Reliability and validation of the Positive Aspects of Caregiving scale among Japanese caregivers of people with dementia  

照顾者积极感受量表在日本痴呆患者照顾者中应用的信效度检验

作　　者：Hidetoshi Furukawa Chieko Greiner 

机构地区：[1]Kansai University of Nursing and Health Sciences,Awaji,Japan [2]Graduate School of Health Sciences,Kobe University,Hyogo,Japan

出　　处：《International Journal of Nursing Sciences》2021年第2期210-214,I0006,共6页国际护理科学（英文）

基　　金：supported by Kansai University of Nursing and Health Sciences,Japan(grant No.18001);JSPS KAKENHI(grant No.JP18K10628).

摘　　要：Objectives:This study aimed to validate the Positive Aspects of Caregiving(PAC)scale's psychometric properties among Japanese informal caregivers of people with dementia.Methods:A cross-sectional research design was used.Data were collected from the Kinki region of Japan during January 2019 and July 2019.Translation and back-translation were performed to acquire the optimal translation of the PAC scale.In total,194 participants responded to questionnaires that included the Japanese version of the PAC scale and the Geriatric Depression Scale(GDS).Reliability was evaluated by examining the internal consistency and test-retest reliability.Exploratory factor analysis with maximum likelihood estimation and oblique rotation was performed to assess the PAC scale structure.Concurrent validity was determined using Pearson's correlation coefficient.Results:The final version of the Japanese version of the PAC scale contained nine items.Exploratory factor analysis revealed two factors(Living an enriched life and Self-usefulness).The Cronbach's α coefficient of the total scale was 0.895,the subscales Cronbach's α coefficient were 0.896 and 0.823.The intraclass correlation coefficient for test-retest reliability was 0.721,indicating acceptable reliability.PAC was significantly correlated to GDS(r=—0.54&P<0.01).Conclusions:This study found that the Japanese version of the PAC scale was a suitable scale to measure PAC among Japanese caregivers of people with dementia.However,the construct differed from the original model.This scale could help health-care professionals understand the degree of caregivers'recognition about dementia care and support those with a low degree of positive aspects of caregiving.目的验证照顾者积极感受(Positive Aspects of Caregiving,PAC)量表在日本痴呆患者照顾者中应用的信效度。方法应用翻译及回译方式确定PAC量表的最终译文。2019年1月至7月共调查194名来自日本近畿地区的照顾者,问卷包括日语版PAC量表及老年抑郁量表(the Geriatric Depression Scale,GDS)。采用内部一致性信度、重测信度验证量表的信度;采用Pearson相关系数确定校标关联效度。通过最大似然估计和斜交旋转进行探索性因子分析,评价PAC量表的结构。结果日语版PAC量表包含9个条目。探索性因子分析揭示了构成量表的2个因子,分別为生活很充实和自我价值感。问卷的Cmnbach’s α系数为0.895,各个维度Cronbach’s α系数分别为0.896和0.823。重测信度系数为0.721,信度可接受。PAC量表与GDS得分呈负相关(r=-0.548,P<0.01)。结论研究显示,日语版的PAC量表适用于测量日本痴呆照顾者积极感受,尽管其因子结构与原始模型不同。该量表可以帮助医护人员了解照顾者对痴呆症照护的认知程度,并为照护积极程度较低的照顾者提供支持。

关 键 词：CAREGIVERS DEMENTIA Japan Psychometric evaluation 

分 类 号：R473.74[医药卫生—护理学]