NingBo College of Health Sciences, Ningbo, China.
Ningbo City College of Vocation Technology Ningbo, Ningbo, China.
Jpn J Nurs Sci. 2021 Jan;18(1):e12367. doi: 10.1111/jjns.12367. Epub 2020 Aug 11.
Long-term care needs are important for older adults with dementia in the West, but they have not received enough attention from China. This study evaluated the psychometric properties of a long-term care needs instrument for older Chinese adults with dementia.
A total of 1,212 older adults with dementia were recruited from five Chinese cities to complete a 30-item long-term care needs questionnaire. The reliability and validity of the questionnaire was evaluated using multiple assessments, including a content validity assessment, Cronbach's alpha, an item-to-total correlation test, and exploratory factor analysis.
The questionnaire was divided into four sub-sections: life care services (eight items), basic and specialist care services (12 items), mental comfort psychological services (four items), and homecare support services (six items). Cronbach's alpha was .93 for the whole questionnaire and ranged from .83 to .92 for the four sub-questionnaires. The item-to-total correlation coefficients for the four sub-questionnaires were between .68 and .88, and the test-retest correlation coefficient was .88.
Our results validated the reliability and validity of a questionnaire designed to measure the quality of long-term care services for older Chinese adults with dementia.
长期护理需求对于西方痴呆老年患者非常重要,但在中国却没有得到足够的重视。本研究评估了一种针对中国老年痴呆患者的长期护理需求工具的心理测量学特性。
共招募了来自中国五个城市的 1212 名老年痴呆患者完成了 30 项的长期护理需求问卷。使用多种评估方法,包括内容效度评估、克朗巴赫α系数、项目与总分相关性检验和探索性因子分析,评估问卷的可靠性和有效性。
问卷分为四个部分:生活护理服务(8 项)、基本和专业护理服务(12 项)、精神舒适心理服务(4 项)和家庭护理支持服务(6 项)。整个问卷的克朗巴赫α系数为 0.93,四个子问卷的范围在 0.83 至 0.92 之间。四个子问卷的项目与总分相关性系数在 0.68 至 0.88 之间,重测信度系数为 0.88。
我们的结果验证了为中国老年痴呆患者设计的衡量长期护理服务质量的问卷的可靠性和有效性。