Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Guilan University of Medical Sciences, Rudsar Shahid Ansari Hospital, Rudsar, Guilan, Iran.
Clin Interv Aging. 2018 Apr 4;13:555-563. doi: 10.2147/CIA.S149338. eCollection 2018.
Older adults with chronic disease are more vulnerable to abuse. Early and accurate detection of the elderly abuse phenomenon can help identify health-promoting solutions for the elderly, their family, and society. The purpose of this study was to design and evaluate the psychometric properties of a questionnaire on elderly abuse by family caregivers among older adults on hemodialysis.
Qualitative and quantitative research methodologies were used to develop the questionnaire. The item pool was compiled from literature reviews and the Delphi method. The literature reviews comprised 22 studies. The psychometric properties of the questionnaire were verified using face, content, and construct validity, and the reliability was tested using Cronbach's alpha reliability.
A 57-item questionnaire was developed after the psychometric evaluation. The Kaiser-Meyer-Olkin index and Bartlett's test of sphericity showed reliable results. Seven components from the exploratory content analysis including psychological misbehavior, authority deprivation, physical misbehavior, financial misbehavior, being abandoned, caring neglect, and emotional misbehavior explained 74.769% of the total variance. Cronbach's alpha was 0.98 and the interclass correlation coefficient was =0.91 responding to the items twice (<0.001), which shows a high level of tool stability.
This study developed a questionnaire to assess elderly abuse by family caregivers among older adults on hemodialysis. It is recommended as a mini scale that can be used both in statistical and practical studies, and that is valid and reliable. Nurses or other health care providers can use it in health centers, dialysis centers, or at the house of the patient.
患有慢性病的老年人更容易受到虐待。及早准确地发现老年人虐待现象有助于为老年人及其家庭和社会找到促进健康的解决方案。本研究旨在设计并评估一份针对老年血液透析患者家庭照顾者对老年人虐待情况的问卷的心理计量学特性。
定性和定量研究方法被用于开发该问卷。项目池由文献回顾和德尔菲法编制而成。文献综述包括 22 项研究。使用内容、结构和构念效度来验证问卷的心理计量学特性，使用克朗巴赫α可靠性检验来测试其信度。
经过心理计量学评估，开发了一个包含 57 个项目的问卷。Kaiser-Meyer-Olkin 指数和 Bartlett 球形检验显示了可靠的结果。探索性内容分析的七个组成部分，包括心理行为不当、权威剥夺、身体行为不当、财务行为不当、被遗弃、护理疏忽和情绪行为不当，解释了总方差的 74.769%。克朗巴赫α系数为 0.98，两次反应的组内相关系数（ICC）=0.91（<0.001），表明工具稳定性较高。
本研究开发了一种用于评估老年血液透析患者家庭照顾者对老年人虐待情况的问卷。建议将其作为一种小型量表，可用于统计和实际研究，具有有效性和可靠性。护士或其他卫生保健提供者可以在卫生中心、透析中心或患者家中使用该问卷。
