A study of development of quality indicator that evaluates the effect of home care service for the patients with neuro-intractable diseases

神经疑难杂症患者居家护理服务效果评价质量指标的制定研究

• 批准号: 11672356
• 负责人: ITO Keiichi
• 金额: $ 0.26万
• 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: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672356/
• 关键词: quality indicator; scale development; factor analysis; factor loading; Promax rotation; home health care; Neuro-intractable diseases; アウトカム指標; 効果判定; 日常生活動作; ケアの必要度; 尺度開発

[Purpose] The purpose of the research is to develop the quality indicator that judges the effect of home health care service for the patients and their caregivers with neuro-intractable diseases.[Methods] Data was analyzed qualitatively in order to examine the factors that inhibit the continuation of home health care, and provisional scale item (30 items) were made. The participants of this research were 442 patients and their caregivers : male ; 239, female ; 203.[Results ＆ Discussion] We constructed a 25-item new scale which measures the difficulty of the continuation of home health care to the patients/caregivers with cardio-vascular and neuro-intractable diseases by means of use of factor analysis. 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 named as following : 1) the anxiety for disease and disability ; 2)caregiver strain ; 3) the motor dysfunction ; 4) the expression of symptom. ; 5) the interference of the social-network utilization. The constructed scale demonstrated high reliabilities ranging from 0.784 to 0.908.

[目的]本研究旨在制定判断神经难治性疾病患者及其护理人员家庭保健服务效果的质量指标。[方法]对数据进行定性分析，探讨影响神经难治性疾病患者及其护理人员家庭保健服务效果的质量指标。制定了家庭保健的延续性暂定量表项目（共30项），本次研究的参与者为442人，其照顾者为：男性239人，女性203人。 ＆讨论]我们通过因子分析构建了一个包含25个项目的新量表，用于衡量患有心血管和神经难治性疾病的患者/护理人员继续进行家庭保健的难度。我们应用了Promax旋转方法。进行因子分析，并通过改变因子数量重复多次，最终从25个项目中提取出5个因子，其中每个因子载荷超过0.3的项目命名如下： 1) 对疾病和残疾的焦虑；3) 运动功能障碍；5) 社交网络使用的干扰，可靠性范围为 0.784 至 0.908。 。