评估痴呆症患者家庭照护者照护能力的新量表

Ippei Suganuma, Noriyuki Ogawa, Kenji Kamijou, Aki Nakanishi, Ippei Kawasaki, Keisuke Itotani, Shinichi Okada
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摘要

家庭照顾者的老龄化以及独居老人数量增加所带来的远程照顾挑战,引起了人们对日本痴呆症护理问题的关注。此外,随着出生率下降和平均寿命延长导致的家庭动态变化,有必要调整对家庭照顾者的支持策略。因此,有必要尽早有效地测量家庭照顾者的照顾能力。然而,目前还缺乏一个针对痴呆症的综合照护能力量表,包括照护负担、肯定和应对等方面。因此,本研究旨在为痴呆症患者的主要家庭照护者开发痴呆症照护能力量表(CCSD)。本研究主要针对照顾认知障碍和不同程度痴呆症患者的主要家庭照顾者。我们开发了 CCSD 的初始版本,并进行了问卷调查以验证其结构效度和信度。共有 150 名参与者参与了分析。探索性因子分析确定了五个因子,共 27 个项目:因子 1:"积极情绪和认知",因子 2:"有无咨询伙伴和家庭支持",因子 3:"照护负担和应对技巧",因子 4:"痴呆扫盲",因子 5:"参与和情绪控制"。确认性因子分析显示模型拟合度良好(比较拟合指数=0.905,均方根近似误差=0.072)。量表的总体 Cronbach's alpha 系数为 0.892。该量表由 27 个项目组成,涵盖五个因子,是一个成功的测量量表。对照顾能力的测量有助于为主要家庭照顾者制定有针对性的支持策略,并促进适当的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A novel scale for assessing caregiving competence in family caregivers of persons with dementia
The aging of family caregivers and the challenges of long-distance caregiving attributed to the increase in the number of elderly individuals living alone have raised concerns about dementia caregiving in Japan. Additionally, with the shifts in family dynamics due to declining birth rates and an extended average lifespan, adapting support strategies for family caregivers is necessary. Thus, it is necessary to measure the caregiving competence of family caregivers early and effectively. However, a comprehensive caregiving competence scale tailored to dementia, including aspects such as caregiving burden, affirmation, and coping, is lacking. Therefore, this study aimed to develop a Caregiving Competence Scale for Dementia (CCSD) for primary family caregivers caring for individuals with dementia. This study focused on primary family caregivers caring for individuals with cognitive impairment and various degrees of dementia. The initial version of the CCSD was developed, and a questionnaire survey was conducted to validate its structural validity and reliability. A total of 150 participants were included in the analysis. The exploratory factor analysis identified five factors with 27 items: Factor 1: “Positive Emotions and Awareness,” Factor 2: “Presence or Absence of Consultation Partners and Family Support,” Factor 3: “Caregiving Burden and Coping Skills,” Factor 4: “Dementia Literacy,” and Factor 5: “Engagement and Emotional Control.” The confirmatory factor analysis revealed a good model fit (comparative fit index = 0.905 and root mean square error of approximation = 0.072). The overall Cronbach’s alpha coefficient for the scale was 0.892. The CCSD, comprising 27 items covering five factors, has been successfully developed as a measurement scale. Measuring caregiving competence contributes to developing targeted support strategies for primary family caregivers and facilitating appropriate interventions.
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