欧洲心力衰竭自我护理行为量表照顾者版本（EHFScB-C）的开发和心理计量学测试。
Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C).
机构信息
Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
出版信息
Patient Educ Couns. 2021 Aug;104(8):2106-2111. doi: 10.1016/j.pec.2021.01.013. Epub 2021 Jan 18.
BACKGROUND
The European Heart Failure Self-Care Behaviour Scale (EHFScBS) is used worldwide to measure heart failure (HF) patient self-care, but a caregiver version does not exist.
OBJECTIVE
To develop and test the European HF Self-Care Behaviour Scale for Caregivers (EHFScBS-C) in a population of informal caregivers of HF patients.
METHODS
The EHFScBS-C was derived from the EHFScBS to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C was developed in English and then translated into Italian, Spanish and Dutch, after which it was back-translated. EHFScBS-C data were collected from 193 HF caregivers enrolled in Italy, Spain and the Netherlands.
RESULTS
Exploratory factor analysis revealed two factors with supportive fit indices (CFI = 0.990; RMSEA = 0.048): caregivers' contributions to HF self-care related to medical issues, and caregivers' contributions related to lifestyle. Internal consistency reliability was supported as well (Cronbach's alpha 0.90 for the overall scale). Construct validity was demonstrated with significant correlations with the Caregiver Preparedness Scale.
CONCLUSION AND PRACTICE IMPLICATIONS
The EHFScBS-C has adequate validity and reliability for its use in clinical practice and research to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C can be used in combination with the EHFScBS to conduct dyadic studies.
背景
欧洲心力衰竭自我护理行为量表（EHFScBS）在全球范围内用于测量心力衰竭（HF）患者的自我护理，但不存在 caregiver 版本。
目的
在 HF 患者的非正式照料者人群中开发和测试欧洲心力衰竭自我护理行为量表-照料者版（EHFScBS-C）。
方法
EHFScBS-C 源自 EHFScBS，用于测量照料者在多大程度上有助于 HF 患者的自我护理。EHFScBS-C 首先用英语开发，然后翻译成意大利语、西班牙语和荷兰语，之后再进行回译。从意大利、西班牙和荷兰招募的 193 名 HF 照料者收集了 EHFScBS-C 数据。
结果
探索性因素分析显示，有两个支持拟合指数的因素（CFI=0.990；RMSEA=0.048）：照料者对 HF 自我护理的贡献与医疗问题有关，以及照料者对生活方式的贡献。内部一致性信度也得到了支持（总体量表的 Cronbach's alpha 为 0.90）。与照料者准备量表的显著相关性证明了其结构效度。
结论和实践意义
EHFScBS-C 具有足够的有效性和可靠性，可在临床实践和研究中用于测量照料者对 HF 患者自我护理的贡献程度。EHFScBS-C 可以与 EHFScBS 结合使用，进行对偶研究。
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