Development of family readiness instrument for caring of stroke patients at home: Application of transition theory

IF 1.6 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2025-08-20 DOI:10.1111/jjns.70015

Muhammad Abu, Rosyidah Arafat, Syahrul Syahrul, Aulia Insani Latif

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引用次数: 0

Abstract

Background

Lack of family readiness to care for stroke patients can negatively impact the health of family members who serve as primary caregivers, often leading to prolonged stress and depression.

Aim

This study aimed to develop a valid and reliable family readiness instrument based on a transition model to assess preparedness for caring for stroke patients at home.

Methods

A mixed-methods approach was employed in this research, consisting of four phases: Delphi Study, face validity, content validity, and testing for structural validity and reliability. A total of 153 participants were included in this study. In the first phase, a Delphi Study was conducted in three rounds to reach consensus on the instrument items, involving eight experts. The second phase involved 30 family members of stroke patients to test face validity. In the third phase, content validity was assessed by five experts using the “judgment by expert” method. The final phase involved testing structural validity and reliability with 110 families of caregivers of patients with stroke.

Results

The results of the exploratory factor analysis (EFA) identified three main factors: awareness (12 items), involvement (6 items), and changes in internal and external processes (2 items). The instrument demonstrated good reliability with a Cronbach's alpha value of .811.

Conclusion

Twenty items from the family readiness instrument based on the transition model were valid and reliable for the Indonesian family population, making it suitable for assessing family readiness in caring for stroke patients at home.

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脑卒中患者居家护理家庭准备仪的研制：过渡理论的应用

家庭缺乏照顾中风患者的准备会对作为主要照顾者的家庭成员的健康产生负面影响，往往导致长期的压力和抑郁。目的本研究旨在建立一套有效且可靠的家庭准备量表，以评估脑卒中患者在家照护的准备程度。方法采用混合方法进行研究，分为德尔菲研究、面效度、内容效度、结构效度和信度检验四个阶段。本研究共纳入153名参与者。在第一阶段，进行了三轮德尔菲研究，就文书项目达成共识，涉及8名专家。第二阶段涉及30名中风患者的家庭成员来测试面部效度。第三阶段，由5位专家采用“专家判断”法对内容效度进行评估。最后一个阶段是对110个中风患者家属的结构效度和信度进行测试。结果探索性因素分析（EFA）的结果确定了三个主要因素：意识（12项）、参与（6项）和内外部过程的变化（2项）。该仪器具有良好的可靠性，Cronbach's alpha值为0.811。结论基于过渡模型的家庭准备量表中有20个项目对印尼家庭人群有效、可靠，适合用于评估居家卒中患者的家庭准备程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.