《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (1): 72-76.doi: 10.3969/j.issn.1006-9771.2017.01.017

• 临床研究 • 上一篇    下一篇

衰弱综合评估工具的汉化及信效度检验

王坤, 陈长香, 李淑杏   

  1. 华北理工大学护理与康复学院,河北唐山市 063000
  • 收稿日期:2016-03-28 出版日期:2017-01-20 发布日期:2017-02-17
  • 通讯作者: 陈长香(1963-),女,河北唐山市人,硕士,教授,硕士研究生导师,主要研究方向:老年康复。E-mail: hlxccx@163.com。
  • 作者简介:王坤(1985-),女,汉族,河北石家庄市人,硕士研究生,护师,主要研究方向:老年康复。

Reliability and Validity of Chinese Version of Comprehensive Frailty Assessment Instrument

WANG Kun, CHEN Chang-xiang, LI Shu-xing   

  1. Nursing and Rehabilitation College, North China University of Science and Technology, Tangshan, Hebei 063000, China
  • Received:2016-03-28 Published:2017-01-20 Online:2017-02-17
  • Contact: CHEN Chang-xiang. E-mail: hlxccx@163.com

摘要: 目的 对英文版衰弱综合评估工具(CFAI)进行汉化,检验中文版的信、效度。方法 采用Brislin翻译模型对英文版CFAI进行汉化。2015年5月至7月,采用经过文化调试的CFAI及世界卫生组织生活质量简表(WHOQOL-BREF)对石家庄市200名社区老年人进行评定;首次评估1周后,选取其中30名采用CFAI进行第2次评估。6名老年医学专家对CFAI进行内容效度评分,CFAI总分与WHOQOL-BREF总分及两次CFAI评分进行Pearson相关分析,对CFAI进行因子分析,计算CFAI的Cronbach α。结果 汉化CFAI包含4个维度,23个条目;内容效度指数为0.782;因子分析得到6个公因子,累积方差贡献率64.05%;CFAI总分与WHOQOL- BREF总分中度负相关(r=-0.764, P<0.001)。量表总分Cronbach α=0.837,重测相关系数r=0.604~0.941 (P<0.001)。结论 汉化CFAI有较好的信度和效度,可用于我国社区老年人的衰弱评估。

关键词: 衰弱综合评估工具, 中文版, 信度, 效度, 社区, 老年人

Abstract: Objective To translate the English version of Comprehensive Frailty Assessment Instrument (CFAI) into Chinese and evaluate its reliability and validity. Methods CFAI was translated into Chinese with the Brislin's translation mode. From May to July, 2015, 200 community aged people in Shijiazhuang, China were assessed with the Chinese version of CFAI and World Health Organization Quality of Life-BREF (WHOQOL-BREF), and 30 of them were assessed with CFAI again after a week. The content validity was rated by six experts of gereology. The total scores of CFAI and WHOQOL-BREF were analyzed with Pearson's correlation, as well as the scores of CFAI test and retest. The CFAI were analyzed with Factor Analysis. The Cronbach's α was tested. Results There were 23 items in 4 dimensions. The content validity index was 0.782. Six factors were extracted by Factor Analysis and the cumulated variance was 64.05%. The total score of CFAI correlated with the score of WHOQOL-BREF (r=-0.764, P<0.001). The Cronbach's α was 0.704~0.897 in dimensions (P<0.001), and the r= 0.604~0.941 (P<0.001) between test and retest. Conclusion The Chinese version of CFAI is reliable and valid, that can be applied to evaluate frailty in community aged people.

Key words: Comprehensive Frailty Assessment Instrument, Chinese version, reliability, validity, community, aged people

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