| 段肖玲,潘梓华,钟少玲,梁燕玲,谭笑,周亮.严重精神障碍患者监护人监护能力量表编制及信效度检验[J].四川精神卫生杂志,2024,37(6):549-556.Duan Xiaoling,Pan Zihua,Zhong Shaoling,Liang Yanling,Tan Xiao,Zhou Liang,Development and validation of guardianship ability scale for guardians of patients with severe mental disorders： a study on reliability and validity[J].SICHUAN MENTAL HEALTH,2024,37(6):549-556 |
| 严重精神障碍患者监护人监护能力量表编制及信效度检验 |
| Development and validation of guardianship ability scale for guardians of patients with severe mental disorders： a study on reliability and validity |
| 投稿时间：2024-09-05 |
| DOI：10.11886/scjsws20240905001 |
| 中文关键词: 严重精神障碍 监护人 量表编制 信效度 |
| 英文关键词:Severe mental disorders Guardians Scale construction Reliability and validity |
| 基金项目:广州市卫生健康科技项目（项目名称：广州市严重精神障碍患者监护补助政策实施效果评价研究方案，项目编号：20221A011049） |
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| 中文摘要: |
| 严重精神障碍患者监护人的监护能力对患者康复和回归社会有重要的促进作用，但目前尚缺乏对其监护能力进行量化评定的工具，亟需开发科学的测量工具。目的 编制适用于严重精神障碍患者监护人监护能力的评定量表并进行信效度检验，为构建科学、合理的监护人监护能力评定工具提供参考。方法 通过文献回顾法和访谈法，构建量表条目池，邀请15名专家进行两轮函询。选取364名广州市严重精神障碍患者的监护人进行调查。使用项目分析以及探索性因子分析对量表条目进行筛选和优化，并进一步通过验证性因子分析检验量表的结构效度。以量表各条目的内容效度指数（I-CVI）及总量表的平均内容效度指数（S-CVI/Ave）评估量表的内容效度。通过Cronbach’s α系数和分半信度检验量表的信度。结果 本研究编制的严重精神障碍患者监护人监护能力量表共25个条目，包括监护意愿、监护知识与行为、监护自我效能三个维度。项目分析结果显示：量表所有条目均达到相应标准，予以保留。效度检验：I-CVI为0.800~1.000，S-CVI/Ave为0.964。各条目在相应因子上的因子载荷为0.596~0.976，模型拟合良好：卡方自由度比（χ2/df）=2.444，Tucker-Lewis系数（TLI）=0.908，拟合指数（CFI）=0.917，标准化均方根残差（SRMR）=0.049，近似误差均方根（RMSEA）=0.089。信度检验：总量表Cronbach’s α系数为0.966，分半信度系数为0.915。结论 严重精神障碍患者监护人监护能力量表具有良好的信度和效度，在对严重精神障碍患者监护人监护能力的评定中具有一定的应用价值。 |
| 英文摘要: |
| Background The guardianship ability of guardians of patients with severe mental disorders plays an important role in supporting the patients' recovery and reintegration into society. It is necessary to develop a scientific tool since there is a lack of tools to quantitatively assess the guardianship ability.Objective To explore and develop an assessment scale for the guardianship ability of guardians of patients with severe mental disorders， so as to provide references for the construction of scientific and reasonable guardianship ability evaluation tools.Methods A pool of scale items was constructed through a literature review and interviews， followed by two rounds of expert consultation with 15 specialists. 364 guardians of patients with severe mental disorders in Guangzhou were investigated. The scale items were screened and optimized using item analysis and exploratory factor analysis， and the structural validity of the scale was further verified through confirmatory factor analysis. The content validity of the scale was evaluated by item-level content validity index （I-CVI） the average scale-level content validity index （S-CVI/Ave）. The reliability of the scale was tested by Cronbach's α coefficient and split-half reliability.Results The guardianship ability scale for guardians of patients with severe mental disorders consists of 25 items， including three dimensions of guardianship willingness， guardianship knowledge and behavior and guardianship self-efficacy. The results of the item analysis showed that all items met the corresponding criteria and were retained. Validity test： the I-CVI ranged from 0.800 to 1.000， and the S-CVI/Ave was 0.964. Factor load of each item on the corresponding factors ranged from 0.596 to 0.976， and the model demonstrated good fit： chi-square degree of freedom ratio （χ2/df） was 2.444， Tucker-Lewis index （TLI） was 0.908， comparative goodness of fit index （CFI） was 0.917， standardized root mean square residual （SRMR） was 0.049， and root mean square residual （RMSEA） was 0.089. Reliability test showed that the total scale had a Cronbach's α coefficient of 0.966， and the split half reliability coefficient was 0.915.Conclusion The guardianship ability scale for patients with severe mental disorders developed in this study has good reliability and validity， and has certain application value for the assessment of guardianship ability for patients with severe mental disorders. ［Funded by Health Science and Technology Project of Guangzhou （number， 20221A011049）］ |
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