中文版家庭照顾者照顾能力量表在精神分裂症患者家属中的信效度研究

Study on reliability and validity of Chinese version of Family Caregiver Task Inventory in the relatives of mental disorders patients

目的修订中文版家庭照顾者照顾能力量表,并分析其在精神分裂症患者家属中应用的信效度。方法采用便利抽样法选取2017年3月至2019年9月在济宁市精神病防治院就诊的精神分裂症患者家属175例,利用修订版家庭照顾者照顾能力量表对其进行调查;2周后,对30例患者家属进行量表重测。对修订版家庭照顾者照顾能力量表进行条目分析、信度分析、效度分析、探索性因子分析和验证性因子分析。结果修订版家庭照顾者照顾能力量表包括适应照顾角色、根据需要提供帮助、处理个人感情需要、评估支持资源、平衡个人生活与照顾需求5个维度,25个条目。量表的总Cronbachα系数为0.850,适应照顾角色、根据需要提供帮助、处理个人感情需要、评估支持资源、平衡个人生活与照顾需求的Cronbachα系数分别为0.871、0.887、0.817、0.851、0.841。重测信度系数为0.878。结论修订版家庭照顾者照顾能力量表具有较高的信效度,可以作为精神分裂症患者家属照顾能力的评估工具。

Objective To revise the Chinese version of Caregiver Task Inventory(CTI-C)and to evaluate its reliability and validity in family members of mental disorder patients.Methods Chinese version of Caregiver Task Inventory was revised and adjusted and a survey in a convenience sample of 175 family members of mental disorder patients treated in Jining Psychiatric Hospital was conducted with revised Chinese version of Caregiver Task Inventory(CTI-RC).Two weeks later,another survey 30 of the 175 participants with the CTI-RC were carried out for retesting.After that,item analysis,content validity analysis,exploratory factor analysis,reliability analysis and confirmatory factor analysis for the CTI-RC were implemented.Results The CTI-RC included five common factors:learning to cope with new role,providing care according to care-receiver′s needs,managing own emotional needs,appraising supportive resources,balancing caregiving needs and own needs,covering 25 items.The reliability analysis showed that Cronbachαof the CTI-RC and its 5 factors of learning to cope with new role,providing care according to care-receiver′s needs,managing own emotional needs,appraising supportive resources,balancing caregiving needs and own needs was 0.850,0.871,0.887,0.817,0.851,0.841,respectively.The test-retest reliability of the CTI-RC was 0.878.Conclusions The revised Chinese version of Caregiver Task Inventory has good reliability and validity,and thus,appear to assess valid dimensions of caring ability in family member of individuals with mental disorders.