中文版照护依赖量表在失能老年人中应用的信度与效度分析.PDFVIP

ChineseJournalofRehabilitationMedicine, Jan.2015,Vol. 30, No.1 ·临床研究· 中文版照护依赖量表在失能老年人中应用的 信度与效度分析* 薛阳阳 孙 熠 覃芹丹 姜丽萍1 1 1 1，2 摘要 目的：引入中文版照护依赖量表（CDS-R ），分析其在失能老年人评定中的信度与效度。 方法：通过正向翻译、综合、回译、研究小组评议和专家评议等步骤对CDS-R 进行汉化和文化调试，形成中文版 CDS-R。采用目的抽样法，运用Barthel 指数与PULSES 评定量表作为效标，对江苏、浙江两地区三甲医院、康复医 院和养老机构共10家机构652 例失能老年人进行评估与分析，其中40 例失能老年人在2 周后被重新评估，对测定结 果分别进行信度和效度分析。 结果：中文版CDS-R 有15 个条目，各条目与量表总分的相关系数值为0.83—0.93(P0.01) Cronbachs ɑ系数为 0.98 ，Guttman 折半系数为0.91 ，重测信度为0.73 ，探索性因子分析得出1个公因子，累计方差贡献率81.91% 。CDS- R 与Barthel 指数、PULSES 评定量表的相关性分别为0.91 和-0.85 ，均具有显著性意义。 结论：中文版CDS-R 量表具有良好的信度、效度，适合在中国文化背景下评估失能老年人的照护依赖情况。 关键词 照护依赖；老年人；失能；信度；效度 中图分类号：R493 文献标识码：A 文章编号：1001-1242（2015 ）-01-0026-05 Reliability and validity of the Chinese-version care dependency scale for rehabilitation among old dis⁃ abled patients/XUE Yangyang, SUN Yi, QIN Qindan，et al.//Chinese Journal of Rehabilitation Medicine, 2015, 30(1):26—30 Abstract Objective：To introduce the Chinese-version of care dependency scale for rehabilitation (CDS-R) and to analyse its validity and reliability in elderly patients with disabilities. Method：A culturally adaptation for the Chinese version of CDS-R was developed. The translation process in- cluded independent translation, synthesization, back translation, a research review and an expert review. A total of 652 elderly patients with disabilities living in top three hospitals ，rehabilitation hospitals and long-term care homes in Jiangsu and Zhejiang provinces were selected by purposive sampling and were asked to fill out the Chinese CDS-R. At the same time the Barthel index and PULSES were measured as criterion. Among them, 40 patients were re-assessed 2 weeks later. Result：The Chinese version of CDS-R has 15 items. The correlation coefficient(r)