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痴呆患者照顾者中文版 MM-CGI-SF 的心理测量特性。

Psychometric properties of a Spanish version of the MM-CGI-SF in caregivers of people with dementia.

机构信息

Nursing Faculty, Nursing Department, University of Huelva, Huelva, Spain.

出版信息

J Am Geriatr Soc. 2024 Jan;72(1):201-208. doi: 10.1111/jgs.18623. Epub 2023 Oct 6.

DOI:10.1111/jgs.18623
PMID:37800646
Abstract

BACKGROUND

Caregivers of people with dementia may experience characteristic grief linked to present and anticipated losses before the physical death of the care recipient occurs, which is related to physical and mental health problems. The Marwit-Meuser Caregiver Inventory-Short Form (MM-CGI-SF) is an instrument that assesses this type of grief. Since there are no studies on an adaptation of the MM-CGI-SF to the Spanish population, the aim of the study was to evaluate its psychometric properties in a sample of caregivers of dementia patients.

METHODS

A cross-sectional study was carried out. The tool was translated and adapted into Spanish, which was administered to 250 caregivers of people with dementia in the province of Huelva, together with other related instruments. Descriptive statistics and internal consistency reliability were calculated using Cronbach's alpha, for the total questionnaire and for each subscale. A confirmatory factor analysis (CFA) was performed and the Spanish version of the MM-CGI-SF was correlated with the rest of the variables by calculating Spearman's correlation coefficient.

RESULTS

80.4% of the participants were female and had high levels of caregiver grief (  = 64.62, SD = 14.86). Cronbach's alpha for the general questionnaire was 0.927 and between 0.822-0.854 for its subscales. The fit values of the CFA were: x  = 202.033, degrees of freedom = 121, x /df = 1.670, TLI = 0.954, CFI = 0.963, SRMR = 0.047, RMSEA = 0.052; and all the correlations were statistically significant.

CONCLUSIONS

The Spanish version of the MM-CGI-SF shows adequate psychometric properties. Thanks to this instrument, health professionals may measure caregiver grief, get closer to the reality of dementia care, and evaluate the effectiveness of interventions to manage this grief.

摘要

背景

痴呆症患者的照顾者可能会经历与照顾对象身体死亡之前的预期和实际损失相关的特征性悲伤,这与身心健康问题有关。Marwit-Meuser 照顾者量表-短式(MM-CGI-SF)是一种评估这种悲伤的工具。由于没有关于 MM-CGI-SF 适应西班牙人群的研究,因此本研究的目的是在痴呆症患者的照顾者样本中评估其心理测量特性。

方法

进行了一项横断面研究。该工具被翻译并改编成西班牙语,在韦尔瓦省的 250 名痴呆症照顾者中进行了测试,同时还使用了其他相关工具。使用 Cronbach's alpha 计算了总问卷和每个子量表的描述性统计和内部一致性信度。进行了验证性因素分析(CFA),并通过计算 Spearman 相关系数将 MM-CGI-SF 的西班牙语版本与其他变量相关联。

结果

80.4%的参与者为女性,照顾者悲伤程度较高(平均值=64.62,标准差=14.86)。总问卷的 Cronbach's alpha 为 0.927,其分量表的 Cronbach's alpha 为 0.822-0.854。CFA 的拟合值为:x=202.033,自由度=121,x/df=1.670,TLI=0.954,CFI=0.963,SRMR=0.047,RMSEA=0.052;所有相关性均具有统计学意义。

结论

MM-CGI-SF 的西班牙语版本具有良好的心理测量特性。通过该工具,卫生专业人员可以测量照顾者的悲伤,更接近痴呆症护理的现实,并评估管理这种悲伤的干预措施的有效性。

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