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首页> 外文期刊>Cancer nursing >Psychometric testing of the caregiver quality of life index-cancer on a Taiwanese family caregiver sample.
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Psychometric testing of the caregiver quality of life index-cancer on a Taiwanese family caregiver sample.

机译：对台湾家庭看护者样本进行看护者生活质量指数癌症的心理测验。

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Family caregivers' quality of life (QOL) is an important indicator for end-of-life care, but appropriate assessment tools are unavailable in Taiwan. This correlational study therefore tested the psychometric properties of the Caregiver Quality of Life Index-Cancer Mandarin version (CQOLC-M) in 359 dyads of cancer patients with terminal illness and their family caregivers from 5 teaching hospitals throughout Taiwan. Caregivers' QOL, spiritual well-being, social support, pain intensity, and economic situation were assessed using the CQOLC-M and 4 established scales. The CQOLC-M had internal consistency reliability of .87. Construct validity was supported by factor analysis, hypothesis testing, and known-group comparison. Exploratory factor analysis showed 7 underlying factors explaining 48.15% of the variance. Caregiver Quality of Life Index-Cancer Mandarin version scores correlated moderately with caregivers' social support (P < .01) and spiritual well-being (P < .01). Caregivers' QOL was inversely related to both patients' (F = 4.90; P = .008) and caregivers' average pain (t = -4.22; P < .001) in the past 24 hours. We suggest removing 4 items with factor loading of less than 0.4. Since caregivers' QOL depends on patients' and caregivers' physical dimensions, we recommend adding physical-related items to the CQOLC-M. Clinicians can improve caregivers' QOL not only by maintaining their health, social support, and spirituality but also by better managing the pain of patients with terminal illness.
机译：家庭看护者的生活质量（QOL）是临终关怀的重要指标，但是台湾没有合适的评估工具。因此，这项相关研究测试了台湾5所教学医院的359例死于癌症的癌症患者及其家庭护理人员的“照护者生活质量指数-癌症普通话”（CQOLC-M）的心理计量学特征。使用CQOLC-M和4种既定量表评估了看护者的生活质量，精神健康，社会支持，疼痛强度和经济状况。 CQOLC-M的内部一致性可靠性为0.87。通过因素分析，假设检验和已知群体比较来支持构建体有效性。探索性因素分析显示7个潜在因素解释了48.15％的方差。护理人员的生活质量指数-癌症普通话版本得分与护理人员的社会支持（P <.01）和精神健康（P <.01）中等相关。在过去24小时内，护理人员的QOL与患者的F（4.90; P = .008）和护理人员的平均疼痛（t = -4.22; P <.001）呈负相关。我们建议删除因子负载小于0.4的4个项目。由于护理人员的QOL取决于患者和护理人员的身体尺寸，因此我们建议在CQOLC-M中添加与身体相关的物品。临床医生不仅可以通过保持护理人员的健康，社会支持和灵性，而且可以通过更好地管理患有绝症的患者的痛苦来改善他们的QOL。

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