实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (12): 1215-1219.doi: 10.3969/j.issn.1003-9198.2022.12.008

• 临床研究 • 上一篇    下一篇

中国版日常生活活动能力量表编制与信效度验证

赵元萍, 丁睿, 谢红   

  1. 276826 山东省日照市,日照市卫生学校(赵元萍);
    100191 北京市,北京大学护理学院(丁睿,谢红)
  • 收稿日期:2022-01-25 出版日期:2022-12-20 发布日期:2022-11-30
  • 通讯作者: 谢红, Email: xh6959@163.com

Development and validation of reliability and validity of Chinese version of activities of daily living scale

ZHAO Yuan-ping, DING Rui, XIE Hong   

  1. ZHAO Yuan-ping. Rizhao Health School, Rizhao 276826, China;
    DING Rui, XIE Hong. School of Nursing, Peking University, Beijing 100191, China
  • Received:2022-01-25 Online:2022-12-20 Published:2022-11-30

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摘要： 目的 构建中国版日常生活活动能力量表,便于精准性评估与长期照护服务供给。 方法 采用方便取样法,同时采用新构建的日常生活活动能力量表和Barthel指数量表对国内4590位老年人进行评估,采用描述性分析、探索性因子分析、Cronbach's α系数、聚类分析、相关性分析、配对χ2检验等对工具进行描述和信效度验证。 结果 新版日常生活活动能力量表信效度良好,按照总分划分为5个等级,量表平均分为28.84±16.86,与Barthel指数比较,对应条目间r值在-0.694~-0.986(P＜0.01),以极重度失能作为筛选重度失能的阳性结果,配对χ2检验Kappa值为0.875(P＜0.01)。 结论 中国版日常生活活动能力量表与Barthel指数的评估结果具有较好一致性,在筛选极重度失能上精准度更高,可在长期照护领域和养老领域中推广应用。

关键词: 日常生活活动能力, 量表, Barthel指数

Abstract: Objective To construct the Chinese version of activity of daily living (ADL) scale for accurate assessment and provide long-term care services. Methods Convenient sampling method was used to evaluate 4590 elderly people in China with Chinese version of ADL scale and Barthel index at the same time. Descriptive analysis, exploratory factor analysis, Cronbach's α coefficients, clustering analysis, correlation analysis, paired chi square test were used to describe the scale and verify its reliability and validity. Results The Chinese version of ADL scale showed good reliability and validity, and the total score can be divided into 5 levels. The average score of ADL was 28.84±16.86. Compared with Barthel Index,The r value between corresponding items was -0.694--0.986 (P<0.01). The grade of very severe disability was used as the positive result of severe disability, and the kappa value was 0.875 (P<0.01) in paired chi square test. Conclusions The evaluation results of Chinese version of ADL scale and Barthel Index are consistent, and the accuracy of ADL scale in screening severe disability is higher, which can be widely used in the field of long-term care and pension.

Key words: activities of daily living, scale, Barthel index

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