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系統識別號 U0026-0607201116562000
論文名稱(中文) 建構中文版成人加護病房家庭為中心照護量表之信效度
論文名稱(英文) Psychometric Evaluation of Chinese Version of the Family Centered Care Survey for Adult Intensive Care Unit
校院名稱 成功大學
系所名稱(中) 護理學系碩博士班
系所名稱(英) Department of Nursing
學年度 99
學期 2
出版年 100
研究生(中文) 陳靜慧
研究生(英文) Jing-Huei Chen
學號 t2696102
學位類別 碩士
語文別 中文
論文頁數 119頁
口試委員 口試委員-王靜枝
口試委員-王琪珍
指導教授-馮瑞鶯
中文關鍵字 家庭為中心照護  成人加護病房  心理計量測試  量表 
英文關鍵字 Family Centered Care  Adult  Critical care unit  Psychometric Evaluation 
學科別分類
中文摘要 研究背景:以家庭為中心照護(Family-centered care;FCC)被認為是理想的照護模式。然而,少有研究探討成人加護病房病患家屬對家庭為中心照護適用性,特別是在台灣,亦沒有發展測量FCC工具。
研究目的:本研究目的在(1)發展中文版成人加護病房家庭為中心量表(Family-Centered Care Survey for Intensive Care Unit, FCCS-ICU-M),(2)檢測Family- Centered Care Survey for Intensive Care Unit(FCCS-ICU)之對等性測試,(3)FCCS-ICU-M之心理計量測試。
研究方法:五步驟翻譯量表以建構中文版FCCS-ICU量表,並增加資訊分享和賦權測量向度,以形成中文版成人家護病房家庭為中心測量量表(FCCS-ICU-M)。方便取樣選取南部某醫學中心四個單位的成人加護病房270位家屬參與心理計量測試。以信、效度作為資料檢測依據:包括建構效度(驗證性因素分析及探索性因素分析)、同時效度測試,並以Cronbach's alpha 檢驗量表的內在一致性信度。
研究結果:FCCS-ICU-M 與FCCS-ICU有好的翻譯對等性。然而,FCCS-ICU(三個因素)驗證性分析結果模式適配度不佳。探索性因素分析以主成分分析萃取五個因素。30題題項之總解釋變異量為59.808%,且與中文版重症家屬需求量表(Critical Care Family Needs Inventory, CCFNI)之同時效度 r = .458(p <.001)。FCCS-ICU-M量表整體的內在一致性為 .938。
結論:FCCS-ICU-M具備有良好的信、效度,且心理計量測試過程嚴謹。量表簡短5-10分鐘即可完成。有助於醫護人員了解目前FCC照護現況,做為落實FCC照護之參考依據,進而改善臨床照護品質。
英文摘要 Significance: Family-centered care(FCC)is recognized as an ideal model of care. Few studies have examined the utilization of FCC on the population of adult critical care, especially in Asia countries including Taiwan.
Objectives: The purposes of this study were to (1) develop a Mandarin version of the Family-Centered Care Survey for Intensive Care Unit(FCCS-ICU-M), (2) examine the equivalence with FCCS-ICU, and (3) to establish its psychometric properties.
Methods: The English version of the FCCS-ICU was first translated into Mandarin using a 5-step modified back translation procedure. The equivalencey test revealed an adequate translation. Two subscales “information sharing” and “empowerment” were added into the Mandarin version of the FCCS-ICU. The psychometric properties were determined with 270 family members from 4 adult critical care units of a medical center in Southern Taiwan. Construct validity, convergent validity and internal consistency were used to test the psychometric properties.
Results: The equivlance test of the FCCS-ICU-M and the FCCS-ICU was supported. The result of confirmatory factor analysis showed that the data did not fit the original measurement model. The exploratory factor analysis using principal component analysis extracted five factors. The total explained variance from the 30 items was 59.808%. Criteria-related validity was significantly correlated with the Critical Care Family Needs Inventory(r = .458, p <.001). Cronbach’s α for overall scale was .938.
Conclusion:The FCCS-ICU-M is easy and quick to for assessing FCC in adult critical care and used as a reference to improve clinical care quality.
論文目次 目錄

第一章 緒論 1
第一節 研究動機和重要性 1
第二節 研究目的 6
第三節 研究問題 7
第四節 名詞解釋 8

第二章 文獻查證 10
第一節 病患住加護病房對家庭的連帶衝擊 10
第二節 家庭為中心照護及其核心概念的發展 12
第三節 家庭為中心照護的核心概念內涵 17
第四節 家庭為中心照護測量量表 21

第三章 研究方法 32
第一節 研究設計與過程 32
第二節 研究對象 34
第三節 研究工具 35
第四節 量表翻譯和信效度檢測過程 38
第五節 資料整理與分析 47

第四章 研究結果 50
第一節 研究對象人口學特性 50
第二節 效度檢測 54
第三節 信度檢測 68

第五章 討論 69
第一節 人口學資料 70
第二節 對等性測試 75
第三節 效度分析 76
第四節 信度檢測 79
第五節 研究限制和未來運用 80

第六章 結論 83
參考文獻 84
附錄 97

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