| Along with global population aged advancement speeding up, because the old disabled patients caused by chronic disease increase, the hospitalization nursing and family nursing has already become the prominent social problems. The development experience of international family nursing indicates that, comparing hospitalized treatment with family treatment, the olders prefer to the latter, at the same time, the family nursing can obviously reduce the care cost ( it is 1/10 of hospital care) . Therefore, paying attention to and solving the nursing problems of the old is necessary to the social economy persistent development. At present, nursing work make the nursing worker press and causing the physical and moral problem arouse the world widespread interest of the world.In North America, European, Japanese and Brazilian, Zarit caregiver burden scale is a tool which is an effective confirmation and follow — up the nurse burden of family old men. Our country still did not have the appropriate research tool at present. To giving the family nurses the more powerful professional service support, and to establish a more stable experience and theory foundation of the plan of the future the future family nursing support, is an important topic which the present China faces to. Therefore completing the manufacture of the Chinese edition of Zarit caregiver burden scale, has the important practical significance to impel nursing work and establishment of the society health policy.Investigation object and method1. Investigation objectTake the accompanying persons of in - patients and old patients which the age is 50 year old and above, and community home old age patient's nursing persons as the research object, going on the nurses burdening research in Zarit car-egiver burden scale %ADLscale^ and basic situation questionnaire of the patient and nursing persons in Chinese version Zarit caregiver burden scale altogether provides 387 questionnaires, obtains 372 questionnaires, including 356 questionnaires are effective.2. Investigation method2. 1 Modify the scale2 experts which is skilled in the Japanese and English, translate the Zarit caregiver burden scaleof Japanese version and English edition into Chinese, and accurately expresses the meaning with the popular words, another 2 experts which is skilled in the Japanese and English will translate Chinese scale with blind method translate into the Japanese and English separately, and compare the translation draft with the original manuscript, then 10 graduate students will carry on the judgment, the consistent rate is lower than 70% sentence will retranslate and return translate, until meet 70% unanimous requirements. Some entries which do not suit the Chinese crowd custom and the cultural context clause will be edited, like "the privacy" , the direct expression is "the private affair".2.2 By interview and questionnaire survey collecting data The investigator is fieldwork student of the prevention specialized graduation , after the investigators are trained, they begin to carry on face - to - face investigates. The community questionnaire survey also adopts the similar work way, medical persons by the community health service center communicate the nursing persons, then carries on the enter - home investigation.3. Investigation content 3. 1 General conditionsThe patient healthy situation, like the disease of patient presently, patient' s life self - manage ability survey; the basic situation, like the sex, the age, the culture degree, and so on.3.2 Daily lives abilities meter ( ADL).3.3 Chinese versions Zarif earegiver burden scale.Chinese version Zarit caregiver burden scale is 22 - hem structural ionnuia scale. Meter includes Personal strain and Role strain two latitudes. Persoriai strain constitutions by items 1,4,5,8,9, 14, 16, 17, 18, 19, 20, 21 , Rcie strain by items 2, 3, 6, 11., 12, 13. The item 22 is smmnated evaluation ;n nursing to nurses the burden.4. Data processing and statistical analysis method.4.1 Data processing methodThe data taken back should be manpower checked and filtered ,the manual examinations are eliminated which the is individual basic situation lacks i hem the question lacks 2 items, and totally lacks 5 items.Effective questionnaire establish database by the excel software, and carries on the logic examine and modify.4.2 Statistical analyses methodCarrying on the technical appraisal on Chinese version Zarit earegiver burden scale measurement result, and analyzing the reliability, validity as well as the sensitivity with the SPSS11.5 edition statistics software.Scale preliminary applied analysis. According to the nursing Activity of Daily Living scale (ADL) the condition, by the ADL minute value ^20 point, < 40 point, with ^40 point, as groupings standard,the sample is divided into three groups. The differentia markedness is compares by variance analysis method between each group; Scores of the nursing burden as the dependent variable, the patient age, the sex, disease type, the life takes care of oneself the ability, nurses factor and so on time, nursing age, sex is the independent variable, carries on the nursing burden influence factor statistical analysis with the correlation analysis and the Logistic gradually regression analysis method.Result1. The technical appraisal of Chinese version Zarit caregiver burden scale The revision Chinese version caregiver burden scale has the higher reliability and the sensitivity. In various factors, the structure of the items is good, butthe item 4 and 5 still had to consider the adjustment.2. The preliminary applied analysis of Zarit caregiver burden scale The scores of the caregiver burden of nursing persons in the group which the daily life ability is completely limited are remarkably higher than the normal group and partially limited group, nursing burden of partially limited group is higher than slightly the normal group, but two groups does not have statistics difference.The burden scores of nursing persons has remarkable correlational dependence with the self - management of patients, freak - out, the patient age, the nursing persons age, the culture degree, the duration of the nursing, the number of nursing, as well as patients ADL points, but the population, the nursing sex, and there is not the remarkable relativity in patients sex ,the number of the living together, the nursing sex, occupation , the month income , the daily nursing time. The Logistic regression analysis of nursing burden affect factor shows: the important factors of nursing burden are the culture degree, ADL score, but the nursing population may reduce nursing burden.Discussion1. The technical appraisal of Chinese version Zarit caregiver burden scale Revision Chinese version Zarit caregiver burden scale has good internal uniformity , questionnaire can make diagnosis, distinction, explanation on individual ,also may carry on the association comparison on group. The structure effect relevance in various factors is good, but the clause 4,5, possibly when answering the clause 4, 5, on the influence of the tradition ,we think that awkward and the worry feeling on nursing the old Person is not the moral behavior, especially the situation which the nursed persons is attendant , they are shamed of expression , thus affects this meter effect. Nurses from the result of the sensitive analysis result , the subject can hold from Zarit burden meter, do not need to adjust. This result is possible relate to the Zarit which the researcher uses to is a classical meter.2. The preliminary applied analysis of Chinese versions Zarit caregiver bur-den scaleThe score? of the caregiver burden of nursing persons in the group which the daily life ability is completely limited are remarkably higher than the normal group and partially limited group shows; The nursing burden aggravate with the fall of the daily activity ability, the worse patients daily energy, the more the nursing persons pay on the patients*1 lives, the heavier on the nursing persons burden.The nursing persons burden scores points with the culture degree, patients ADL score and so on. The result of Logistic regression analysis shows: the primary effect factors of nursing burden are the culture degree, ADL score and the nursing population. Possible because the nursing person need to pay more time and the energy, withstands a more tremendous pressure on the bad self - manage. Culture degree of Nursing persons is high, require on the higher spiritual life request , stronger on participation social activity and the pressure on the nursing persons is bigger; But the nursing population increase may give the different help on the physical force and matter, lightening she nursing burden from the different angle and the degree.Conclusion1. Chinese version Zarit caregiver burden scale has the quite good reliability and the validity as well as the clause sensitivity. The target of the scale reliability, the validity and reaction basically achieved the overseas meter dubs specification.2. The preliminary application result of Chinese version Zarit caregiver burden scale is same with the overseas report, indicated the translating work successfully.3. Item 4 and 5 avoiding the question needs further research and adjustment , and enhances the application quality of the Zarit caregiver burden scale of Chinese version.4. Patients ADL scores, the culture degree of the nursing persons and the population of nursing are the major effect factors of the burden.
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