改良版埃德蒙顿症状评估系统在老年维持性血液透析病人中应用的信效度验证

doi:10.3969/j.issn.1003-9198.2024.07.002

实用老年医学 ›› 2024, Vol. 38 ›› Issue (7): 654-657.doi: 10.3969/j.issn.1003-9198.2024.07.002

改良版埃德蒙顿症状评估系统在老年维持性血液透析病人中应用的信效度验证

孙薇, 张留平, 李梦婷, 曹婧媛, 张伟

210009 江苏省南京市,东南大学附属中大医院血液净化中心(孙薇,张留平,李梦婷);
225300 江苏省泰州市,南京医科大学附属泰州人民医院血液净化中心(曹婧媛);
225500 江苏省泰州市,泰州市第三人民医院血液净化中心(张伟)

收稿日期:2024-05-06 发布日期:2024-07-23
通讯作者: 张伟,Email:522314537@qq.com
作者简介:张伟主治医师
基金资助:
江苏省卫生健康委员会医学科研项目(M2021048);南京医科大学泰州临床医学院科研项目(TZKY20220209);北京健康促进会项目中国血液透析血管通路青年医师研究项目

Verification of the reliability and validity of the modified Edmonton symptom assessment system in elderly patients receiving maintenance hemodialysis

SUN Wei, ZHANG Liuping, LI Mengting, CAO Jingyuan, ZHANG Wei

Blood Purification Center,Zhongda Hospital Southeast University,Nanjing 210009, China(SUN Wei,ZHANG Liuping, LI Mengting);
Blood Purification Center, the Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou 225300, China(CAO Jingyuan);
Blood Purification Center, the Third People's Hospital of Taizhou, Taizhou 225500, China(ZHANG Wei)

Received:2024-05-06 Published:2024-07-23
Contact: ZHANG Wei, Email:522314537@qq.com

摘要/Abstract

摘要： 目的检验改良版埃德蒙顿症状评估系统(Edmonton symptom assessment system, ESAS)在老年维持性血液透析病人中应用的信效度。方法采用便利抽样法对330例东南大学附属中大医院血液透析中心2023年11—12月行维持性血液透析治疗的老年病人(男184例,女146例)进行调查,检验改良版ESAS量表的信效度。结果改良版ESAS量表共11个条目,各条目与总分的相关系数为0.60～0.77;探索性因子分析之后,共提取1个公因子,累计方差贡献率为48.25％,各个条目在相应的公因子上的因子负荷量为0.60～0.76;量表总Cronbach's α系数为0.883,各条目Cronbach's α系数为0.866～0.880,折半系数为0.856。结论改良版ESAS量表具有较好的信效度,可用于老年维持性血液透析病人的症状评估。

关键词: 老年人, 维持性血液透析, 症状管理, 信度, 效度

Abstract: Objective To evaluate the reliability and validity of the modified Edmonton symptom assessment system(ESAS) in the elderly patients undergoing maintenance hemodialysis(MHD). Methods A total of 330 elderly patients(184 males and 146 females) who received MHD treatment in Blood Purification Center of Zhongda Hospital Southeast University from November to December 2023 were investigated by convenience sampling method. And the reliability and validity of the modified ESAS scale was tested. Results There were 11 items in the modified ESAS scale, and the correlation coefficient between each item and the total score was 0.60-0.77. Exploratory factor analysis showed that one common factor was extracted, and the cumulative variance contribution rate was 48.25%. The factor load of each item on the corresponding common factor was 0.60-0.76. The total Cronbach's α coefficient of the scale was 0.883, the Cronbach's α coefficient of each item ranged 0.866-0.880, and the broken half coefficient was 0.856. Conclusions The modified ESAS scale has good reliability and validity, and can be used to evaluate the symptoms of the elderly MHD patients.

Key words: aged, maintenance hemodialysis, symptom management, reliability, validity

中图分类号:

R 459.5

孙薇, 张留平, 李梦婷, 曹婧媛, 张伟. 改良版埃德蒙顿症状评估系统在老年维持性血液透析病人中应用的信效度验证[J]. 实用老年医学, 2024, 38(7): 654-657.

SUN Wei, ZHANG Liuping, LI Mengting, CAO Jingyuan, ZHANG Wei. Verification of the reliability and validity of the modified Edmonton symptom assessment system in elderly patients receiving maintenance hemodialysis[J]. Practical Geriatrics, 2024, 38(7): 654-657.

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改良版埃德蒙顿症状评估系统在老年维持性血液透析病人中应用的信效度验证

Verification of the reliability and validity of the modified Edmonton symptom assessment system in elderly patients receiving maintenance hemodialysis

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