照顾者准备度量表在脊髓损伤患者照顾者中的适用性研究

Study on Applicability of Caregiver Preparedness Scale in Caregivers of Patients with Spinal Cord Injury

目的:探讨照顾者准备度量表(CPS)在脊髓损伤(SCI)患者照顾者中的适用性研究。方法:选取2019年8月—2021年10月苏州大学附属第三医院脊柱外科收治的SCI患者130例主要照顾者作为研究对象,均给予中文版CPS进行调查,采用高低分组项目分析法,对高分(高分组)和低分(低分组)进行分析,评价照顾者准备度水平,并探索其适用性。结果:高分组照顾患者生理需求、情感需求、为患者制定服务计划、应对照顾压力、为患者提供舒适照顾、应对和管理紧急情况、从医疗照顾系统获取帮助和信息资源、整体照顾的准备度评分均高于低分组,差异有统计学意义(P<0.001)。研究采用内部一致性、折半信度、重测信度评价量表的信度,CPS整体Cronbachα系数为0.909,折半信度为0.903,重测信度为0.877。在各条目标度与Cronbachα系数分析中,删除该项后的Cronbachα系数均<0.909。探索性因子分析共提取1个公因子条目8,累计方差贡献率为61.93%,每个条目因子载荷均>0.6。验证性因子分析结果显示,χ^(2)=39.353,df=20,χ^(2/df)<2,P=0.006。拟合优度指数为0.930,相似性指标为0.967,相异性指标为0.087,规范拟合指数为0.935,相对拟合指数为0.909,增值拟合指数为0.967,非规范拟合指数=0.953,模型拟合良好。结论:中文版CPS在SCI患者照顾者中具有较高的适用性。

Objective:To explore the applicability of caregiver preparedness scale(CPS)in the caregivers of patients with spinal cord injury(SCI).Methods:A total of 134 primary caregivers of SCI patients admitted to the Department of Spine Surgery at the Third Affiliated Hospital of Soochow University from August 2019 to October 2021 were selected as the study subjects.They were surveyed by using the Chinese version of CPS.The high score and low score grouping project analysis method was used to analyze the high score(high score group)and low score(low score group).The caregiver preparedness level was evaluated and the applicability was explored.Results:The scores of caring the physical and emotional needs of patients,formulating serve plan for patients,coping with care stress,providing comfortable care for patients,coping with and managing emergencies,obtaining help and information resources from the medical care system,and overall care preparedness in the high score group were higher than those in the low score group,and the difference was statistically significant(P<0.001).The study adopted the internal consistency,split-half reliability,and retest reliability evaluation scale reliability.The overall Cronbachαcoefficient of CPS was 0.909,the split-half reliability was 0.903,and the retest reliability was 0.877.In the analysis of each item scale and Cronbachαcoefficient,the Cronbachαcoefficient after removing this term was<0.909.A common factor item 8 was extracted from exploratory factor analysis,and the cumulative variance contribution rate was 61.93%,and the load of each item factor was>0.6.The results of confirmatory factor analysis showed thatχ2=39.353,df=20,χ2/df<2,P=0.006.The goodness-of-fitting index was 0.930,the similarity index was 0.967,the dissimilarity index was 0.087,the normative fitting index was 0.935,the relative fitting index was 0.909,the value-added fitting index was 0.967,the non-normative fitting index=0.953,and the model fitted well.Conclusion:The Chinese version of CPS has a high applicability among the caregivers of SCI patients.