中国临床心理学杂志

家庭照顾负担访谈量表在住院癌症患者家属中的应用

作者：于文军¹ 胡纪泽²

单位：1. 井冈山大学心理健康教育与咨询中心吉安 343009
2. 深圳大学心理学系深圳 518060

关键词：癌症患者家属照顾负担信度效度

分类号：R395.1

出版年,卷(期):页码：2016,24(2):274-276

摘要：

目的：检验家庭照顾负担访谈量表（FBIS）在住院癌症患者家属中的信效度。方法：在某市中心医院住院部共采集356名癌症患者家属,用FBIS、家庭功能评定量表(FAD)、症状自评量表(SCL-90)进行施测，间隔4周后抽取60名被试重新施测FBIS。结果：FBIS全量表的α系数为0.87，5个分量表α系数在0.75~0.87之间；全量表的重测信度为0.88，各分量表的重测信度在0.81~0.92之间；全量表的条目间平均相关系数为0.53，5个分量表的条目间平均相关系数在0.43~0.62之间。FBIS总分与5个分量表得分的相关系数在0.62~0.89之间；各分量表得分之间的相关系数在0.34~0.60之间。验证性因素分析各拟合指数为:χ²/df=1.771，GFI=0.929，IFI=0.936，TLI=0.909，CFI=0.925，RMSEA=0.047，均符合测量学要求，支持该量表5因素模型的理论构想。FBIS全量表及5个分量表得分与SCL-90得分正相关(r=0.32~0.59，都P<0.01)，与FAD得分正相关(r=0.23~0.41，都P<0.01)。结论：家庭照顾负担访谈量表在癌症患者家属中具有良好的信效度，是评估我国癌症患者家属照顾负担水平的可靠工具。

Objective:To assess the reliability and validity of the Family Burden Interview Scale in Families of hospital-ized cancer patients. Methods:In a city center hospital, 356 families of cancer patients were recruited and assessed with FBIS, Family Assessment(FAD), Symptom Checklist(SCL-90). After an interval of four weeks, 60 subjects were re-tested with FBIS. Results:The α coefficient for FBIS full scale was 0.87, and the α coefficient for 5 subscales ranged from 0.75 to 0.87; full-scale test-retest reliability was 0.88, test-retest reliability of each subscale ranged from 0.81 to 0.92; full Scale entries inter average correlation coefficient was 0.53, and 5 entries subscales average correlation coefficients ranged from 0.43 to 0.62. Correlation coefficients between FBIS total score and five subscale were 0.62~0.89; correlation coefficients be-tween 5 subscale scores ranged from 0.34 to 0.60. Confirmatory factor analysis of each fitting Index:χ²/df=1.771, GFI=0.929, IFI=0.936, TLI=0.909, CFI=0.925, RMSEA=0.047 supported the original FBIS structural hypothesis of the five fac-tors model. The correlation coefficients between the FBIS total score and five subscales scores were all positively correlated with the SCL-90 scores(r=0.32~0.59, P<0.01), and FAD scores(r=0.23~0.41, both P<0.01). Conclusion:The Family Bur-den Interview Scale has good reliability and validity in Families of hospitalized cancer patients in China.

基金项目：

吉安市社会科学“十二五”（2015年）规划项目(15GH117)

作者简介：

参考文献：

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