摘要
背景伴随全球老龄化,以老年人健康需求为中心的综合照护,已成为"健康老龄化"的国际共识。开发适用于中国农村老人"身-心-社-灵-环境"健康评估工具尤显重要和紧迫。目的评价自测健康评定量表(SRHMS V1.0)在农村地区的适用性及效果。方法 2018年10月—2019年5月,采用多阶段分层抽样法对2 400例≥60岁云南省农村老年人进行入户人口学资料和SRHMS V1.0的问卷调查。分析SRHMS V1.0的信效度,建立农村老年人SRHMS V1.0得分的划界常模。结果共发放问卷2 400份,获有效样本2 048份,问卷有效回收率为85.33%。2 048例农村老年人SRHMS V1.0总分及生理、心理、社会健康得分分别为(63.63±13.69)、(64.72±16.94)、(62.59±15.34)、(50.71±13.04)分。SRHMS V1.0内部一致性Cronbach's α系数为0.941;生理、心理、社会健康子量表的Cronbach's α系数分别为0.877、0.885、0.875。除条目4、5、7与身体症状与器官功能维度,以及条目27和心理症状与负向情绪维度相关系数r≤0.600外,其余条目与相应维度的相关系数r≥0.600(P<0.001)。验证因子分析显示,修正后的CFA模型χ^(2)/df=5.509,RMSEA=0.047,NFI=0.929,IFI=0.941,TLI=0.933,CFI=0.941,拟合度优。获得农村老年人健康划界常模,分别为健康很差[0,49.93]、健康较差[49.93,56.78]、健康一般[56.78,70.48]、健康较好[70.48,77.32],健康很好[77.32,100]。结论 SRHMS V1.0在农村老年人运用具有良好信效度,可作为全科医生综合健康评估及社区干预工具推广运用。
Background To achieve healthy aging along with global aging,integrated geriatric care using personcentered approach has been recognized to be a useful way to satisfy older people’s health needs as an international consensus.It is particularly important and urgent to develop a tool to assess the physical,psychological,social,spiritual and environmental health of the elderly in rural China.Objective To evaluate the applicability of the SRHMS V1.0 in rural elderly people.Methods From October 2018 to May 2019,2048 individuals aged 60 or over were selected from Yunnan’s rural areas by use of multistage stratified sampling,and received a household survey using a Demographic Questionnaire and the SRHMS V1.0.The reliability and validity of the SRHMS V1.0 were analyzed,and the SRHMS V1.0 normative scores for Chinese rural elderly people in the age group were determined.Results The survey obtained a response rate of 85.33%.The mean total score and the mean scores of physical,psychological and social health subscales of the SRHMS V1.0 were(63.63±13.69),(64.72±16.94),(62.59±15.34)and(50.71±13.04),respectively.The Cronbach’sαof the SRHMS V1.0 was 0.941,and that for the physical,psychological and social health subscales were 0.877,0.885 and 0.875,respectively.With the exception of items 4,5 and 7,and physical symptoms/organ function subscale,item 27 and psychological symptoms/negative emotion subscale with a value of r≤0.600,all the items and corresponding subscales had a value of r≥0.600(P<0.001).The results of confirmatory factor analysis showed that the modified CFA model withχ^(2)/df=5.509,RMSEA=0.047,NFI=0.929,IFI=0.941,TLI=0.933,CFI=0.941,showing an excellent goodness for fit.The The SRHMS V1.0 normative scores for rural elderly people were determined as:very poor[0,49.93],poor[49.93,56.78],fair[56.78,70.48],good[70.48,77.32],very good[77.32,100].Conclusion The SRHMS V1.0 has good reliability and validity in assessing the health status among rural elderly people,which may be applied and popularized as an
作者
高矗群
张河川
罗松兰
张雅静
郭良骥
张黎黎
GAO Chuqun;ZHANG Hechuan;LUO Songlan;ZHANG Yajing;GUO Liangji;ZHANG Lili(School of Humanities and Management,Yunnan University of Chinese Medicine,Kunming 650228,China;School of Medicine,Yunnan University of Business Management,Kunming 650106,China;School of Finance,Yunnan University of Finance and Economics,Kunming 650221,China;Department of Pediatrics,the Second Affiliated Hospital of Kunming Medical University,Kunming 650228,China)
出处
《中国全科医学》
CAS
北大核心
2021年第19期2418-2422,共5页
Chinese General Practice
基金
云南省哲学社会科学创新团队建设项目(2020CX03)
云南省教育厅教师基金及老年长期照护创新团队阶段成果。
