度、基本照顾技能、自身素质、管理自身情绪、家庭及社会资源管理5个维度,共36个条目。探索性因子分析提取5个公因子,累计方差贡献率为72.112%。量表平均内容效度指数为0.97,条目内容效度指数为0.85~1.00,量表总的Cronbach’s α系数为0.949,2周后重测信度为0.929。验证性因子分析结果显示,模型拟合良好,该量表因子结构稳定。 结论 该研究编制的1型糖尿病患儿照顾者照护能力量表具有良好的信效度,可用于评估其照护能力。

关键词: 1型糖尿病, 照顾者, 照护能力, 量表, 信度, 效度, 儿科护理学