Hohashi Naohiro, Kijima Natsumi
Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Nurs Rep. 2025 Apr 27;15(5):145. doi: 10.3390/nursrep15050145.
When a family becomes aware of family symptoms, family resilience is defined as its power to autonomously and actively improve its own family functions. A quantitative assessment of family resilience is essential in the practice of family nursing. The purpose of this study was to develop a self-assessment scale for family resilience based on the theoretical foundation of the Concentric Sphere Family Environment Theory (CSFET), and to examine the scale's reliability and validity. Based on 23 categories obtained from previous studies clarifying family conditions demonstrating family resilience, the Assessment Scale for Insufficiencies in Family Resilience (IFR), consisting of 21 items, was developed through content validity examinations by an expert committee and through face validity examinations for family members. The reliability and validity of the IFR were examined for families with children or with family members requiring care. Temporal stability over a 2-week interval, which was assessed in 26 subjects, was supported by a high and significant correlation coefficient. The following statistical analysis was performed based on the responses of 206 subjects. The Cronbach's alpha coefficient showed high internal consistency reliability. The total IFR score showed a moderately significant correlation with the family function score and the family support demands score, demonstrating acceptable criterion-related validity. Exploratory factor analysis confirmed the fit of a five-factor model based on the five systems of CSFET, and construct validity was supported. The reliability and validity of the IFR, which is composed of five factors and 21 items based on the CSFET, were confirmed, making the IFR a viable self-assessment scale for determining the level of family resilience.
当一个家庭意识到家庭症状时，家庭恢复力被定义为其自主且积极改善自身家庭功能的能力。在家庭护理实践中，对家庭恢复力进行定量评估至关重要。本研究的目的是基于同心圆家庭环境理论（CSFET）的理论基础，开发一个家庭恢复力自我评估量表，并检验该量表的信效度。基于先前研究中明确显示家庭恢复力的家庭状况所获得的23个类别，通过专家委员会的内容效度检验和对家庭成员的表面效度检验，开发了由21个项目组成的家庭恢复力不足评估量表（IFR）。对有孩子的家庭或有需要照顾的家庭成员的家庭进行了IFR的信效度检验。在26名受试者中评估的两周间隔内的时间稳定性得到了高且显著的相关系数支持。基于206名受试者的回答进行了以下统计分析。克朗巴哈α系数显示出较高的内部一致性信度。IFR总分与家庭功能得分和家庭支持需求得分呈中度显著相关，表明具有可接受的效标关联效度。探索性因素分析证实了基于CSFET五个系统的五因素模型的拟合度，并支持了结构效度。基于CSFET由五个因素和21个项目组成的IFR的信效度得到了证实，这使得IFR成为确定家庭恢复力水平的可行自我评估量表。
