Clark Patricia C, Shields Cleveland G, Aycock Dawn, Wolf Steven L
Nell Hodgson Woodruff School of Nursing, Room 306, Emory University, 1520 Clifton Road, Atlanta, GA 30322-4207, USA.
Prog Cardiovasc Nurs. 2003 Spring;18(2):77-82, 92.
Recovery from stroke is a challenging process for stroke survivors and their families. Assessing family conflict may be useful in guiding interventions to reduce caregiver distress. The purpose of this study was to assess preliminary reliability and validity data for a 15-item family caregiver conflict scale [FCCS] for stroke. Construct validity was assessed using subscales from the family assessment device: communication, problem solving, general family functioning, and a perceived criticism scale. Data were pooled from three studies of caregivers of stroke survivors (total N=93). Internal consistency for the FCCS was adequate (>0.70). Higher family conflict was related to more ineffective family communication, general family functioning, and higher perceived criticism (p > or =0.05). Nonspouse caregivers reported more family conflict than spouse caregivers. The FCCS appears to have adequate internal consistency and construct validity and may provide information about family conflicts around stroke recovery and direction for family-focused interventions.
对中风幸存者及其家人来说，从中风恢复过来是一个具有挑战性的过程。评估家庭冲突可能有助于指导干预措施，以减轻照料者的痛苦。本研究的目的是评估一个15项的中风家庭照料者冲突量表（FCCS）的初步信度和效度数据。使用家庭评估工具中的子量表来评估结构效度：沟通、解决问题、一般家庭功能和感知批评量表。数据来自三项针对中风幸存者照料者的研究（总样本量N = 93）。FCCS的内部一致性良好（>0.70）。较高的家庭冲突与更无效的家庭沟通、一般家庭功能以及更高的感知批评相关（p≥0.05）。非配偶照料者报告的家庭冲突比配偶照料者更多。FCCS似乎具有足够的内部一致性和结构效度，并且可能提供有关中风恢复过程中家庭冲突的信息以及以家庭为中心的干预方向。
