摘要
目的汉化及验证STEADI老年人跌倒风险自我评估量表,为我国老年人提供适用性自评工具。方法选取STEADI工具包中的“Stay Independent Brochure Questionnaire”,按翻译、回译和文化调适,形成“中文版老年人跌倒风险自我评估量表”,分别选取医护人员10名、住院老年人197例、门诊老年人196例、社区老年人232例进行效度信度检验。结果中文版老年人跌倒风险自我评估量表在住院、门诊、社区老年人群中的Cronbach′sα信度系数分别为0.716、0.674、0.608;重测信度r值分别为0.992、0.996、0.998;量表的内容效度指数S-CVI/UA为0.920,S-CVI/AVE为0.980,各条目内容效度指数I-CVI为0.800~1.000;因子分析共提取4个公因子,住院、门诊、社区的公因子对应的条目不同,其累积方差贡献率分别为54.096%、52.730%、51.180%。结论中文版老年人跌倒风险自我评估量表具有良好的信度与效度,可用于中国老年人跌倒风险自我评估。在使用过程中,注意结合老年人生活场景和健康状况进行最终跌倒风险判定。
Objective To translate and validate a fall risk self-assessment tool of the STEADI(Stopping Elderly Accidents,Deaths&Injuries)Toolkit into simplified Chinese,and to provide a practical fall-risk screening tool for the elderly.Methods Stay Indepen-dent Brochure of the STEADI Toolkit was translated into simplified Chinese,then back-translation and cultural adaptation was conducted to develop the questionnaire for pilot survey.Ten medical staff,197 hospitalized elderly patients,196 elderly outpatients and 232 community-dwelling elderly residents were surveyed to test the validity and reliability.Results The Cronbach′sαcoefficient of the scale was 0.716 in hospitalized participants,0.674 in outpatients,and 0.608 in community samples.The test-retest reliability was 0.992,0.996 and 0.998,respectively.The scale level content validity index/universal agreement(S-CVI/UA)was 0.920,scale level CVI/average agreement(s-CVI/AVE)was 0.980,and item level CVI(I-CVI)ranged from 0.800 to 1.000.Four factors were identified through exploratory factor analysis,and items of each factor in hospitalized participants,outpatients and community samples were different,which could explain 54.096%,52.730%and 51.180%of the total variance,respectively.Conclusion The Chinese version of fall risk self-assessment tool demonstrates good reliability and validity and is suitable for self-assessment of fall risk in Chinese elderly.However,actual living situation and health status of the elderly should be considered additionally when we use the tool to determine the fall risk.
作者
李亚玲
丁福
Li Yaling;Ding Fu(Geriatric Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第3期8-12,共5页
Journal of Nursing Science
基金
重庆市技术创新与应用示范项目(社会民生类一般项目)(cstc2018jscx-msybX0124)
重庆医科大学附属第一医院2017年度院内护理科研项目(HLJJ2017-02)。
关键词
老年人
住院
门诊
社区
跌倒
跌倒风险自我评估
量表汉化
信度
效度
the elderly
hospitalization
outpatient clinic
community
falls
fall risk self-assessment
questionnaire validation
reliability
validity
