뇌졸중 환자 가족의 부담감 측정도구 개발

Abstract

Purpose: The purpose of this study was to examine caregiving concepts further and to develop an instrument measuring the consequences of caregiving for Korean stroke caregivers. Method: For item construction, components were drawn from an extensive review of the literature, existing instruments and the result of qualitative approach. A total 72 items were selected for the first draft. Twenty-eight experts evaluated this instrument for content validity and the number of items was reduced to 40. To further refine and test reliability and validity of the instrument, data were collected from the 161 family members providing care for the stroke patients. Result: Using corrected items to total correlation coefficient, this instrument was further shortened to a 35 item scale. From principal component factor analysis of the instrument the items were clustered into seven factors as follows: social activity, family support, patient’s future, caregiver’s future, financial status, patient’s dependency, physical health. The instrument also showed a high internal consistency of Cronbach’s .931. Conclusion: This instrument demonstrates good reliability and validity, and therefore it is an appropriate measurement of caregiving impact in the family of stroke patients.