Sadak Tatiana, Korpak Anna, Wright Jacob D, Lee Mee Kyung, Noel Margaret, Buckwalter Kathleen, Borson Soo
a University of Washington School of Nursing , Seattle , Washington , USA.
b University of Washington School of Public Health , Seattle , Washington , USA.
Clin Gerontol. 2017 Jul-Sep;40(4):268-280. doi: 10.1080/07317115.2017.1313349. Epub 2017 Apr 5.
Standardized measurement of caregiver stress is a component of Medicare's new health care benefit supporting care planning for people with dementia. In this article we identify existing measures of caregiver stress, strain and burden and propose specific criteria for choosing tools that may be suitable for wide use in primary care settings. We reviewed 22 measures and identified one, the Kingston Caregiver Stress Scale (KCSS), which met all the proposed criteria but had not been studied in a U.S.
We conducted a psychometric evaluation of KCSS to determine its potential usefulness as a care planning tool with a U.S.
We examined the internal consistency, test-retest reliability, component structure, and relationship to depression and anxiety in 227 dementia caregivers at two U.S. sites.
The KCSS has high internal consistency and test-retest reliability, a strong factor structure, and moderate to high correlations with caregiver depression and anxiety.
KCSS is a good candidate for use as part of comprehensive care planning for people with dementia and their caregivers.
Routine assessment of caregiver stress in clinical care may facilitate timely intervention and potentially improve both patient and caregiver outcomes.
对护理者压力进行标准化测量是医疗保险新的医疗保健福利的一个组成部分，该福利支持为痴呆症患者制定护理计划。在本文中，我们确定了现有的护理者压力、紧张和负担测量方法，并提出了选择可能适用于初级保健环境广泛使用的工具的具体标准。我们审查了22种测量方法，确定了一种，即金斯敦护理者压力量表（KCSS），它符合所有提议的标准，但尚未在美国进行研究。
我们对KCSS进行了心理测量评估，以确定其作为美国护理计划工具的潜在有用性。
我们在美国两个地点对227名痴呆症护理者的内部一致性、重测信度、成分结构以及与抑郁和焦虑的关系进行了研究。
KCSS具有较高的内部一致性和重测信度，有很强的因素结构，并且与护理者的抑郁和焦虑有中度到高度的相关性。
KCSS是作为痴呆症患者及其护理者综合护理计划一部分使用的良好候选工具。
在临床护理中对护理者压力进行常规评估可能有助于及时干预，并有可能改善患者和护理者的结局。
