Shibata Yuki, Abe Koji, Arai Asuna, Arai Yumiko
Department of Gerontological Policy, National Center for Geriatrics and Gerontology (NCGG).
Nihon Ronen Igakkai Zasshi. 2010;47(4):315-22. doi: 10.3143/geriatrics.47.315.
To develop a scale for attitudes towards family caregiving of people with dementia among the general public in Japan.
We conducted a postal self-administered questionnaire survey in a sample of the general population aged 20 and over: there were 2,161 (86%) valid responses. Question items in the survey included sociodemographic characteristics, attitude towards family caregiving for people with dementia, and the following three variables associated with dementia and caregiving: respondents' personal anxiety about developing dementia, their knowledge about the Long-Term Care insurance service, and their experiences of caregiving.
Factor analysis revealed the following four subscales within this scale: feelings of obligation towards family caregiving (F1), expected feelings of caregiving burden (F2), expectation of personal growth through family caregiving (F3), and negative attitudes towards family caregiving (F4). The Cronbach alpha coefficients for these four subscales ranged from 0.73 to 0.82. In addition, analysis of covariance (ANCOVA), with sociodemographic characteristics as covariates, showed significant relationships (1) between personal anxiety about developing dementia and both F1 and F2, (2) between personal experience of caregiving and F3, and (3) between each of the three variables associated with dementia and caregiving and F4.
The present study confirmed the reliability and validity for the scale of attitudes towards family caregiving of people with dementia among the general public in Japan.
开发一种用于衡量日本普通公众对痴呆症患者家庭照护态度的量表。
我们对20岁及以上的普通人群样本进行了邮寄自填式问卷调查：共获得2161份有效回复（回复率86%）。调查中的问题项目包括社会人口学特征、对痴呆症患者家庭照护的态度，以及与痴呆症和照护相关的以下三个变量：受访者对患痴呆症的个人焦虑、他们对长期护理保险服务的了解，以及他们的照护经历。
因子分析揭示了该量表中的以下四个子量表：家庭照护的义务感（F1）、预期的照护负担感（F2）、通过家庭照护实现个人成长的期望（F3），以及对家庭照护的消极态度（F4）。这四个子量表的克朗巴赫α系数在0.73至0.82之间。此外，以社会人口学特征为协变量的协方差分析（ANCOVA）显示，（1）对患痴呆症的个人焦虑与F1和F2之间存在显著关系，（2）个人照护经历与F3之间存在显著关系，以及（3）与痴呆症和照护相关的三个变量中的每一个与F4之间存在显著关系。
本研究证实了日本普通公众对痴呆症患者家庭照护态度量表的信效度。
