Cil Akinci Ayse, Pinar Rukiye
Authors:Ayse Cil Akinci, RN, Assistant Professor, Department of Nursing, College of Health, Kirklareli University, Kirklareli; Rukiye Pinar, RN, Professor, Department of Nursing and Health Services, Faculty of Health Sciences, Yeditepe University, Istanbul, Turkey.
J Clin Nurs. 2014 Feb;23(3-4):352-60. doi: 10.1111/j.1365-2702.2012.04235.x. Epub 2012 Nov 27.
To investigate the validity and reliability of the Caregiver Burden Scale in family members who provide primary care for haemodialysis patients.
In Turkey, there is a need for a multi-dimensional instrument to evaluate the caregiver burden in people who provide care for patients with chronic diseases.
A methodological study.
The study sample consisted of 161 family members who provide primary care for haemodialysis patients. The forward-backward translation method was used to develop the Turkish Caregiver Burden Scale. The reliability was based on internal consistency investigated by Cronbach's alpha and item-total correlation. The factorial construct validity of the scale was tested with confirmatory factor analysis. By means of convergent and divergent validity, correlation between Caregiver Burden Scale and 36-Item Short Form Health Survey (SF-36) and correlation between Caregiver Burden Scale and the Maslach Burnout Scale were investigated.
Cronbach's alpha and item-total correlations results suggested that there was good internal reliability. We found five underlying factors similar to original Scale's five-factor solution. The confirmatory factor analysis five-factor model represented an acceptable fit. Factor loadings were significant, with standardised loadings ranging from 0·43-0·81. By means of divergent validity, all sub-dimension scores and the total score of the Caregiver Burden Scale were negatively correlated with the SF-36, whereas there was a positive correlation with the emotional exhaustion and depersonalisation subscales of the Maslach Burnout Scale as expected.
These results suggest that the Caregiver Burden Scale is a reliable and valid instrument which can be used with confidence in Turkish caregivers for haemodialysis patients to screen caregiver burden.
The burden experienced by people who provide care for patients with chronic diseases can be evaluated with the Caregiver Burden Scale. Additionally, the Caregiver Burden Scale can be used in the evaluation of the effectiveness of attempts to decrease caregiver burden.
调查照顾者负担量表在为血液透析患者提供主要照料的家庭成员中的有效性和可靠性。
在土耳其，需要一种多维工具来评估为慢性病患者提供照料者的负担。
一项方法学研究。
研究样本包括161名为主血液透析患者提供主要照料的家庭成员。采用前后翻译法编制土耳其语照顾者负担量表。可靠性基于通过克朗巴赫α系数和项目-总分相关性调查的内部一致性。量表的因子结构效度通过验证性因子分析进行检验。通过收敛效度和区分效度，研究照顾者负担量表与36项简短健康调查问卷（SF-36）之间的相关性以及照顾者负担量表与马氏倦怠量表之间的相关性。
克朗巴赫α系数和项目-总分相关性结果表明存在良好的内部可靠性。我们发现了五个潜在因素，类似于原始量表的五因素解决方案。验证性因子分析的五因素模型显示拟合度可接受。因子载荷显著，标准化载荷范围为0·43 - 0·81。通过区分效度，照顾者负担量表的所有子维度得分和总分与SF-36呈负相关，而与马氏倦怠量表的情感耗竭和去个性化子量表呈正相关，正如预期的那样。
这些结果表明，照顾者负担量表是一种可靠且有效的工具，可放心用于土耳其为血液透析患者提供照料者，以筛查照顾者负担。
可为慢性病患者提供照料者的负担可通过照顾者负担量表进行评估。此外，照顾者负担量表可用于评估减轻照顾者负担措施的有效性。
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