老年快速评估量表的汉化及信效度检验
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女,硕士在读,学生

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国家自然科学基金项目(71704071);兰州大学中央高校基本科研经费项目(lzujbky-2016-ct14)


Validity and reliability of the Chinese Version of Rapid Geriatric Assessment
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    摘要:

    目的 引进并翻译老年快速评估量表(RapidGeriatricAssessment,RGA),并检验其信效度。方法 根据Brislin量表翻译原则 对 RGA 进行翻译和回译,通过专家讨论及预试验进行文化调适,并采用便利抽样方法在社区医院抽取360名老年人进行调查。 结果 RGA 中文版条目水平内容效度指数(I-CVI)为0.800~1.000,量表水平内容效度指数(S-CVI)为0.988;探索性因子分析 提取4个公因子(衰弱、少肌症、营养、认知),累积变异量为 58.433%,衰弱、少肌症、营养、认知的 Cronbach'sα系 数 分 别 为 0.511、0.758、0.809、0.663,重测信度分别为0.850、0.835、0.802、0.848。结论 RGA 中文版条目简洁,信效度可接受,可作为评 估老年人健康状况的常规筛查工具。

    Abstract:

    Objective To introduce and translate the Rapid Geriatric Assessment (RGA) and test its validity and reliability. Methods Translation and back-translation was conducted to develop the Chinese version of the RGA following the Brislin′s model of translation for cross-cultural research, then cultural adaption was performed using expert consultation and pilot survey. After that, 360 elderly individuals were selected from community healthcare centers through convenience sampling to test the reliability and validity of the tool. Results The item-level content validity index (CVI) ranged from 0.800 to 1.000 and the scale-level CVI was 0.988. Four factors were identified through exploratory factor analysis, accounting for 58.433% of the total variance. The Cronbach′s α coefficients of FRIAL for frailty assessment, SARC-F for sarcopenia assessment, SNAQ for nutrition assessment and RCS for cognition assessment were 0.511, 0.758, 0.809 and 0.663 respectively. The test-retest reliability of FRAIL, SARC-F, SNAQ, RCS were 0.850, 0.835, 0.802 and 0.848 respectively. Conclusion The Chinese version of the RGA is valid, reliable and concise for assessment of health status of the elderly in clinical practice.

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马琳,苏茜,马玉霞,吕琳,刘慧莹,韩琳.老年快速评估量表的汉化及信效度检验[J].护理学杂志,2019,34(18):29-32

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  • 收稿日期:2019-03-19
  • 最后修改日期:2019-05-12
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  • 在线发布日期: 2022-08-09