| Objective To translate Caregiver Preparedness Scale(CPS)into Chinese and evaluate the reliability and validity of the Caregiver Preparedness Scale of Chinese version;To investigate the status of care preparedness by family caregivers of stroke patient,explore factors associated with preparedness,and investigate the relationship between the care preparedness,knowledge of stroke and uncertainty of disease in family caregivers of stroke patients.Evaluate the effect of empowerment education intervention on family caregivers of patients with stroke,and provide reference for the caregiver to prepare care for stroke patients.Methods(1)After receiving the permission of Caregiver Preparedness Scale' author,the Caregiver Preparedness Scale be translated to Chinese.The Chinese version of Caregiver Preparedness Scale was back-translated and adjusted for cultural adaptation,and was tested the reliability and validity.(2)A Random sample of 320 family caregivers of stroke patients were investigated using the questionnaire of patients and caregivers' socio-demographic,Caregiver Preparedness Scale,Mishel Uncertainty in Illness Scale and questionnaires of knowledge of stroke to assess the caregivers preparedness,disease uncertainty and knowledge of stroke scores.(3)According to random number table,a total of 80 caregivers with stroke patients were divided into empowerment education group and control group.The caregivers of the control group accepted regular health education,and the caregivers of the empowerment education group received 3 months empowerment education on the basic of regular health education.The caregivers preparedness,disease uncertainty,knowledge of stroke and anxiety scores of two group caregivers were assessed before and after he empowerment education.All data were collected and analyzed by IBM SPSS 23.0 software.The reliability and validity of Chinese version of caregiver preparedness scale were tested using content validity,construct validity,internal consistency reliability,and exploratory factor analysis.Descriptive statistics,independent t-test,Chi-square test,variance analysis,multivariate stepwise regression analysis and linear correlation were used to analyze the data of descriptive investigation and empowerment education.The standard test is a=0.05 level.Results(1)The Chinese version of the caregiver preparedness scale in this study consisted of 19 items,one common factor extracted by factor analysis,which could explain 60.379% of the total variance.The Cronbach's ? of the total Chinese scale was 0.902,the retest reliability was 0.804,and the correlation coefficient between each item and the total score was greater than 0.6(0.663-0.834).The S-CVI/Ave was 0.969 and the CVI was 0.875-1.000.All have statistical significance.(2)The caregiver preparedness scores of home caregivers with stroke patients was(14.42±5.12)points,and the highest score for physical need(2.16±0.83),the scores for obtaining medical help and information resources and responding to emergencies were(1.59±0.85)and(1.40±0.82)points respectively.(3)The total score of disease uncertainty in stroke caregiver was(75.62±10.37),and the average score of each item was(3.02±0.41),which suggested that the caregivers of stroke patients had a high level of disease uncertainty.(3.13±0.46)for the ambiguity dimension,(2.98±0.55)for the lack of clarity dimension,(2.52±0.52)for the lack of information dimension,and(3.33±0.59)for unpredictable.(4)The total score of knowledge of stroke in caregivers of stroke patients was(10.41±3.89),the total score of warning symptoms and emergency treatment was(3.7±1.97),and the total score of risk factors were(6.71±2.31).(5)The total scores of caregivers preparedness were significant differences with different age,education level,caregiving experience of caregivers and different gender of stroke patients(P<0.05).(6)The caregivers preparedness was negatively correlated with the uncertainty of disease(-0.489,P<0.001),and positively correlated with knowledge of stroke(r=0.402,P<0.001).(7)There was no significant difference in general demographic data,caregivers preparedness score,disease uncertainty score,knowledge of stroke score and anxiety score between two groups before empowerment education intervention(P>0.05).(8)After the empowerment education intervention,the total scores of caregivers preparedness in empowerment education group were significantly higher(P <0.05).The score of caregivers preparedness in the empowerment education group was higher than those in the control group,with significant difference(P<0.05).(9)After the empowerment education intervention,the total mean score of illness uncertainty and the average score of each dimension in empowerment education group caregivers were all significantly reduced(P <0.05).The level of disease uncertainty among caregivers in the empowerment education group was significantly lower than those in the control group(P<0.05).(10)After the empowerment education intervention,the average score knowledge of stroke of caregivers were significantly improved in empowerment education group(P<0.05).The cognition level of knowledge of stroke in empowerment education group was significantly higher than those in control group(P<0.05).(11)After the empowerment education intervention,The total anxiety scores of caregivers in empowerment education group were lower than those before education intervention(P<0.05).The anxiety level of caregivers in empowerment education group was significantly lower than those in control group(P<0.05).Conclusions(1)The Chinese version of caregivers preparedness Scale is reliable and valid,and can be used to assess the caregiver preparedness of caregivers in stroke patients.(2)The caregiver preparedness of caregivers in stroke patients needs to be improved.Caregivers' age,education level,caregiving experience and gender of patients are factors of caregiver preparedness.Caregiver preparedness is positively related to knowledge of stroke and negatively correlated with illness uncertainty.(3)Empowerment education can improve the knowledge of stroke,reduce the uncertainty of disease,improve the preparedness and relieve the negative emotions such as anxiety,which is beneficial to the health of patients and caregivers. |
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