实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (6): 623-626.doi: 10.3969/j.issn.1003-9198.2022.06.019

• 护理园地 • 上一篇    下一篇

中文版Edmonton衰弱评估量表在住院老年病人中的信效度研究

郭欣颖, 郝莹, 张宇, 朱鸣雷   

  1. 100730 北京市,中国医学科学院北京协和医院老年医学科
  • 收稿日期:2021-07-26 出版日期:2022-06-20 发布日期:2022-06-30
  • 通讯作者: 朱鸣雷,Email:yidazhuml@126.com
  • 基金资助:
    国家重点研发计划重点专项(2020YFC2008900)

Reliablity and validity of the Chinese version of Edmonton Frailty Scale for Chinese elderly inpatients

GUO Xin-ying, HAO Yin, ZHANG Yu, ZHU Ming-lei   

  1. Department of Geriatrics, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2021-07-26 Online:2022-06-20 Published:2022-06-30

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摘要： 目的 对英文版Edmonton衰弱量表(Edmonton Frailty Scale,EFS)进行翻译、文化调适和信效度评价,探讨该量表在中国老年住院病人中的适用性。 方法 获得EFS原作者授权后,对原量表进行翻译、回译及文化调适,建立中文版EFS。使用中文版EFS、简明健康测量表(SF-36)对住院老年病人进行现场测评。分别运用Excel及SPSS 16.0软件进行数据录入及统计分析。采用Cronbach’s α系数、Spearman相关系数评价中文版EFS的内部一致性信度、结构效度及预测效度。 结果 对64例老年住院病人进行测评,得到中文版EFS的Cronbach’s α系数为0.703,提示该量表内部一致性信度良好。在结构效度评价中,除第2条“去年住院次数”与总分无关外(P=0.360),其余条目及各维度与量表总分的Spearman相关系数为0.338～0.718(P<0.01),提示该量表的结构效度理想。中文版EFS总评分与SF-36总评分呈负相关(r=-0.622,P<0.01),提示中文版EFS的预测效度理想。结论 中文版EFS具有良好的信效度,可应用于我国老年住院病人的衰弱测评。

关键词: 老年住院病人, 衰弱量表, 信度, 效度

Abstract: Objective To translate and develop a Chinese version of the Edmonton Frailty Scale(EFS)from the English version, and to investigate the validity and reliability of the Chinese version of EFS in Chinese elderly inpatients. Methods After the authorization, this study adopted a seven-step approach to translate and culture-adapt the English version of EFS to a Chinese version. Then, a total of 64 elderly inpatients received the assessement of Chinese version of EFS and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) test at site. The data were recorded and analyzed by using Excel and SPSS 16.0 software. The reliability of the scale was described by Cronbach’s α coefficient. The construct validity and predictive validity of the scale was described by Spearman correlation coefficient. Results The Cronbach’s α coefficient of the Chinese version of EFS was 0.703, which suggested that the intenal consistency reliability of the scale was good. Excepted for the second item ‘number of hospitalizations in last year’ of the Chinese version of EFS, the Spearman correlation coefficient between the other items and the total score of the scale was 0.338-0.718 (P<0.01), which suggested that the construct validity of the scale was ideal. The total score of the Chinese version of EFS was negatively correlated with the total score of SF-36 (r=-0.622, P<0.01), which suggested that the predictive validity of the Chinese version of EFS was ideal. Conclusions The Chinese version of EFS has a good reliability and validity, which could be used as a tool in the evaluation of frailty in Chinese elderly inpatients.

Key words: elderly inpatient, frailty questionnaire, reliability, validity

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