家庭照顾负担访谈量表在住院癌症患者家属中的应用  

The Utility of the Family Burden Interview Scale in Families of Hospitalized Cancer Patients

作　　者：于文军[1] 胡纪泽[2] 

机构地区：[1]井冈山大学心理健康教育与咨询中心,吉安343009 [2]深圳大学心理学系,深圳518060

出　　处：《中国临床心理学杂志》2016年第2期274-276,270,共4页Chinese Journal of Clinical Psychology

基　　金：吉安市社会科学"十二五"(2015年)规划项目(15GH117)

摘　　要：目的：检验家庭照顾负担访谈量表（FBIS）在住院癌症患者家属中的信效度。方法：在某市中心医院住院部共采集356名癌症患者家属,用FBIS、家庭功能评定量表（FAD）、症状自评量表（SCL-90）进行施测,间隔4周后抽取60名被试重新施测FBIS。结果：FBIS全量表的α系数为0.87,5个分量表α系数在0.75～0.87之间;全量表的重测信度为0.88,各分量表的重测信度在0.81～0.92之间;全量表的条目间平均相关系数为0.53,5个分量表的条目间平均相关系数在0.43～0.62之间。FBIS总分与5个分量表得分的相关系数在0.62～0.89之间;各分量表得分之间的相关系数在0.34～0.60之间。验证性因素分析各拟合指数为：χ^2/df=1.771,GFI=0.929,IFI=0.936,TLI=0.909,CFI=0.925,RMSEA=0.047,均符合测量学要求,支持该量表5因素模型的理论构想。FBIS全量表及5个分量表得分与SCL-90得分正相关（r=0.32～0.59,都P〈0.01）,与FAD得分正相关（r=0.23～0.41,都P〈0.01）。结论：家庭照顾负担访谈量表在癌症患者家属中具有良好的信效度,是评估我国癌症患者家属照顾负担水平的可靠工具。Objective： To assess the reliability and validity of the Family Burden Interview Scale in Families of hospital-ized cancer patients. Methods： In a city center hospital, 356 families of cancer patients were recruited and assessed withFBIS, Family Assessment（FAD）, Symptom Checklist（SCL-90）. After an interval of four weeks, 60 subjects were re-testedwith FBIS. Results： The α coefficient for FBIS full scale was 0.87, and the α coefficient for 5 subscales ranged from 0.75 to0.87; full-scale test-retest reliability was 0.88, test-retest reliability of each subscale ranged from 0.81 to 0.92; full Scaleentries inter average correlation coefficient was 0.53, and 5 entries subscales average correlation coefficients ranged from0.43 to 0.62. Correlation coefficients between FBIS total score and five subscale were 0.62～0.89; correlation coefficients be-tween 5 subscale scores ranged from 0.34 to 0.60. Confirmatory factor analysis of each fitting Index： χ^2/df=1.771, GFI=0.929, IFI=0.936, TLI=0.909, CFI=0.925, RMSEA=0.047 supported the original FBIS structural hypothesis of the five fac-tors model. The correlation coefficients between the FBIS total score and five subscales scores were all positively correlatedwith the SCL-90 scores（r=0.32～0.59, P〈0.01）, and FAD scores（r=0.23～0.41, both P〈0.01）. Conclusion： The Family Bur-den Interview Scale has good reliability and validity in Families of hospitalized cancer patients in China.

关 键 词：癌症 患者家属 照顾负担 信度 效度 

分 类 号：R395.1[哲学宗教—心理学]