Mabel Carrillo Gloria, Sánchez Herrera Beatriz, Arias Rojas Edier Mauricio
Universidad Nacional de Colombia, Bogotá, Colombia,
Invest Educ Enferm. 2015 Dec;33(3):449-455. doi: 10.17533/udea.iee.v33n3a08.
This work sought to develop, validate, and determine the reliability of an instrument on Competency in Homecare of the family caregiver of an individual with chronic disease.
The test validation study was carried out in the following phases: 1) literature review; 2) analysis of results of programs to help family caregivers in Latin America; 3) exploration of the classification of nursing results (NOC) related to the family caregiver and discharge; 4) proposal of an instrument of care competence; and 5) psychometric tests: apparent validity with 25 family caregivers of individuals with chronic disease and six experts in the area; construct validity and reliability through internal consistency with 311 family caregivers of chronic patients.
The instrument on homecare competency of the family caregiver of an individual with chronic disease (CUIDAR, for the term in Spanish) has 60 items that inquire on six categories: knowledge, uniqueness, instrumentation, enjoyment of life, anticipation and relationships, and social interaction. The apparent validity evidences clarity, coherence, sufficiency, and relevance of the scale. With the factor analysis six components were obtained through the Varimax rotation in which most of the items are associated according to the categories proposed. The reliability (internal consistency) reported a Cronbach's alpha of 0.96.
The Homecare Competency instrument permits assessing the capacity of a family caregiver to care for an individual with chronic disease, proving valid and reliable for the Colombian context.
本研究旨在开发、验证并确定一种用于评估慢性病患者家庭照顾者居家护理能力的工具的可靠性。
测试验证研究分以下阶段进行：1）文献综述；2）对拉丁美洲帮助家庭照顾者的项目结果进行分析；3）探索与家庭照顾者及出院相关的护理结果分类法（NOC）；4）提出一项护理能力工具；5）心理测量测试：对25名慢性病患者的家庭照顾者和该领域的6名专家进行表面效度测试；通过对311名慢性病患者的家庭照顾者进行内部一致性分析来检验结构效度和信度。
慢性病患者家庭照顾者居家护理能力工具（西班牙语名称为CUIDAR）有60个条目，涉及六个类别：知识、独特性、手段、生活乐趣、预期与关系以及社会互动。表面效度证明了该量表的清晰性、连贯性、充分性和相关性。通过因子分析，经方差最大化旋转得到六个成分，其中大多数条目根据所提议的类别相关联。信度（内部一致性）报告的克朗巴赫α系数为0.96。
居家护理能力工具能够评估家庭照顾者照顾慢性病患者的能力，在哥伦比亚背景下证明是有效且可靠的。
