衰弱快速筛查量表的质量评价

doi:10.3969/j.issn.1003-9198.2025.10.008

摘要/Abstract

摘要： 目的从可行性、信度和效度三方面对衰弱快速筛查量表(Frailty Screening Questionnaire,FSQ)进行质量评价。方法选取≥60岁的老年人249例,分别采用FSQ和Fried衰弱表型进行衰弱筛查和评估。采用量表接受率、量表合格率和量表完成时间进行可行性评价;采用克朗巴赫(Cronbach’s α)系数、Spearman-Brown系数和Guttman分半信度系数对内部一致性信度进行评价;采用探索性因子分析评价结构效度,通过FSQ与Fried衰弱表型的相关性评价效标效度。结果可行性分析显示,量表接受率为100%,合格率为100%,量表完成时间均在1 min以内。内部一致性信度检验显示,FSQ的Cronbach’s α系数、Spearman-Brown系数、Guttman分半系数分别为0.608、0.516、0.472。探索性因子分析共提取了2个公因子,累计方差贡献率为62.08%,各条目的因子负荷范围为0.487~0.924。效标效度评价结果显示,FSQ与Fried衰弱表型的相关系数为0.683(P＜0.001)。结论 FSQ具有较好的可行性、信度和效度,可作为老年人衰弱筛查的可靠工具。

关键词: 衰弱快速筛查量表, 衰弱, 老年人, 信度, 效度

Abstract: Objective To evaluate the quality of Frailty Screening Questionnaire (FSQ) in older adults in terms of acceptability, reliability and validity. Methods A total of 249 older adults aged ≥60 years were selected for frailty screening and assessment using FSQ and Fried Frailty Phenotype. Acceptability was evaluated through scale acceptance rate, criterion attainment rate, and completion time. Internal consistency reliability was assessed using Cronbach’s α, Spearman-Brown coefficient and Guttman split-half reliability. Exploratory factor analysis was used to evaluate construct validity. Criterion validity was evaluated by comparing the correlations of the FSQ with the Fried Frailty Phenotype. Results Acceptability analysis demonstrated a 100% acceptance rate and 100% pass rate for the scale, with completion time within 1 minute. Internal consistency reliability tests showed the FSQ’s Cronbach’s α coefficient, Spearman-Brown coefficient, and Guttman split-half coefficients were 0.608,0.516, and 0.472 respectively. Exploratory factor analysis identified two common factors contributing 62.08% of total variance, with item factor loadings ranging from 0.487 to 0.924. Validity assessment revealed a significant correlation coefficient of 0.683 (P<0.001) between the FSQ and Fried’s Frailty Phenotype. Conclusions FSQ has good acceptability, reliability and validity, which can be used as a reliable tool for the screening of frailty in the elderly.

Key words: Frailty Screening Questionnaire, frailty, aged, validity, reliability

中图分类号:

R 592

于文华, 李夏夏, 张婉淑, 潘一鸣, 李嘉潼, 邢怡文, 彭彩月, 李晓珺, 马丽娜. 衰弱快速筛查量表的质量评价[J]. 实用老年医学, 2025, 39(10): 1009-1013.

YU Wenhua, LI Xiaxia, ZHANG Wanshu, PAN Yiming, LI Jiatong, XING Yiwen, PENG Caiyue, LI Xiaojun, MA Lina. Quality evaluation of the Frailty Screening Questionnaire[J]. Practical Geriatrics, 2025, 39(10): 1009-1013.

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