临床生理弹性评估量表在老年住院病人中的信效度检验

doi:10.3969/j.issn.1003-9198.2025.01.009

Abstract

Abstract: Objective To test the reliability and validity of the Clinical pHysical rEsilience assEssment Scale (CHEES) in the elderly inpatients in China. Methods A total of 362 elderly inpatients aged 60 years and over were enrolled in this study. Cronbach’s α coefficient, Spearman-Brown coefficient and Guttman coefficient were used for reliability test. Validity was assessed by content validity and construct validity based on exploratory factor analysis. Results The acceptance rate of CHEES was 90.88%, and the qualified rate of the scale was 100%. The Cronbach’s α coefficient of the total scale was 0.826, Spearman-Brown coefficient was 0.737, and Guttman coefficient was 0.731. The items of the scale were based on sufficient basis, and the expert consultation process was authoritative and reliable, and the content was comprehensive. Exploratory factor analysis extracted three common factors. The factor load of each item was 0.446-0.656, and the cumulative variance contribution rate was 57.49%. Conclusions CHEES has good reliability and validity, and is suitable for the evaluation of physical resilience of the older adults in the hospital environment.

Key words: physical resilience, scale, aged, reliability, validity

CLC Number:

R 592

LIU Chuan, PAN Yiming, YU Wenhua, ZHANG Wanshu, LI Jiatong, LI Xiaxia, XING Yiwen, LI Jing, MA Lina. Reliability and validity of the Clinical pHysical rEsilience assEssment Scale (CHEES) in elderly inpatients[J]. Practical Geriatrics, 2025, 39(1): 37-40.

References

[1] 国家统计局. 中华人民共和国2023年国民经济和社会发展统计公报[J]. 中国统计, 2024(3): 4-21.
[2] WHITSON H E, DUAN-PORTER W, SCHMADER K E, et al. Physical resilience in older adults: systematic review and development of an emerging construct[J]. J Gerontol A Biol Sci Med Sci, 2016, 71(4): 489-495.
[3] FRIEDMAN S M, MULHAUSEN P, CLEVELAND M L, et al. Healthy aging: American Geriatrics Society White Paper Executive Summary[J]. J Am Geriatr Soc, 2019, 67(1): 17-20.
[4] HADLEY E C, KUCHEL G A, NEWMAN A B, et al. Report: NIA workshop on measures of physiologic resiliencies in human aging[J]. J Gerontol A Biol Sci Med Sci, 2017, 72(7): 980-990.
[5] PEDONE C, COSTANZO L, FINAMORE P, et al. Defining resilience in older people: does a subjective definition of stressor work?[J]. J Gerontol A Biol Sci Med Sci, 2021, 76(8): 1480-1485.
[6] LASKOW T, ZHU J, BUTA B, et al. Risk factors for nonresilient outcomes in older adults after total knee replacement[J]. J Gerontol A Biol Sci Med Sci, 2022, 77(9): 1915-1922.
[7] SOTOS-PRIETO M, ORTOLA R, LOPEZ-GARCIA E, et al. Adherence to the mediterranean diet and physical resilience in older adults: the seniors-ENRICA cohort[J]. J Gerontol A Biol Sci Med Sci, 2021, 76(3): 505-512.
[8] COLON-EMERIC C, PIEPER C F, SCHMADER K E, et al. Two approaches to classifying and quantifying physical resilience in longitudinal data[J]. J Gerontol A Biol Sci Med Sci, 2020, 75(4): 731-738.
[9] LI Y T, OW Y S Y. Development of resilience scale for older adults[J]. Aging Ment Health, 2022, 26(1): 159-168.
[10] HU F W, LIN C H, LAI P H, et al. Predictive validity of the Physical Resilience Instrument for Older Adults (PRIFOR)[J]. J Nutr Health Aging, 2021, 25(9): 1042-1045.
[11] LI J, LIU P, ZHANG Y, et al. Development of the Clinical pHysical rEsilience assEssment Scale (CHEES) in Chinese older adults[J]. J Frailty Aging, 2024, 13(2): 125-130.
[12] WAGNILD G. A review of the Resilience Scale[J]. J Nurs Meas, 2009, 17(2): 105-113.
[13] RESNICK B, GALIK E, DORSEY S, et al. Reliability and validity testing of the physical resilience measure[J]. Gerontologist, 2011, 51(5): 643-652.
[14] MCFARLAND M J, HILL T D, MONTEZ J K. Income inequality and population health: examining the role of social policy[J]. J Health Soc Behav, 2023, 64(1): 2-20.

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Reliability and validity of the Clinical pHysical rEsilience assEssment Scale (CHEES) in elderly inpatients

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