Galvin James E, Tolea Magdalena I, Chrisphonte Stephanie
Department of Neurology Comprehensive Center for Brain Health University of Miami Miller School of Medicine Miami Florida USA.
Alzheimers Dement (N Y). 2020 Nov 24;6(1):e12104. doi: 10.1002/trc2.12104. eCollection 2020.
Dementia caregiving is often examined as a monolithic experience describing the challenges caregivers face, exploring one construct at a time, with little research on the positive experiences of caregiving. To address this, we developed the Positive and Negative Appraisals of Caregiving (PANAC) scale.
PANAC was validated in 253 patient-caregiver dyads. Factor analyses revealed a two-factor solution: Positive Appraisals (PAs) and Negative Appraisals (NAs). Psychometric properties were compared with patient and caregiver characteristics and outcomes, disease stage, and etiology.
Internal consistency was good with Cronbach's alpha: 0.82 NA and 0.80 PA ( < 0.001). NA correlated with patient and caregiver characteristics, whereas PA correlated only with caregiver characteristics. The PA/NA ratio could be used to capture change due to an intervention.
The PANAC scale is a useful measure of the overall caregiver experience accounting for negative and positive experiences and may be used to tailor support to individual caregivers.
痴呆症护理通常被视为一种单一的经历，描述护理人员所面临的挑战，每次只探究一个方面，而对护理的积极体验研究甚少。为解决这一问题，我们开发了护理正负评价量表（PANAC）。
对253对患者-护理人员二元组进行了PANAC量表验证。因子分析得出了一个双因子结构：积极评价（PA）和消极评价（NA）。将心理测量特性与患者和护理人员的特征及结果、疾病阶段和病因进行了比较。
Cronbach's α系数显示内部一致性良好：消极评价为0.82，积极评价为0.80（<0.001）。消极评价与患者和护理人员的特征相关，而积极评价仅与护理人员的特征相关。积极评价/消极评价比率可用于反映干预导致的变化。
PANAC量表是衡量护理人员总体体验的有用工具，兼顾了消极和积极体验，可用于为个体护理人员量身定制支持措施。
