婴儿先天性心脏病术后主要照顾者照护能力评估量表的编制

Development of the Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively

目的编制婴儿先天性心脏病术后主要照顾者照护能力评估量表并检验其信效度,为评估婴儿先天性心脏病术后主要照顾者照护能力提供有效工具。方法以照顾者照护能力-效果模型为理论基础,结合文献回顾法、半结构式访谈结果初步构建量表维度及条目池,通过专家小组会议法、预调查,形成初始量表。对360例婴儿先天性心脏病术后主要照顾者进行问卷调查检验信效度。结果最终版量表包含照顾知识、照顾技能、照顾者个人素质、管理家庭和社会资源4个维度,共29个条目。探索性因子分析提取4个公因子,累计方差贡献率为74.604%。量表水平的全体一致内容效度指数为0.982,条目水平的内容效度指数为0.900~1.000;量表总体Cronbach′sα系数为0.956,Omega信度为0.949,分半信度系数为0.846,重测信度为0.873。验证性因子分析结果显示,模型拟合基本适配。量表4个维度组合信度系数值为0.901~0.964,聚合效度指标AVE为0.651~0.756,各维度的AVE平方根为0.807~0.869。结论本研究编制的婴儿先天性心脏病术后主要照顾者照护能力评估量表信效度较好,可作为评估婴儿先天性心脏病术后主要照顾者照护能力水平的工具。

Objective To develop the Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively,to test its reliability and validity,and to provide a valid tool to assess the caregiving ability of primary caregivers of these infants.Methods Based on the Caregiver Care Ability-Effect model,combined with the literature review method and semi-structured interview results,the scale dimensions and item pool were preliminarily constructed,and the initial scale was formed through the expert group meeting method and pre-survey.Convenience sampling was used to select 360 primary caregivers of postoperative infants with congenital heart disease for questionnaire survey.Reliability and validity testing of the scale was performed with the survey data.Results The final version of the scale included 4 dimensions of care knowledge,care skills,personal quality of caregivers,management of family and social resources,totaling 29 items.Exploratory factor analysis extracted 4 common factors,and the cumulative variance contribution rate was 74.604%.The average content validity index(CVI)of the scale was 0.982,the item-level CVI ranged between 0.900-1.000;the overall Cronbach′sαcoefficient of the scale was 0.956,the overall Omega reliability of the scale was 0.949,the split-half reliability was 0.846,and the retest reliability after 2 weeks was 0.873.The results of confirmatory factor analysis showed that the model was fitted.The combined reliability coefficient of the four dimensions of the scale ranged between 0.901-0.964,the convergent validity index AVE ranged between 0.651-0.756,and the square root of AVE of each dimension was 0.807-0.869.Conclusion The Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively is reliable and effective.It can be used to evaluate the caregiving ability of primary caregivers of postoperative infants with congenital heart disease.