Astedt-Kurki Päivi, Tarkka Marja-Terttu, Rikala Marjo-Riitta, Lehti Kristiina, Paavilainen Eija
Department of Nursing Science, University of Tampere, Tampere University Hospital, Research Unit, Finland.
Int J Nurs Stud. 2009 Mar;46(3):350-9. doi: 10.1016/j.ijnurstu.2008.01.008. Epub 2008 Mar 10.
Cardiac illness in one family member affects the well-being and health of the whole family. When a family member falls ill, life may change for the whole family in many ways. Family members expect nursing staff to provide more support when their family situation changes.
To describe further development and testing of a family nursing instrument for assessing the association between social support for the family of an adult cardiac patient and family functioning and perceived family health.
The study was conducted in two university hospitals and in two central hospitals in Finland.
Questionnaires were given to family members of heart patients. Patients themselves defined who their closest adult relative was. Data were collected from family members of 509 heart patients.
Good internal reliability in this further testing of a new instrument was demonstrated. Principal component analysis (PCA) with varimax rotation was performed in each of the three total scales: family functioning, family health and social support. PCA supported the previously proposed theoretical framework. A final scale consisted of 62 items. All the total scales and subscales had acceptable validity and reliability, alpha coefficients ranged from .76 to .98.
The Family Functioning, Health and Social Support (FAFHES) provides a reliable and valid instrument when the investigator wishes to measure social support associated with family functioning and the health of families of heart patients.
一名家庭成员患心脏病会影响整个家庭的幸福和健康。当一名家庭成员生病时，整个家庭的生活可能会在许多方面发生变化。当家庭情况发生变化时，家庭成员期望护理人员提供更多支持。
进一步描述和测试一种家庭护理工具，以评估成年心脏病患者家庭的社会支持与家庭功能及感知到的家庭健康之间的关联。
该研究在芬兰的两家大学医院和两家中心医院进行。
向心脏病患者的家庭成员发放问卷。患者自己确定谁是他们最亲近的成年亲属。收集了509名心脏病患者家庭成员的数据。
在对新工具的进一步测试中显示出良好的内部信度。对家庭功能、家庭健康和社会支持这三个总量表分别进行了具有方差最大化旋转的主成分分析（PCA）。PCA支持了先前提出的理论框架。最终量表由62个项目组成。所有总量表和子量表都具有可接受的效度和信度，α系数范围为0.76至0.98。
当研究者希望测量与心脏病患者家庭的家庭功能和健康相关的社会支持时，家庭功能、健康和社会支持量表（FAFHES）提供了一种可靠且有效的工具。
