医学研究与教育 ›› 2021, Vol. 38 ›› Issue (5): 59-68.DOI: 10.3969/j.issn.1674-490X.2021.05.009

• 护理学 • 上一篇    下一篇

失能老年人长期照护需求影响因素问卷验证性因子分析

张玲玲,井坤娟,郭欣然   

  1. 河北大学护理学院, 河北 保定 071000
  • 收稿日期:2021-08-15 出版日期:2021-10-25 发布日期:2021-10-25
  • 通讯作者: 井坤娟(1963—),女,河北安国人,教授,硕士,硕士生导师,主要从事慢性病护理及老年护理的教学和科研。E-mail: jingkunjuan@qq.com
  • 作者简介:张玲玲(1996—),女,河北南宫人,在读硕士,主要从事慢性病护理研究。 E-mail: 3262804545@qq.com

  • Received:2021-08-15 Online:2021-10-25 Published:2021-10-25

摘要: 目的 评价失能老年人长期照护需求影响因素问卷的结构效度。方法 使用2018年在保定市10家养老机构便利抽取的508名失能老年人长期照护需求影响因素数据,使用AMOS 24.0构建验证性因子分析模型并分析。结果 初始模型基本拟合度好,但整体拟合度不佳(χ2/df=5.338,RMSEA=0.093,GFI=0.859,AGFI=0.829,CFI=0.847,TLI=0.829,IFI=0.847)。对初始模型进行修正,修正后模型测量变量的标准化因素负荷量为0.676~0.876,且整体拟合度较好(χ2/df=1.031,RMSEA=0.008,GFI=0.972,AGFI=0.964,CFI=0.999,TLI=0.999,IFI=0.999)。修正后的问卷内容包括个体内压力源(6)、人际间压力源(4)及个体外压力源(8)3个维度,共18个条目。量表总Cronbach's α系数为0.879,3个维度的Cronbach's α系数分别为0.888、0.829和0.913。结论 修正后的问卷结构效度良好,可应用于失能老年人长期照护需求影响因素的测量。

关键词: 失能老年人长期照护需求影响因素问卷, 养老机构, 验证性因子分析, 结构效度

Abstract: Objective To evaluate the structural validity of the questionnaire on factors affecting the long-term care needs of the disabl edelderly.Methods Data on factors affecting the long-term care needs of 508 disabled elderly people were conveniently extracted from 10 elderly care institutions in Baoding city in 2018, and a confirmatory factor analysis model was constructed and analyzed using AMOS 24.0.Results The basic fit of the initial model was good, but the overall fit was poor(χ2/df=5.338,RMSEA=0.093,GFI=0.859,AGFI=0.829,CFI=0.847,TLI=0.829,IFI=0.847).The initial model was revised, and the standardized factor load of the measured variables of the revised model was 0.676-0.876, and the overall fit was good(χ2/df=1.031,RMSEA=0.008,GFI=0.972,AGFI=0.964,CFI=0.999,TLI=0.999,IFI=0.999).The content of the revised questionnaire includes three dimensions of internal stressors(6), interpersonal stressors(4)and external stressors(8), with a total of 18 items.The total Cronbach's α coefficient of the scale is 0.879, and the Cronbach's α coefficients of the three dimensions are 0.888, 0.829 and 0.913 respectively.Conclusion The revised questionnaire has good structural validity and can be used to measure the factors affecting the long-term care needs of the disabled elderly.

Key words: questionnaire on factors affecting the long-term care needs of the disabled elderly, elderly care institutions, confirmatory factor analysis, structural validity

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