CAJ | 학술논문

目的：评价自我护理能力实施量表（ESCA）中文版在精神分裂症患者中的信度和效度。方法：抽取120例精神分裂症患者进行 ESCA 初测，进行初步的项目分析；正式施测阶段抽取300例精神分裂症患者，7 d 后对其中30例进行重测，计算克朗巴赫α系数、重测信度评价量表内部一致性；采用探索性因子分析方法考评量表结构效度；相关分析来评价量表的效标效度。结果：条目一总分相关法及决断值法对条目的区分度进行分析后，组成32个条目的新量表，经最大方差旋转法旋转后提取4个因子，4个因子累计解释的方差为42.38%；ESCA 与日常生活能力评定量表、护士用住院病人观察量表相关系数分别为0.29，0.63；Cranach's α系数为0.88，重测信度为0.62。结论：ESCA 中文版具有较好的信度和效度，用于精神分裂症患者自我护理能力的研究需要反复修订。
목적：평개자아호리능력실시량표（ESCA）중문판재정신분렬증환자중적신도화효도。방법：추취120례정신분렬증환자진행 ESCA 초측，진행초보적항목분석；정식시측계단추취300례정신분렬증환자，7 d 후대기중30례진행중측，계산극랑파혁α계수、중측신도평개량표내부일치성；채용탐색성인자분석방법고평량표결구효도；상관분석래평개량표적효표효도。결과：조목일총분상관법급결단치법대조목적구분도진행분석후，조성32개조목적신량표，경최대방차선전법선전후제취4개인자，4개인자루계해석적방차위42.38%；ESCA 여일상생활능력평정량표、호사용주원병인관찰량표상관계수분별위0.29，0.63；Cranach's α계수위0.88，중측신도위0.62。결론：ESCA 중문판구유교호적신도화효도，용우정신분렬증환자자아호리능력적연구수요반복수정。
Objective:To assess the reliability and validity of Chinese version in the exercise of self-care agency scale(ESCA)in patients with schizophrenia. Method:In pre-test phase,the scale was administered to 120 schizophrenia patients and the item analysis was conducted. In the formal test phase,300 schizophrenia patients,30 of whom took it again 7 days later took the scale. Cronbach's α coefficient and test-retest reliability was calculated. Construct validity was assessed using exploratory factor analysis method,and the criterion validity was assessed using correlation analysis. Results:Thirty five items composed the scale in terms of item dis-crimination index,and four factors were extracted from 32 items by varimax rotation,accounting for 42. 38% of the total variance. ESCA was significantly correlated with daily life ability scale and nurses'observation scale for in-patient evaluation(r =0.29 and 0.63,respectively). The Cronbach's α coefficient was 0. 88. The test-retest reliability was 0.62. Conclusion:ESCA Chinese version has good reliability and validity.