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阿尔茨海默病患者照护需求评估量表的编制及信效度检验 被引量:1

Development and reliability and validity of the Care Needs Assessment Scale for Patients with Alzheimer disease
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摘要 目的编制阿尔茨海默病(AD)患者照护需求评估量表并对其进行信效度检验。方法基于文献回顾、临床实践、深度访谈并通过2轮专家函询,构建初始量表。采用便利抽样法,选取2020年10月至2021年3月在重庆市精神卫生中心记忆门诊确诊的150例AD患者进行预调查,通过项目分析和探索性因子分析进行条目筛选,形成正式量表。采用便利抽样法,选取2021年5—7月在重庆市精神卫生中心记忆门诊确诊的105例AD患者进行正式调查,采用SPSS 25.0统计学软件和AMOS软件对正式量表进行信度检验及验证性因子分析。结果AD患者照护需求评估量表包括日常生活照料要求、医疗照护需求、康复训练需求、社会心理需求4个维度,共16个条目,解释的总方差变异为76.074%;验证性因子分析显示,χ2/df=2.043,RMSEA=0.100,TLI=0.907,CFI=0.924。总量表的Cronbach’sα系数为0.902,分半信度为0.633,各维度的Cronbach’sα系数为0.736~0.952,分半信度为0.739~0.931。结论AD患者照护需求评估量表的信效度良好,可作为评估AD患者照护需求的测量工具。 Objective To develop the Care Needs Assessment Scale for Patients with Alzheimer disease, and to test it for reliability and validity. Methods Based on literature review, clinical practice, in-depth interview and 2 rounds of expert letter consultation, the initial scale was constructed. Using the convenient sampling method, 150 AD patients diagnosed in the memory clinic of Chongqing Mental Health Center from October 2020 to March 2021 were selected for pre investigation, and items were screened through item analysis and exploratory factor analysis to form a formal scale. Using the convenient sampling method, 105AD patients diagnosed in the memory clinic of Chongqing Mental Health Center from May to July 2021 were selected for a formal survey. SPSS 25.0 statistical software and AMOS software were used for reliability test and confirmatory factor analysis of the formal scale. Results The Care Needs Assessment Scale for Patients with Alzheimer disease included 4 dimensions(daily care needs, medical care needs, rehabilitation training needs, and psychosocial needs), 16 entries in total, and the total variance variation of explanation was 76.074%.Confirmative factor analysis showed χ~2/df=2.043, RMSEA=0.100, TLI=0.907, CFI=0.924. The Cronbach’s αcoefficient of the general scale was 0.902, and the split half reliability was 0.633. The Cronbach’s α coefficient of each dimension was 0.736-0.952, and the split half reliability was from 0.739-0.931. Conclusions The Care Needs Assessment Scale of Patients with Alzheimer disease has good reliability and validity, and can be used as a measuring tool to assess the care needs of Alzheimer’s disease patients.
作者 袁刚 彭静 李华平 杨波 陈雯雯 周颐 朱洪 张起航 谭小林 Yuan Gang;Peng Jing;Li Huaping;Yang Bo;Chen Wenwen;Zhou Yi;Zhu Hong;Zhang Qihang;Tan Xiaolin(Department of Psychiatry,Chongqing Mental Health Center,Chongqing 400036,China;Department of Geriatrics,Chongqing Mental Health Center,Chongqing 400036,China)
出处 《神经疾病与精神卫生》 2022年第12期872-877,共6页 Journal of Neuroscience and Mental Health
基金 重庆市科卫联合医学科研项目(2021MSXM055)。
关键词 阿尔茨海默病 照护需求 量表 信度 效度 Alzheimer disease Care needs Scale Reliability Validity
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