[关键词]
[摘要]
目的 编制脑卒中患者照顾者倦怠量表(burnout scale of stroke patients’ caregivers,BSSPCs),并进行信效度检验,为脑卒中患者照顾者倦怠测评提供工具。方法 在前期构建的脑卒中患者主要照顾者倦怠概念框架及文献分析的基础上,借鉴职业倦怠量表,构建条目池;通过专家咨询法及预调查,形成BSSPCs初稿;2022年7月至2023年1月,采用便利抽样法选取银川市和吴忠市5所医院康复科收治的506名脑卒中患者照顾者进行调查,应用经典测量理论(classical test theory,CTT)和项目反应理论(item response theory,IRT)对量表进行测量学评价。结果 CTT结果提示存在6个条目不满足统计学要求,IRT结果显示共6个条目不符合难度、区分度或信息量的筛选标准,最终形成的BSSPCs包括角色倦怠、生理倦怠、心理倦怠和社交倦怠4个维度共24个条目。结论 BSSPCs的编制过程严谨,各项心理学测量指标比较满意,为量化照顾者倦怠和开展后续研究提供了工具支持。
[Key word]
[Abstract]
Objective To develop the burnout scale of stroke patients’ caregivers (BSSPCs) and test its reliability and validity,and to provide a tool for evaluating the burnout of stroke patients’ caregivers.Methods On the basis of the conceptual framework of burnout among primary caregivers of stroke patients constructed in the previous period and the analysis of the literature,an item pool was constructed by referring to the Burnout Scale.The first draft of the BSSPCs was formed through the expert consultation and pre-survey.The convenience sampling method was used to select 506 caregivers of stroke patients admitted to the rehabilitation departments of 5 hospitals in Yinchuan and Wuzhong from July 2022 to January 2023.The classical test theory (CTT) and item response theory (IRT) were used to evaluate the scale.Results The CTT results suggested that 6 items did not meet the statistical requirements,and the IRT results revealed that a total of 6 items did not meet the screening criteria for difficulty,differentiation or information content.The final BSSPCs included a total of 24 entries in 4 dimensions,namely,role burnout,physiological burnout,psychological burnout,and social burnout.Conclusions The process of compiling BSSPCs is rigorous,and the psychological indices are relatively satisfactory,which provides instrumental support for quantifying caregiver burnout and carrying out follow-up research.
[中图分类号]
R473.54
[基金项目]
宁夏高校一流学科建设二期重点培育学科项目(NYHLZD08);2024年宁夏医科大学护理学院一流学科孵育项目(NYHLYB202401)