Development of the multi-dimensional outcome scale that judges the effect of home health care service for the patients with neurological disorders and their caregivers

开发多维结果量表来判断家庭保健服务对神经系统疾病患者及其照顾者的效果

基本信息

批准号：
13672485
负责人：
ITO Keiichi
金额：
$ 1.02万
依托单位：
Tokyo Women's Medical University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2002
项目状态：
已结题

项目摘要

The purpose of the research is to develop the multi-dimensional outcome scale that judges the effect of home health care service for the patients with neurological disorders and their caregivers. The participants of this research were 442 patients and their caregivers : male ; 239, female ; 203. Data was analyzed qualitatively in order to examine the factors that inhibit the continuation of home health care, and provisional scale items (30 items) were made.We constructed a 25-item and 5-dimensional outcome scale which measures the difficulty of the continuation of home health care for the patients/caregivers with cerebral-vascular and neurological disorders by means of use of explanatory factor analysis and covariance structure analysis for model specification. We applied the Promax rotation method in factor analysis and repeated it several times by changing the number of factors. Finally, 5 factors were extracted from the 25 item, in each of which the all items having more than 0.3 factor loadings. Each of factors were labeled as following : 1) Index of anxiety for disease and disability ; 2) Index of caregiver strain ; 3) Index of motor dysfunction ; 4) Index of expression of symptom. ; 5) Index of interference of the social-network utilization. The constructed outcome scale demonstrated high reliabilities ranging from 0.784 to 0.908. Covariance structure analysis revealed the structure of second-order factor and provided a good fit for model specification : GFI=.945, AGFI=.913, RMR=.094. Five outcome scales showed no sex differences excepted Index-3, and middle correlation to the performance status of ADL/IADL. Score of 5-outcome scales were significantly different between the patients with neurological disorders and stroke patients, with high score of 5-scales in the patients group of neurological disorders.

该研究的目的是开发多维结果量表，该量表判断家庭保健服务对神经系统疾病及其护理人员的影响。这项研究的参与者是442名患者及其护理人员：男性； 239，女； 203. Data was analyzed qualitatively in order to examine the factors that inhibit the continuation of home health care, and provisional scale items (30 items) were made.We constructed a 25-item and 5-dimensional outcome scale which measures the difficulty of the continuation of home health care for the patients/caregivers with cerebral-vascular and neurological disorders by means of use of explanatory factor analysis and covariance structure analysis for model specification.我们将Promax旋转方法应用于因子分析中，并通过更改因素数量重复了几次。最后，从25个项目中提取了5个因子，其中所有具有超过0.3因子负载的项目。每个因素被标记为以下：1）疾病和残疾焦虑指标； 2）护理人员菌株指数； 3）运动功能障碍的索引； 4）症状表达的指数。 ; 5）干扰社会网络利用率的索引。构建的结果量表表明，可靠性范围为0.784至0.908。协方差结构分析揭示了二阶因子的结构，并为模型规范提供了良好的拟合：GFI = .945，AGFI = .913，RMR = .094。五个结果量表除了指数3外没有性别差异，并且与ADL/IADL的性能状态相关性。神经系统疾病和中风患者的患者的5种结果量表的得分显着差异，在神经系统疾病患者组中，得分很高。