Fuh J L, Wang S J, Liu H C, Wang H C
Neurological Institute, Veterans General Hospital-Taipei and National Yang-Ming University School of Medicine, Taipei, Taiwan.
Dement Geriatr Cogn Disord. 1999 May-Jun;10(3):186-91. doi: 10.1159/000017118.
From April 1996 to January 1997, a total of 76 Alzheimer's disease (AD) patients and their caregivers were recruited for participation in a comprehensive assessment at the Veterans General Hospital-Taipei, a 2,198-bed tertiary-care teaching hospital in Taipei, Taiwan. The AD patients responded to the Chinese version of the Cognitive Abilities Screening Instrument. Primary caregivers rated the patients using the Symptom Check List-90 (SLC-90) and the Revised Memory and Behavior Problems Checklist and then rated themselves with the caregiving burden scale (CBS), coping strategies scale and the short version of the Geriatric Depression Score (GDS-S). The internal consistency of the CBS, as assessed by Cronbach's alpha, was 0.849. The correlations between the CBS, SCL-90 and GDS-S ranged from 0.435 to 0.698. The CBS scores increased with disease progression and were higher among spouse caregivers than adult children caregivers. Multiple-regression analysis revealed that caregivers with higher CBS scores were more likely to have lower education levels and to use the meaning subscales of coping strategies, and that these caregivers' patients had greater disruptive behavior and were older (R2 = 0.727, p = 0. 001). The current study establishes the reliability and validity of the Chinese version of the CBS for assessment of Chinese caregivers of AD patients.
1996年4月至1997年1月，台北荣民总医院（台湾台北市一家拥有2198张床位的三级护理教学医院）共招募了76名阿尔茨海默病（AD）患者及其照料者，参与一项综合评估。AD患者对中文版认知能力筛查工具进行了作答。主要照料者使用症状自评量表90（SCL - 90）和修订版记忆与行为问题清单对患者进行评分，然后使用照料负担量表（CBS）、应对策略量表和老年抑郁量表简版（GDS - S）对自己进行评分。经克朗巴哈系数评估，CBS的内部一致性为0.849。CBS、SCL - 90和GDS - S之间的相关性在从至0.435到0.698之间。CBS得分随疾病进展而升高且配偶照料者的得分高于成年子女照料者。多元回归分析显示，CBS得分较高的照料者更有可能教育水平较低且使用应对策略的意义分量表，并且这些照料者所照料的患者具有更严重的破坏性行为且年龄更大（R² = 0.727，p = 0.001）。本研究确立了中文版CBS在评估AD患者的中国照料者时的信度和效度。
