中文版照顾者负担量表的信效度研究  

Reliability and validity of Chinese version of Caregiver Burden Inventory

作　　者：张慧芝[1] 张睿[2] 李峥[3] 

机构地区：[1]首都医科大学宣武医院神经内科,100053 [2]卫生部医政司护理管理处 [3]北京协和医学院护理学院

出　　处：《中华现代护理杂志》2008年第28期2972-2975,共4页Chinese Journal of Modern Nursing

摘　　要：目的检验中文版照顾者负担量表（Caregiver Burden Inventory，CBI）的效度和信度。方法对英文版CBI量表进行系统的翻译和评价，并应用中文版CBI对108名老年痴呆患者的照顾者进行测量，对测定结果进行效度和信度分析。结果中文版CBI量表内容效度各条目的CVI值为0．8～1．0，量表内容效度比CVI为0．95；量表5个维度即生理性负担、情感性负担、社交性负担、时间依赖负担、发展受限负担得分与量表总分之间的相关系数分别为0．835，0．912，0．881，0．890和0．884（P〈0．05或P〈0．01）。初步证明了量表的结构效度。因子分析得到5个公因子，各条目负载大于0．4，共解释了67．69％的方差，进一步证实了其结构效度。CBI总Cronbach’s α系数为0．85，生理性负担、情感性负担、社交性负担、时间依赖负担、发展受限负担各维度的Cronbach’s α系数分别为0．83，0．88，0．82，0．90和0．87。结论中文版CBI量表是一份具有较好效度和信度的评定工具，可用于我国老年痴呆患者照顾者的研究。Objective To assess the reliability and validity of the Chinese version of Caregiver Burden Inventory （CBI）. Methods We systemically translated the English version of CBI into Chinese and made an evaluation of the Chinese version. We used the Chinese version of CBI to measure the caregivers for 108 patents with dementia and analyzed the results as obtained for the reliability and validity using standard psychometric analyses. Results The CVI values for item content validity in the Chinese CBI were ranged from 0.8 - 1.0, and the ratio of the CVI values for item content validity was 0.95. The five measurements of the table are physiological burden, sensibility burden, sociability burden, time - depending burden, development - limited burden. The relativity coefficient of each of the above five measurements, in view of the total scores in the scale table, is 0. 835, 0. 912, 0. 881, 0. 890, and 0. 884, respectively, with each having P 〈 0. 05 or 0.01. This primarily proved the structural validity of the scale table. The factor analysis obtained five common factors. The burden of each item is larger than 0.4. The construct validity was also confirmed by the factor analysis with 67.69% variance explained by the 5 factors. The reliability was proved by the total Cronbach alpha of 0.85, with the Cronbach alpha of physiological burden being 0.83, that of the sensibility burden being 0.88, that of sociability burden being 0.82, that of time - depending burden being 0.90, and that of development - limited burden being 0.87. Conclusions An acceptable psychometric property of the Chinese version of CBI was indicated. CBI can be used as burden measurement of Chinese caregivers for senior dementia, in a further clinical study and nursing care.

关 键 词：心理测定学 老年人 痴呆 照顾者 负担 

分 类 号：R473.74[医药卫生—护理学]