Chinese General Practice

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Development and Application of Empowerment Assessment Tools for Caregivers:a Scoping Review

  

  1. School of Nursing,Nanjing University of Chinese Medicine,Nanjing210023,China
  • Received:2025-03-24 Accepted:2025-05-26
  • Contact: ZHAO Yayi,Associate professor;E-mail:zhaoyayi@njucm.edu.com

照顾者赋权测评工具的开发与应用:一项范围综述

  

  1. 210023 江苏省南京市,南京中医药大学护理学院
  • 通讯作者: 赵雅宜,副教授;E-mail:zhaoyayi@njucm.edu.com
  • 基金资助:
    国家自然科学基金资助项目(72304153);南京中医药大学国自然青年基金配套项目(XPT72304153);江苏省高等学校自然科学基金面上项目(22KJB320019);高校哲学社会科学研究一般项目(2023SJYB0318);江苏省研究生科研与实践创新计划项目(SJCX24_0848)

Abstract: Empowering caregivers has been proven to enhance both care quality and quality of life for caregivers and patients. Assessing caregiver empowerment serves as a foundation for subsequent research;however,studies that systematically retrieve,summarize,and analyze existing assessment tools remain scarce. This study systematically examines the global development and application of caregiver empowerment assessment tools,analyzing their types,theoretical foundations,dimensions,psychometric properties,and practical applications. Results indicate that existing tools primarily target four caregiver groups:children/adolescent caregivers,brain injury patient caregivers,intensive care unit(ICU)patient caregivers,and older adult caregivers. These tools predominantly rely on internal consistency coefficients and construct validity for psychometric validation. While most demonstrate satisfactory internal consistency,nearly half remain unused in subsequent studies. Future developers of caregiver empowerment assessment tools should:focus on caregiver groups facing significant challenges;conduct comprehensive psychometric testing against established standards;and prioritize practicality,generalizability,and cultural adaptation. This review offers a framework for developing such tools and selecting appropriate instruments to measure caregiver empowerment levels.

Key words: Caregivers, Patient care, Empowerment, Assessment tool, Scoping review

摘要: 对照顾者进行赋权已被证明可以提高照护质量及照顾者与患者的生活质量。对照护者赋权的测评是后续研究的基础,目前尚缺乏针对照顾者赋权测评工具进行系统的检索、总结与分析。本文系统分析了国内外照顾者赋权测评工具的开发和应用现状,对其类型、理论基础、维度、信效度及应用进行分析。结果表明国内外照顾者赋权测评工具主要分为 4 种类型,分别针对儿童与青少年照顾者、脑损伤患者照顾者、重症监护室患者照顾者与老年人照顾者。现有工具主要采用内部一致性系数与结构效度进行信效度检验,大部分工具内部一致性检验结果良好,近半数工具未得到进一步应用。后续研究者开发照顾者赋权测评工具时应关注处于照顾困境的照顾者群体,对信效度进行充分检验,并以公认标准进行评价,注重工具的应用性、推广性与文化适应性。本文将为后续开发照顾者赋权测评工具及选择合适工具测评照顾者赋权水平提供参考。

关键词: 照顾者, 病人医疗护理, 赋权, 测评工具, 范围综述

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