慢性精神病患中文賦能量表之建立及信效度檢驗

Psychometric Testing of a Chinese Empowerment Scale for the Patients with Chronic Mental Illness

陳淑菁(Shu-Ching Chen) ； 劉介宇(Chieh-Yu Liu) ； 謝佳容(Chia-Jung Hsieh) ； 劉玟宜(Wen-I Liu)

《精神衛生護理雜誌》 12卷1期 (2017/09) Pp. 5-13

https://doi.org/10.6847/TJPMHN.201709_12(1).0001

摘要

背景：賦能是藉由學習、合作、參與的過程，獲得自主的改變力量以提升自我控制感並改善生活品質，是促進精神病患復原的要素。文獻支持賦能對精神病患復原及生活品質有顯著的影響。Rogers等發展之精神病患賦能量表（Empowerment scale）為目前最好的精神病患賦能測量工具，然而，國內尚未有良好信效度之精神病患中文賦能量表。目的：翻譯Rogers賦能量表，檢驗此量表在國內慢性精神病患之信效度。方法：研究過程分為三階段：第一階段雙向翻譯建立中文版賦能量表；第二階段進行專家內容效度檢視；第三階段採橫斷式研究設計驗證量表之信效度。結果：CVI值達.88，探索性因素分析以主成分分析及最大變異轉軸後，萃取出3個因素共13題，總解釋變異量為59%。依因素內題項內容重新命名，第一因素為「自我效能」、第二因素為「社區行動」及第三因素為「情緒掌控」；Cronbach's α為.87，以組內相關係數檢測的再測信度為.88-.99，顯示此量表具有良好的信、效度。結論／實務應用：本研究所翻譯驗證之的中文賦能量表可運用於評估國內精神病患之賦能狀態，藉以瞭解賦能現況以促進精神病患之復原。

關鍵字

慢性精神病患 ； 賦能 ； 量表 ； 信度 ； 效度

並列摘要

Empowerment enables a person to share, cooperate, participate in decision-making and to give power to establish autonomy, promote quality of life, and enhance self-control. It is an important component for recovery. Enhancing empowerment can help a patient gain independence and autonomy. Empowerment has a significant impact on improving an individual’s self-esteem and quality of life. A reliable and effective empowerment assessment tool helps to grasp empowerment status and guide mental health care staff to provide appropriate support and assistance for the patients with mental illness. However, there is no available Chinese version empowerment scale in Taiwan. The purpose of this study was to translate foreign empowerment scale for the patients who suffer from chronic mental illness and establish the empowerment scale with validity and reliability in Taiwan. The research process applied three steps. Firstly, the English version Empowerment scale was to be translated from English to Chinese by forward-translations and back-translations.Secondly, professional experts in psychiatric care help verify its content validity. Finally, a cross-sectional design was executed to exam its validity and reliability. The study recruited the patients who have suffered from chronic mental illness. The results showed that the CVI reached to 0.88~0.99; exploratory factor analysis extracted three factors, a total of 13 questions, explained the total variation of 59%. The first factor is ＂self-efficacy＂, the second factor is ＂community action＂ and the third factor is ＂emotional control＂. Cronbach’s α is .87, and the test-retest reliability is .88-.99. The results supported this scale which has an acceptable reliability and validity. This Chinese empowerment scale can be applied to assess empowerment status of the patients with chronic mental illness in Taiwan and guide the mental health rehabilitation service to promote recovery of the patients with mental illness.

並列關鍵字

chronic mental illness ； empowerment ； scale ； reliability ； validity

參考文獻

戎瑾如、蕭淑貞、蘇淑芳（2014）．台灣精神衛生護理的發展 方向。護理雜誌，61（1），5-10。doi:10.6224/jn.61.1.5 [Rong, J. R., Shiau, S. J., & Su, S. F. (2014). The development of psychiatric and mental health nursing in Taiwan. The Journal of Nursing, 61(1), 5-10.]

吳佳珍、林秋菊（2014）．融滲充能概念於病人為中心的協同照護模式－以糖尿病照護為例．護理雜誌，61（6），87-92。doi:10.6224/jn.61.6.87 [Fusing empowerment concept into patient-centered collaborative care model. The Journal of Nursing, 61(6), 87-92.]

Boevink, W., Kroon, H., Delespaul, P., & Van Os, J. (2017). Empowerment according to persons with severe mental illness: Development of the Netherlands empowerment list and its psychometric properties. Open Journal of Psychiatry, 7(1), 18-30. doi:10.4236/ojpsych.2017.71002

Barr, P. J., Scholl, I., Bravo, P., Faber, M. J., Elwyn, G., McAllister, M. (2015). Assessment of patient empowerment: A systematic review of Measures. PLoS ONE, 10(5): e0126553. https://doi.org/10.1371/journal.pone.0126553

Barrett, B., Young, M. S., Teague, G. B., Winarski, J. T., Moore, K. A., & Ochshorn, E. (2010). Recovery orientation of treatment, consumer empowerment, and satisfaction with services: A mediational model. Psychiatric Rehabilitation Journal, 34(2), 153-156. doi: 10.2975/34.2.2010.153.156