Fukahori Hiroki, Yamamoto-Mitani Noriko, Sugiyama Tomoko, Sugai Yuichi, Kai Ichiro
Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Jpn J Nurs Sci. 2010 Dec;7(2):136-47. doi: 10.1111/j.1742-7924.2010.00149.x.
Most family caregivers continue their caregiving for frail relatives after admitting them to long-term care facilities. The characteristics of this caregiving differ from those related to caregiving in home-care settings. Thus, a new tool to evaluate the burden of family caregivers in institutional settings is needed. The aim of this study was to develop a new scale, the Caregiving Burden Scale for Family Caregivers with Relatives in Nursing Homes, and to confirm its validity and reliability.
We conducted two cross-sectional questionnaire surveys. The participants were a convenience sample of family members of residents in seven nursing homes for the validation study and in three nursing homes for the test-retest study in Japan. Statistical analyses examined exploratory/confirmatory factor analyses, internal consistency, concurrent/discriminate validity, and test-retest reliability.
A four-factor solution with 16 items was selected as the most interpretable questionnaire. In the confirmatory factor analysis, the indices of fitness highly supported these results. The Cronbach's alpha coefficient for the total score was 0.86 and varied between 0.77 and 0.87 in the four domains. The scale showed moderate correlation with the Nursing Home Hassles Scale, suggesting its concurrent validity. The four domains had only a medium correlation with each other, indicating discriminate validity.
The developed scale has acceptable validity and reliability for measuring the caregiving burden of family members with relatives in Japanese nursing homes. Future studies using the scale might lead to the improvement of care for family members with relatives in a long-term care setting.
大多数家庭照顾者在将体弱的亲属送入长期护理机构后仍继续提供照顾。这种照顾的特点与家庭护理环境中的照顾有所不同。因此，需要一种新的工具来评估机构环境中家庭照顾者的负担。本研究的目的是开发一种新的量表，即养老院亲属家庭照顾者负担量表，并确认其有效性和可靠性。
我们进行了两项横断面问卷调查。参与者是日本七家养老院进行效度研究和三家养老院进行重测研究的居民家庭成员的便利样本。统计分析包括探索性/验证性因素分析、内部一致性、同时效度/区分效度和重测信度。
一个包含16个条目的四因素解决方案被选为最具解释性的问卷。在验证性因素分析中，拟合指数高度支持这些结果。总分的克朗巴赫α系数为0.86，四个领域的系数在0.77至0.87之间变化。该量表与养老院困扰量表显示出中等相关性，表明其同时效度。四个领域之间的相关性仅为中等，表明区分效度。
所开发的量表在测量日本养老院亲属家庭成员的照顾负担方面具有可接受的效度和可靠性。未来使用该量表的研究可能会改善长期护理环境中亲属家庭成员的护理。
