研究背景：台灣因老年人口不斷增加，扶養負擔也隨之增重，老人不適當對待（mistreatment）事件亦逐漸被發現。研究指出遭受不適當對待的老年人高出3倍死亡率及慢性疾病的罹病率，每年更增加醫療花費約53億美元。而老人疏忽型態佔其中50-70%，國內因傳統家庭觀念，導致證據收集困難及通報率低，因此老人疏忽更値得受到關注。目前雖有一般性老人評估工具，但未能針對老人疏忽進行評估，因此本研究旨在為居家醫療專業人員發展老人照顧者疏忽風險篩檢工具。
研究目的：建構供居家護理師使用的老人照顧者疏忽風險篩檢工具，並測試與驗證量表之心理測量學屬性。
研究方法：首先透過文獻查證發展5點式評分之篩檢量表內容，經內容效度檢測，專家效度（CVI）為0.92。以方便取樣方式選取北、中、南、東及澎湖地區居家護理機構共34間，以機構為單位進行群集抽樣，共納入106位居家護理師及224份老人篩檢問卷。工具驗證以建構效度(探索性因素分析)、效標效度、施測者間一致性、再測信度及內部一致性作為量表心理測量學屬性檢測依據。
研究結果：老人照顧者疏忽量表顯示有良好的專家內容效度，整體量表的CVI為0.92、與老人評估工具量表（Elder Assessment Instrument, EAI）的同時效度（Pearson’s r =0.48, p<.000)、內部一致性（Cronbach’s alpha=0.87）、施測者間一致性（ICC=0.72）、再測信度（Spearman's r=0.87）皆有良好結果。探索性因素分析以主成分分析28題，共萃取六個因素，分別命名為「照顧狀況」、「居家環境」、「老年人外觀」、「老年人健康狀態」、「老年人認知活動功能」、「照顧者酒精藥物史」，總解釋變量為60.4%。
結論：本研究為台灣第一個建構給居家護理師使用的老人照顧者疏忽風險篩檢量表，並能實際於居家環境應用之研究，本量表整合了老人照顧者疏忽之指標，並以居家護理師為評估人員，減少老年人因身體或認知問題無法填答之情形，且此量表具有良好的信效度。期待此量表能提供居家護理師簡易及結構化的工具去有效地評估老人照顧者疏忽，並透過全面性量表評估，了解台灣目前老人照顧者疏忽之現況，引發社會及臨床人員對老人照顧者疏忽之重視。

This study purpose was to develop an elder neglect risk screening instrument for homecare nurses’ use, and to test and verify the psychometric properties of the instrument. 28 items of 5-point Likert scale items pool were developed. Nine experts and scholars were invited to conduct content validity review and items. In this cross-sectional study, 34 out of 547 home nursing agencies in north, central, south and Penghu areas were selected. There were 106 homecare nurses recruited using cluster sampling, and 224 questionnaires were collected totally. The elder neglect risk screening instrument demonstrated a good expert validity (CVI=0.92), concurrent validity with Elder Assessment Instrument (Pearson’s r =0.48, p<.000), internal consistency (Cronbach’s alpha=0.87), inter-rater reliability (ICC=0.72), test-retest reliability (Spearman's r=0.87). Exploratory factor analysis of 28 items extracted six factors by principal component analysis and had been named "Care status", "Home environment", "Appearance of the elderly", "Health status of the elderly", "Cognition and physical function of the elderly", "Alcohol and drugs history of caregiver", which explained 60.4% of the variance. This study was the first in Taiwan to develop an elder neglect by caregiver risk screening instrument which can could be used by homecare nurses in real home environment. The instrument demonstrated a good reliability and validity.

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