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中文正式照护者关于痴呆行为和心理症状知识量表(KS-BPSD)的开发和验证。

Development and Validation of a Knowledge Scale About the Behavioral and Psychological Symptoms of Dementia (KS-BPSD) Among Chinese Formal Caregivers.

机构信息

Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.

Division of Medical Psychology and Behavior Science, School of Medicine, Jinan University, Guangzhou, China.

出版信息

Clin Gerontol. 2023 Jul-Sep;46(4):599-607. doi: 10.1080/07317115.2022.2111290. Epub 2022 Aug 11.

Abstract

OBJECTIVES

The current study aimed to develop a scale assessing knowledge about behavioral and psychological symptoms of dementia (KS-BPSD) among Chinese formal caregivers and to investigate its psychometric properties and factorial structure.

METHODS

The scale was generated with a systematic development process, and 229 formal caregivers working at nursing homes were recruited to construct and assess the psychometric properties of the scale. The preliminary scale was reviewed by an expert panel and items were selected based on item discrimination, difficulty, and item-total correlation.

RESULTS

The final KS-BPSD version consisted of 12 items, loaded into three factors (i.e., Disease Characteristics, Care and Risks, and Treatment Needs) following principal component analysis (PCA). The KS-BPSD showed good test-retest reliability, internal consistency, as well as construct and concurrent validity.

CONCLUSIONS

The 12-item KS-BPSD was found to have high reliability and preliminary validity in assessing the level of knowledge about patient's BPSD among formal Chinese caregivers in nursing homes.

CLINICAL IMPLICATIONS

KS-BPSD is a reliable tool to address the knowledge discrepancies and support needs among dementia caregivers, helping to develop and evaluate educational programs in the management of patient's BPSD.

摘要

目的

本研究旨在开发一种评估中国正式照护者对痴呆症行为和心理症状(KS-BPSD)认知的量表,并探讨其心理测量学特性和因子结构。

方法

采用系统的发展过程生成量表,招募了 229 名在养老院工作的正式照护者,以构建和评估量表的心理测量学特性。初步量表由专家小组进行了审查,并根据项目区分度、难度和项目总分相关性选择了项目。

结果

最终的 KS-BPSD 版本由 12 个项目组成,通过主成分分析(PCA)分为三个因子(即疾病特征、护理和风险以及治疗需求)。KS-BPSD 显示出良好的重测信度、内部一致性以及结构和同时效度。

结论

12 项 KS-BPSD 量表在评估养老院中中国正式照护者对患者 BPSD 认知水平方面具有较高的信度和初步效度。

临床意义

KS-BPSD 是一种可靠的工具,可以解决痴呆症照护者之间的知识差异和支持需求,有助于制定和评估管理患者 BPSD 的教育计划。

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