Lau Bobo Hi Po, Lou Vivian Weiqun, Cheung Karen Siu Lan
Department of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong, China.
Sau Po Centre on Ageing, University of Hong Kong, Hong Kong, China.
Healthcare (Basel). 2018 Dec 5;6(4):141. doi: 10.3390/healthcare6040141.
This study investigates the feasibility of using the Exemplary Care Scale (ECS) among Chinese dementia familial caregivers, and reports its psychometric properties.
Back translation was used to develop the Chinese version of ECS (C-ECS). Three hundred and ninety-seven dyads of caregivers and their relatives with dementia responded to an assessment battery which included questions on care recipients' cognition, behavioral and psychological symptoms, daily activities assistance, social support, and caregiver well-being.
Results of an exploratory principal component analysis revealed two subscales in the 11-item C-ECS: considerate caregiving and preserving esteem. C-ECS and its subscales demonstrated sufficient reliability, as well as criteria-related validity through its association with care recipient's cognition and health, and caregivers' well-being and social support.
Our findings provide preliminary support to C-ECS as a reliable and valid measure of exemplary caregiving among Hong Kong Chinese familial dementia caregivers. In the light of the increasing importance of familial care in dementia care planning, we recommend the use of this brief scale in regular caregiver assessment in research and service delivery.
本研究探讨在中国痴呆症家庭照顾者中使用模范照护量表（ECS）的可行性，并报告其心理测量特性。
采用回译法编制ECS中文版（C-ECS）。397对照顾者及其患有痴呆症的亲属完成了一套评估问卷，其中包括关于受照顾者认知、行为和心理症状、日常活动协助、社会支持以及照顾者幸福感的问题。
探索性主成分分析结果显示，11项C-ECS中有两个子量表：体贴照护和维护尊严。C-ECS及其子量表显示出足够的信度，并且通过与受照顾者的认知和健康状况以及照顾者的幸福感和社会支持之间的关联，显示出与标准相关的效度。
我们的研究结果为C-ECS作为香港华裔家庭痴呆症照顾者中模范照护的可靠有效测量工具提供了初步支持。鉴于家庭照顾在痴呆症护理规划中的重要性日益增加，我们建议在研究和服务提供中的定期照顾者评估中使用这一简短量表。
