パーキンソン病療養者の家族介護者におけるファミリーレジリエンス尺度の開発

Development of Family Resilience Scale for Family Carers of Parkinson's Disease Patients

要旨

　目的：パーキンソン病療養者の家族介護者におけるファミリーレジリエンス尺度（以下，FRS-PD）の開発．

　方法：文献検討および質的研究による尺度原案の作成，内容妥当性の検証の後，家族介護者を対象に質問紙調査を行い尺度の信頼性・妥当性を検証した．

　結果：回収数672人（回収率21.6％），有効回答640人（有効回答率20.6％）であった．10因子38項目のFRS-PDを作成し，因子名は，《前向きさ》，《感情の共有》，《家族外の資源の活用》，《親族との関係》，《問題解決能力》，《療養者仲間との協働》，《柔軟性》，《結びつき》，《逆境への意味づけ》，《状況の見極め》とした．α係数およびモデル適合度は許容範囲内であった．

　結論：本尺度は，パーキンソン病療養者の家族介護者におけるファミリーレジリエンスの評価指標となり，専門職による家族理解の促進とファミリーレジリエンスの育成に活用可能である．

　Purpose: To develop and validate a family resilience scale for family carers of Parkinson's disease patients (FRS-PD).

　Methods: A draft scale was developed based on preceding studies and qualitative research. The validity of the scale content was verified. A questionnaire survey was conducted on family carers. Based on the collected data, the reliability and validity of the developed scale were tested.

　Results: A total of 672 responses were collected (return rate 21.6%), and the 640 valid responses were analyzed (response rate 20.6%). The FRS-PD consisted of 38 items and the following 10 subscales: [positivity], [sharing emotions], [resources outside of the family], [relationships with extended kin], [problem-solving ability], [collaboration with fellow patients], [flexibility], [connectedness], [finding meaning in adversity], and [determining the situation]. The internal consistency and model fit of the scale were acceptable.

　Conclusion: This scale serves as an evaluation index for family resilience in family carers of Parkinson's disease patients, and can be used by professionals to promote family understanding and foster family resilience.