The Construction and Evaluation of the Reliability and Validity of a Life Attitude Scale for Elderly with Chronic Disease

慢性病老人生命態度量表之建構及信效度考驗

劉淑娟(Shwu-Jiuan Liu)

《The Journal of Nursing Research》 9卷3期 (2001/06) Pp. 33-42

摘要

老人罹患慢性病將面臨許多衝擊，影響其生命態度，本研究目的即在建構與評值慢性病老人生命態度量表。透過深度訪談48位慢性病老人，建構老人生命態度量表為27題。之後，以663份樣本進行因素分析建立量表之建構效度。老人生命態度的六個次概念是：和諧家庭生活、生活意義、生命尊嚴、苦難掙扎、存在空虛、生死命定；全量表共 20 題，解釋總變異量為59.7％。由六位專家建立的內容效度很理想。六位收集資料者之測試者間信度為0.96。以148份量表求得內在一致性之Cronbach's alpha為0.89，37份量表求得隔週再測信度為0.87。本量表代表在台灣的老人經歷慢性病過程對生命的看法與價值，引發對台灣老人靈性護理的重視。

關鍵字

生命態度 ； 老人 ； 慢性病

並列摘要

The elderly with chronic diseases face numerous impacts which influence their life attitudes. The purpose of this study was to construct, and evaluate the reliability and validity of a life attitude scale for elderly with chronic disease. Initially, the 27 items of the Life Attitude Scale were constructed by in depth interview of 48 elderly with chronic diseases. Then, the construct validity was established by factor analysis with 663 samples. Six factors: Congeniality of Family Life, Life Meaning, Dignity of Life, Struggle with Adversities, Hollow Existence, and Destiny to Life, which included 20 items, explained 59.7% of total variances. Content validity was found to be well established by 6 experts. Correlation of inter-rater reliability among 6 data collectors was 0.96. Cronbach's alpha of internal consistency was above 0.89 for 148 samples. Correlation of test-retest reliability was above 0.87 for 37 samples with 2-week interval. This study presents what the Taiwan elderly with chronic diseases are undergoing and their views on life and its value. There are highly culture-based and philosophy-based knowing about life attitude of elderly with chronic disease in Taiwan, and it is imperative to inspire nurses to promote the quality of spiritual care for elderly with chronic disease.

並列關鍵字

life attitude ； elderly ； chronic disease

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