Zhang Xiong, Zhou Min, Jin Xiaorong, Zhang Yimei, Wei Wei, Bai Yangjuan, Ma Fang
Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, People's Republic of China.
Digestive Surgery Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, People's Republic of China.
Psychol Res Behav Manag. 2024 Sep 14;17:3181-3195. doi: 10.2147/PRBM.S479202. eCollection 2024.
: Family coping, as an essential part of family management of patients with chronic heart failure (CHF), is an important component of CHF interventions, affecting the health of patients, family members, and the whole family. It is necessary to understand the current situation of family coping in patients with CHF to facilitate the development of family interventions for patients with CHF. This study aims to develop and validate a tool for assessing the family coping scale for patients with CHF.
The semi-structured interviews, expert consensus meetings, expert consultations, and item analysis were used to develop the initial scale. We employed classical test theory and exploratory factor analysis to scrutinize and refine the items in the scale. To validate the scale, we used confirmatory factor analysis to assess structural validity. We assessed internal consistency, and split-half reliability to ensure the scale's robustness and accuracy.
The FCS-CHF consisted of 24 items, including six dimensions: strategies for better management of CHF, psychological coping, substantial support by family members, emergency coping, overall heart failure awareness, and patients' health behavior. The results of confirmatory factor analysis showed that the scale fitted the data with well construct validity. The results of the confirmatory factor analysis for the overall goodness of fit indices for the fitted model were found to be acceptable for the scale. The scale demonstrates good reliability and validity, meeting the requirements of psychometrics.
The FCS-CHF developed in this study is considered reliable and valid, which can measure family coping in patients with CHF and provide a basis for developing family coping enhancement strategies.
家庭应对作为慢性心力衰竭（CHF）患者家庭管理的重要组成部分，是CHF干预措施的重要内容，影响着患者、家庭成员及整个家庭的健康。了解CHF患者的家庭应对现状，有助于制定针对CHF患者的家庭干预措施。本研究旨在开发并验证一种评估CHF患者家庭应对量表的工具。
采用半结构化访谈、专家共识会议、专家咨询和项目分析来制定初始量表。我们运用经典测试理论和探索性因素分析来审查和完善量表中的项目。为验证该量表，我们使用验证性因素分析来评估结构效度。我们评估了内部一致性和分半信度，以确保量表的稳健性和准确性。
CHF家庭应对量表（FCS-CHF）由24个项目组成，包括六个维度：CHF更好管理策略、心理应对、家庭成员的实质性支持、应急应对、整体心力衰竭认知以及患者的健康行为。验证性因素分析结果表明，该量表与数据拟合良好，具有良好的结构效度。拟合模型的整体拟合指数的验证性因素分析结果对于该量表而言是可接受的。该量表具有良好的信度和效度，符合心理测量学的要求。
本研究开发的FCS-CHF被认为是可靠且有效的，它可以测量CHF患者的家庭应对情况，并为制定增强家庭应对策略提供依据。
