摘要
目的:根据McCubbin对家庭适应的定义修订Antonovsky的家庭适应量表,并在中重度老年期痴呆患者家庭中检验量表的信度和效度。方法:遵循Brislin量表翻译模型,对Antonovsky的家庭适应量表进行翻译,根据McCubbin在2001年对家庭适应的定义丰富原版家庭适应量表的条目。邀请6位专家对丰富后的家庭适应量表进一步修订并进行内容效度评价。用修订的中文版家庭适应量表对215个中重度老年期痴呆患者家庭进行测试,检验其结构效度和信度。结果:修订的中文版家庭适应量表包括了15个条目,专家效度S-CVI为1.00,各条目I-CVI均为1.00;通过最大正交旋转法共得到3个维度:家庭人际关系、家庭结构及功能、家庭与社区及自然环境之间的关系,累计贡献率为71.404%;总量表的Cronbach’sα系数为0.951,各维度的Cronbach’sα系数分别为0.901、0.885、0.860;总量表折半信度系数为0.930,各维度折半信度为0.916、0.866、0.861。结论:修订的中文版家庭适应量表效度、信度良好,可用于评价我国老年期痴呆患者家庭的家庭适应水平。
Objective:To revise Family Adaptation Scale,which was developed by Antonovsky based on the Mc Cubbin’s definition of family adaptation,and to test the validity and reliability of the scale in families of patients in old age with moderate to severe dementia.Methods:The Family Adaptation Scale was translated based on Brislin translation model,and enriched based on McCubbin’s definition of family adaptation in 2001.Six experts were invited to further revise the scale and evaluate the content validity.A total of 215 families of patients with moderate to severe dementia were enrolled to test the construct validity and reliability of revised Chinese version of the Family Adaptation Scale.Results:The revised Chinese version of the Family Adaptation Scale included 15 items.The S-CVI was 1.00,and each I-CVI was 1.00.Three factors(family’s interpersonal relationships,family’s structure and function,family’s relationship to the community and the natural environment)were extracted from items by the factor analysis via the maximum orthogonal rotation,the cumulative contribution rate was 71.404%.Cronbach’sαcoefficient for the scale was 0.951,Cronbach’sαcoefficient for three dimensions was 0.901,0.885,0.860.Split-half reliability for the scale was 0.930,and 0.916,0.866,0.861 for each dimension.Conclusion:The revised Chinese version of the Family Adaptation Scale has good validity and good reliability which can be used to evaluate the family adaptation level of the family of dementia patients in old age in China.
作者
王庆妍
绳宇
常红
WANG Qingyan;SHENG Yu;CHANG Hong(School of Nursing,Peking Union Medical College,Beijing,100144,China)
出处
《中国护理管理》
CSCD
北大核心
2020年第2期200-205,共6页
Chinese Nursing Management
基金
北京协和医学院“协和青年科研基金”项目(2017330020).
关键词
家庭适应量表
信度
效度
痴呆患者
Family Adaptation Scale
reliability
validity
patients with dementia
