测量养老院中老年人护理中近亲参与的体验。

Measuring next of kin's experience of participation in the care of older people in nursing homes.

机构信息

Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

Research Platform for Collaboration for Health, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.

出版信息

PLoS One. 2020 Jan 31;15(1):e0228379. doi: 10.1371/journal.pone.0228379. eCollection 2020.

DOI:10.1371/journal.pone.0228379

PMID:32004352

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994140/

Abstract

BACKGROUND

Lack of conceptual clarity and measurement methods have led to underdeveloped efforts to measure experience of participation in care by next of kin to older people in nursing homes.

OBJECTIVE

We sought to assess the measurement properties of items aimed at operationalizing participation in care by next of kin, applied in nursing homes.

METHODS

A total of 37 items operationalizing participation were administered via a questionnaire to 364 next of kin of older people in nursing homes. Measurement properties were tested with factor analysis and Rasch model analysis.

RESULTS

The response rate to the questionnaire was 81% (n = 260). Missing responses per item varied between <0.5% and 10%. The 37 items were found to be two-dimensional, and 19 were deleted based on conceptual reasoning and Rasch model analysis. One dimension measured communication and trust (nine items, reliability 0.87) while the other measured collaboration in care (nine items, reliability 0.91). Items successfully operationalized a quantitative continuum from lower to higher degrees of participation, and were found to generally fit well with the Rasch model requirements, without disordered thresholds or differential item functioning. Total scores could be calculated based on the bifactor subscale structure (reliability 0.92). Older people (≥ 65 years) reported a higher degree of communication and trust and bifactor total scores than younger people (p < 0.05 in both cases). People with a specific contact person experienced a higher degree of participation in the two subscales and the bifactor total score (p < 0.05 in all three instances).

CONCLUSION

Psychometric properties revealed satisfactory support for use, in nursing home settings, of the self-reported Next of Kin Participation in Care questionnaire, with a bifactor structure. Additional research is needed to evaluate the effectiveness of the scales' abilities to identify changes after intervention.

TRIAL REGISTRATION

The KUPA project has Clinical Trials number NCT02708498.

摘要

背景

由于概念不清晰和测量方法的缺乏，导致对养老院中老年人亲属参与护理的体验的衡量工作进展缓慢。

目的

我们旨在评估旨在操作亲属参与护理的项目的测量特性，这些项目适用于养老院。

方法

共有 37 项操作参与的项目通过问卷分发给养老院的 364 位老年人的亲属。通过因子分析和 Rasch 模型分析测试了测量特性。

结果

问卷的回复率为 81%（n=260）。每个项目的缺失率在<0.5%到 10%之间不等。发现这 37 个项目是二维的，根据概念推理和 Rasch 模型分析删除了 19 个。一个维度测量沟通和信任（9 项，可靠性 0.87），另一个维度测量护理合作（9 项，可靠性 0.91）。这些项目成功地操作了从较低到较高参与程度的定量连续体，并且总体上符合 Rasch 模型要求，没有无序阈值或差异项目功能。总分数可以根据双因子子量表结构计算（可靠性 0.92）。老年人（≥65 岁）报告的沟通和信任程度以及双因子总分均高于年轻人（p<0.05，两种情况均如此）。有特定联系人的人在两个子量表和双因子总分上的参与程度更高（在所有三种情况下均为 p<0.05）。