癌症患者家庭照顾者负担量表的信度效度及其应用性评价  

Reliability, validity and applicability evaluation of family carcgiver burden scale for cancer patients

作　　者：李秋萍 徐锡凤[2] 林毅 李金平 Li Qiuping;Xu Xifeng;Lin Yi;Li Jinping(Outpatient Department of Children,Wuxi People＇s Hospital,Wuxi 214023,China)

机构地区：[1]江南大学无锡医学院,214122 [2]江苏省无锡市人民医院儿童门诊部,214023

出　　处：《中国实用护理杂志》2018年第25期1930-1937,共8页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金（81773297）

摘　　要：目的以消化系统癌症患者的家庭照顾者为研究对象，对癌症患者家庭照顾者负担量表（CBS-CP）进行信度、效度和应用性评价。方法信度评价采用Cronbach α系数和分半信度，效度评价采用效标关联效度评价；应用性评价包括：分析消化系统癌症患者家庭照顾者的照顾者负担水平；探讨照顾者负担的影响因素。结果除因子5外，CBS-CP总量表及其余4个因子的Cronbacha系数和分半信度系数均〉0．75。CBS．CP总分及各因子与抑郁、焦虑间呈正性相关（r=0．296—0．505，均P〈0．01）；与生命质量（照顾者生理及心理总评分）呈负性相关（除因子5与生理总评分之间P〈0．05外，其余r=0．126—0．370，均P〈0．01）。照顾者负担介于0—109分，平均为（46．03±22．96）分，以轻、中度多见，占68．3％；多元回归分析结果表明，照顾者总负担可能的预测变量为：焦虑，抑郁、对照顾者生活影响、照顾者生命质量、家庭经济压力、配偶照顾者及照顾者健康状况。结论CBS-CP的信度和效度较好。消化系统癌症患者家庭照顾者负担总体处于轻度水平，其影响因素包括身体、心理、社会及经济等多方面。建议未来研究中通过照顾者-患者双向水平系统探讨照顾者负担的影响因素，以为相关干预措施的制订提供科学依据。Objective To evaluate the reliability, validity and applicability of the family caregiver burden scale （CBS-CP） for cancer patients. Methods The family caregivers of patients with digestive system cancer were selected as the research subjects. The reliability was evaluated by applying the Cronbach alpha coefficient and the half confidence level. The validity was evaluated by using criterion related validity. Applicability evaluation included： to analyze the burden level of family caregivers of patients with digestive system cancer; and to explore the influencing factors of caregiver burden. Results Except for factor 5, the Cronbach＇s alpha coefficient and the half coefficient level of the total CBS-CP and the other 4 factors were all higher than 0.75. The total scores and factors of CBS-CP were positively correlated with depression and anxiety （all P 〈 0.01, r=0.296-0.505）, and negatively correlated with the quality of life [except for the relationship between factor 5 and physical component summary score （P〈 0.05）, the remaining Ps 〈 0.01, r=0.126-0.370]. The total caregiver burden score ranged from 0 to 109, with an average of 46.03±22.96; multiple regression analysis showed that the possible predictor variables of the total caregiver burden included： anxiety / depression, the disturbed life of family caregivers, quality of life, family economic pressure, spouse caregivers and caregivers＇ health status. Conclusions The findings showed that both the reliability and validity of the CBS-CP were good. The burden of family caregivers in patients with digestive system cancer is generally at a mild level, and the factors affecting the caregiver burden included physical, psychological, social and economic aspects. It was proposed that the influencing factors of caregiver burden should be explored through the dyadic level of caregivers and patients in future research, so as to provide scientific basis for the development of relevant interventions.

关 键 词：消化系统癌症 家庭照顾者 照顾者负担 影响因素 

分 类 号：R473.73[医药卫生—护理学]