照顾者内疚感量表的汉化及在老年痴呆患者家庭照顾者中的信效度检验

Validity and reliability test of the Chinese version of the Caregiver Guilt Questionnaire in caregivers of elderly patients with dementia

目的汉化照顾者内疚感量表(Caregiver Guilt Questionnaire,CGQ),并在老年痴呆患者家庭照顾者中检验其信效度。方法依据Brislin翻译模型,翻译、回译量表,通过专家咨询和预调查,调试、修订量表。2021年4月—9月,对大连市120名老年痴呆患者的家庭照顾者进行调查,验证量表的信效度。结果中文版CGQ共22个条目,总量表和各维度的Cronbach’sα系数为0.953、0.799~0.941;总量表和各维度的分半信度为0.881、0.799~0.936。内容效度指数为0.91,各条目均≥0.80,共析出5个公因子,分别为对受照顾者做错了事感到内疚、忽视其他亲人的内疚感、对他人有负面感觉的内疚感、未能应对护理挑战的内疚感、自我照顾的内疚感,累计方差贡献率为76.821%。结论中文版CGQ的信效度良好,适合国内老年痴呆患者照顾者内疚感水平的测量。

Objective To translate the English version of the Caregiver Guilt Questionnaire(CGQ) into Chinese,and to test its reliability and validity. Methods The scale was translated and retranslated according to the Brislin’s translation model,and the Chinese version was revised through experts’ consultations and a pre-experiment.For testing the reliability and validity of the scale,120 family caregivers of elderly patients with dementia were selected as the subjects of study from April to September 2021. Results The CGQ has 22 items,and the Cronbach’s alpha coefficient for the 22-item scale was 0.953 with 0.799 ~0.941 for each dimension. The split-half reliability was 0.881 with 0.799~0.936 for each dimension. The scale-level content validity index was 0.91,and the item-level content validity index were over 0.80. Factor analysis showed that a total of 5 factors were extracted explaining 76.821% of the total variance,namely guilt for doing wrong to the care recipient,guilt for neglecting other relatives,guilt for having negative feelings towards other people,guilt for not coping with nursing challenges as caregivers,guilt for self-care. Conclusion The Chinese version CGQ has good reliability and validity,which can be used to assess the level of guilt among caregivers of elderly patients with dementia in China.