中文版老年人风险识别量表的修订及在急诊病人中的信效度验证

doi:10.3969/j.issn.1003-9198.2025.09.012

实用老年医学 ›› 2025, Vol. 39 ›› Issue (9): 920-923.doi: 10.3969/j.issn.1003-9198.2025.09.012

中文版老年人风险识别量表的修订及在急诊病人中的信效度验证

闫振龙, 黄萍, 陈蒙, 陶俊杰, 王玉川, 陈丽莉, 范雅, 李泽华, 周小恬

210008 江苏省南京市,南京大学医学院附属鼓楼医院急诊医学科(闫振龙,黄萍,陈蒙,陈丽莉);重症医学科(范雅);210029 江苏省南京市,南京中医药大学护理学院(陶俊杰,王玉川,李泽华,周小恬)

收稿日期:2025-01-08 出版日期:2025-09-20 发布日期:2025-09-19
通讯作者: 黄萍,Email: hp2256@126.com
基金资助:
南京大学医学院附属鼓楼医院护理科研项目(2024-H154)

Revision and reliability and validity verification of the Chinese version of Identification of Seniors At Risk in the department of emergency

YAN Zhenlong, HUANG Ping, CHEN Meng, TAO Junjie, WANG Yuchuan, CHEN Lili, FAN Ya, LI Zehua, ZHOU Xiaotian

Department of Emergency Medicine(YAN Zhenlong, HUANG Ping, CHEN Meng, CHEN Lili); Department of Critical Care Medicine (FAN Ya), Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China; Nursing School, Nanjing University of Chinese Medicine, Nanjing 210029, China (TAO Junjie, WANG Yuchuan, LI Zehua, ZHOU Xiaotian)

Received:2025-01-08 Online:2025-09-20 Published:2025-09-19
Contact: HUANG Ping, Email: hp2256@126.com

摘要/Abstract

摘要： 目的修订中文版老年人风险识别量表(Identification of Seniors At Risk, ISAR)并验证其在急诊病人中应用的信效度。方法采用便利抽样法选取240例急诊老年病人进行问卷调查,验证中文版ISAR的信效度。结果中文版ISAR条目水平的内容效度指数和量表水平的平均内容效度指数分别为0.89~1.00和0.984。探索性因子分析共提取2个公因子,累积方差贡献率为48.447%,各条目因子载荷为0.530~0.733。中文版ISAR的Cronbach’s α系数为0.611;Guttman折半信度为0.546;Kappa系数为0.793。结论中文版ISAR具有良好的信效度,可以用于急诊科老年病人的风险识别。

关键词: 老年人, 急诊科, 筛查, 信度, 效度

Abstract: Objective To revise the Chinese version of Identification of Seniors At Risk (ISAR) and verify its reliability and validity in the department of emergency. Methods Using the convenience sampling method, a questionnaire survey was conducted on 240 elderly patients who visited the emergency department to verify the reliability and validity of the Chinese version of ISAR. Results The item-level content validity index and the scale-level average content validity index were 0.89-1.00 and 0.984, respectively. Two common factors were extracted by exploratory factor analysis, and the cumulative variance explanation rate was 48.447%. The factor loading of each item ranged from 0.530 to 0.733. The Cronbach’s α coefficient and the Guttman split-half reliability of the Chinese version of ISAR were 0.611 and 0.546, respectively. The Kappa coefficient was 0.793. Conclusions The Chinese version of ISAR has good reliability and validity, and can be used in the elderly patients at emergency department.

Key words: aged, emergency department, screening, reliability, validity

中图分类号:

R 592

闫振龙, 黄萍, 陈蒙, 陶俊杰, 王玉川, 陈丽莉, 范雅, 李泽华, 周小恬. 中文版老年人风险识别量表的修订及在急诊病人中的信效度验证[J]. 实用老年医学, 2025, 39(9): 920-923.

YAN Zhenlong, HUANG Ping, CHEN Meng, TAO Junjie, WANG Yuchuan, CHEN Lili, FAN Ya, LI Zehua, ZHOU Xiaotian. Revision and reliability and validity verification of the Chinese version of Identification of Seniors At Risk in the department of emergency[J]. Practical Geriatrics, 2025, 39(9): 920-923.

参考文献

[1] 中华医学会老年医学分会, 《中华老年医学杂志》编辑委员会, 杨云梅, 等. 老年人衰弱预防中国专家共识(2022)[J]. 中华老年医学杂志, 2022, 41(5): 503-511.
[2] LIU H, SHANG N, CHHETRI J K, et al. A frailty screening questionnaire (FSQ) to rapidly predict negative health outcomes of older adults in emergency care settings[J]. J Nutr Health Aging, 2020, 24(6): 627-633.
[3] 商娜, 郭树彬. 衰弱评估: 老年急诊领域的机遇和挑战[J]. 中国急救医学, 2022,42(6): 541-544.
[4] 迟俊婷, 陶红霞, 张静, 等. 衰弱筛查工具在急诊科老年护理中的应用进展[J]. 中华护理教育, 2020, 17(10): 891-896.
[5] WARNIER R M J, VAN ROSSUM E, VAN KUIJK S M J, et al. The maastricht frailty screening tool for hospitalised patients (MFST-HP) to identify non-frail patients[J]. Int J Clin Pract, 2017, 71(9). DOI:10.1111/ijcp.13003.
[6] 郭欣颖, 郝莹, 张宇, 等. 中文版Edmonton衰弱评估量表在住院老年病人中的信效度研究[J]. 实用老年医学, 2022, 36(6): 623-626, 631.
[7] MCCUSKER J, BELLAVANCE F, CARDIN S, et al. Detection of older people at increased risk of adverse health outcomes after an emergency visit:the ISAR screening tool[J]. J Am Geriatr Soc, 1999, 47(10): 1229-1237.
[8] SALVI F, MORICHI V, GRILLI A, et al. Screening for frailty in elderly emergency department patients by using the Identification of Seniors At Risk (ISAR)[J]. J Nutr Health Aging, 2012, 16(4): 313-318.
[9] HSU C W, LEE C W, HSU S C, et al. Improvement of the Identification of Seniors at Risk scale for predicting adverse health outcomes of elderly patients in the emergency department[J]. Int Emerg Nurs, 2023, 68: 101274.
[10] 孙薇, 张留平, 李梦婷, 等. 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, 661.
[11] 吴明隆. 结构方程模型: Amos实务进阶[M]. 重庆: 重庆大学出版社, 2013: 266-298.
[12] 刘川, 潘一鸣, 于文华, 等. 临床生理弹性评估量表在老年住院病人中的信效度检验[J]. 实用老年医学, 2025,39(1): 37-40, 45.
[13] 周娅楠, 李丽. 住院癌症患者缓和照护需求筛查工具的汉化及临床验证[J]. 中国全科医学, 2022,25(22): 2804-2810.
[14] TAVAKOL M, DENNICK R. Making sense of cronbach’s alpha[J]. Int J Med Educ, 2011, 2: 53-55.
[15] MA L. Currentsituation of frailty screening tools for older adults[J]. J Nutr Health Aging, 2019, 23(1): 111-118.
[16] ELLIOTT A, PHELPS K, REGEN E, et al. Identifying frailty in the emergency department-feasibility study[J]. Age Ageing, 2017, 46(5): 840-845.

中文版老年人风险识别量表的修订及在急诊病人中的信效度验证

Revision and reliability and validity verification of the Chinese version of Identification of Seniors At Risk in the department of emergency

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