提升家庭照顾者复原力的护理实践量表的研制及其信效度评价

Development of the nursing practice scale to enhance resilience in family caregivers and evaluation of its reliability and validity.

作者信息

Lei Ruxin, Tanabe Kazuaki, Teramoto Chie, Sawatari Hiroyuki, Yoshihara Mikako, Nakatani Hisae

机构信息

Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Japan.

出版信息

BMC Nurs. 2025 Jul 1;24(1):716. doi: 10.1186/s12912-025-03314-3.

DOI:10.1186/s12912-025-03314-3

PMID:40597052

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12211478/

Abstract

BACKGROUND

Home-visiting nurses play a pivotal role in helping family caregivers adapt to home-based care. Resilience, an essential factor in helping family caregivers reduce stress and adapt to home care, is important for improving their well-being and caregiving effectiveness. A tool to identify gaps in nurses' ability to support caregivers in enhancing resilience is essential. Currently, validated scales to assess the practice of nurses in enhancing resilience among family caregivers are in limited availability. This study aimed to develop and psychometrically validate a scale assessing nurses' ability to enhance family caregivers' resilience.

METHODS

This cross-sectional study involved 504 nurses who were randomly assigned to two groups: 252 for the exploratory factor analysis (EFA) and 252 for the confirmatory factor analysis (CFA). Ceiling and floor effects and item-total correlations were examined and good-poor analysis were conducted to evaluate the scale reliability. EFA and CFA were conducted to explore the factor structure and to validate the model, respectively. The composite reliability, average variance extracted, and Cronbach's α for each factor were calculated to confirm the factor structure and assess the validity of the model.

RESULTS

A 14-item scale with three factors was identified to assess nurses' practice ability to enhance family caregivers' resilience. These factors are "support for fostering family caregivers' self-affirmation," "support for negative emotions within the family," and "confirmation of family demands." The overall Cronbach's α was 0.847. The model fit indices were χ2/df = 2.456, comparative fit index = 0.907, Tucker-Lewis index = 0.885, and root mean square error of approximation = 0.076 (p < 0.001).

CONCLUSIONS

We developed a scale with 14 items across three factors to assess nurses' practices in enhancing family caregivers' resilience and confirmed its reliability and validity. The validated scale can be a cornerstone framework for home-visiting nurses to improve the well-being of family caregivers by enhancing their resilience.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

家访护士在帮助家庭照顾者适应居家护理方面发挥着关键作用。复原力是帮助家庭照顾者减轻压力并适应居家护理的一个重要因素，对改善他们的幸福感和护理效果很重要。一种用于识别护士在支持照顾者增强复原力方面能力差距的工具至关重要。目前，用于评估护士在增强家庭照顾者复原力方面实践的经过验证的量表数量有限。本研究旨在开发并从心理测量学角度验证一个评估护士增强家庭照顾者复原力能力的量表。

方法

这项横断面研究涉及504名护士，他们被随机分为两组：252名用于探索性因素分析（EFA），252名用于验证性因素分析（CFA）。检查天花板效应和地板效应以及项目与总分的相关性，并进行优劣分析以评估量表的可靠性。分别进行探索性因素分析和验证性因素分析以探索因素结构并验证模型。计算每个因素的组合信度、平均提取方差和克朗巴哈α系数以确认因素结构并评估模型的有效性。

结果

确定了一个包含三个因素共14个条目的量表，用于评估护士增强家庭照顾者复原力的实践能力。这些因素分别是“支持培养家庭照顾者的自我肯定”、“支持处理家庭中的负面情绪”以及“确认家庭需求”。总体克朗巴哈α系数为0.847。模型拟合指数为χ2/df = 2.456，比较拟合指数 = 0.907，塔克 - 刘易斯指数 = 0.885，近似均方根误差 = 0.076（p < 0.001）。