姑息治疗家庭照顾者评估量表的汉化及信度效度检验

Reliability and validity of the Chinese version of the Family Appraisal of Caregiving Questionnaire for Palliative Care

目的:对姑息治疗家庭照顾者评估量表(Family Appraisal of Caregiving Questionnaire for Palliative Care,FACQ-PC)进行汉化并检验其信度、效度。方法:通过直译、整合、回译、小组讨论、文化调适、预调查,形成中文版FACQ-PC;采用便利抽样法,抽取237名接受姑息治疗的晚期癌症患者家庭照顾者进行调查,检验量表的信度、效度。结果:FACQ-PC各个条目的临界比值在5.150~26.043之间,量表各个条目与总分的相关系数在0.410~0.741之间;各个条目的I-CVI为1,S-CVI/Ave为1;验证性因子分析结果显示,χ^(2)/df为1.819、RMSEA为0.064、CFI为0.905、AGFI为0.817、NFI为0.827、IFI为0.907、TLI为0.887,模型整体拟合度可接受;信度分析结果显示,量表总体Cronbach’sα系数为0.903,各个维度的Cronbach’sα系数为0.696~0.846,重测信度为0.817。结论:中文版FACQ-PC的信度、效度良好,可以推广用于测量接受姑息治疗的晚期癌症患者家庭照顾者的照顾体验。

Objective:To translate the Family Appraisal of Caregiving Questionnaire for Palliative Care(FACQ-PC)and test the reliability and validity of the Chinese version of the FACQ-PC.Methods:The Chinese version of the FACQ-PC was formed through translation,integration,back translation,group discussion,cross-cultural semantic equivalence assessment,and pre-investigation;the reliability and validity of the Chinese version of FACQ-PC were tested among 237 family caregivers through convenience sampling.Results:The CR of each item of FACQ-PC ranged from 5.150 to 26.043,and the item-total correlation coefficient ranged from 0.410 to 0.741.The item-level content validity was 1.The average scale-level content validity is 1.The confirmatory factor analysis results showed that the fitting indexes of the model were acceptable:χ^(2)/df=1.819,RMSEA=0.064,CFI=0.905,AGFI=0.817,NFI=0.827,IFI=0.907,TLI=0.887.The reliability analysis results showed that the overall Cronbach'sαof the scale was 0.903,the Cronbach'sαof each dimension was ranged from 0.696 to 0.846,and the test-retest reliability was 0.817.Conclusion:The reliability and validity of the Chinese version of the FACQ-PC scale is good,and it can be used to measure the caring experience of caregivers of advanced cancer patients receiving palliative care.