成功老龄化多维度评估量表的编制及信效度检验  

Development of successful ageing multidimensional assessment scale and its reliability and validity

作　　者：任立山[1] 骆宏[1] 范为群[2] 蓝戈文[2] 

机构地区：[1]安徽医科大学附属杭州临床学院,310009 [2]杭州市五云山疗养院

出　　处：《中国实用护理杂志》2014年第29期17-20,共4页Chinese Journal of Practical Nursing

基　　金：杭州市科技局项目（20120633821）

摘　　要：目的 根据成功老龄化（successful ageing,SA）理论框架编制成功老龄化多维度评估量表（successful ageing multidimensional assessment scale,SAMAS）,并检验信效度.方法 通过文献分析,确定SA评价维度、结构及评分方法.经专家咨询、半结构式访谈及2次施测,形成SAMAS.用预测样本进行项目分析、评定者间信度和校标效度检验,用正式施测样本进行项目分析、内部一致性检验、评定者间信度及效标效度检验.并对正式施测样本间隔2周后重测.采用日常生活能力量表（ADL）、简易精神状态量表（MMSE）、社会功能缺陷量表（SSDS）及纽芬兰纪念大学幸福度量表（MUNSH）作校标.结果 SAMAS由5个维度组成：目前慢性病控制情况、躯体功能、认知功能、社会功能、主观幸福感.项目分析示量表各维度分与总分间均呈正相关;评定者间信度在0.65～0.86,重测信度在0.66～0.85,内部一致性信度为0.88;量表躯体功能及社会功能维度得分与对应校标量表得分均呈负相关,认知功能及主观幸福感维度得分与对应校标量均呈正相关.结论 SAMAS信、效度均在心理测量学可接受范围内,可为医护人员量化评估老年人整体健康状况进行护理干预提供参考工具,同时区分出SA组与非SA组.Objective According to the theoretic framework of successful ageing,this study developed a multidimensional Successful Ageing Assessment Scale and tested its reliability and validity.Methods Through literature review,the study determined evaluative dimension,structure and scoring method.Then,the Successful Ageing Multidimensional Assessment Scale（SAMAS） was developed and was optimized by the expert consultation,semi-structured interview and twice tests.The predicted sample was conducted with item analysis,and testing of reliability and validity; the formal tested sample was conducted with item analysis,conformance testing and testing of reliability and validity.Then the formal tested sample was tested and retested two weeks later.The intestine emendatory Activities of Daily Living Scale （ADL）,Mini Mental State Examination Scale （MMSE）,Social Disability Screening Schedule （SDSS） and Memorial University of Newfoundland Scale of Happiness（MUNSH） were used to test its criteri-on validity.Results SAMAS consisted of 5 dimensions,including chronic disease state,physical perfor-mance,cognitive function,social function,subjective well-being.Item analysis showed the dimensions of scale and total scale scores had positive correlation.In conformance testing,the Kappa value was 0.65～0.86,test-retest reliability was 0.66～0.85 and the internal consistency reliability was 0.88.The correl-ative coefficient of the physical performance and social function scores were negatively correlated with ADL scores and SSDS scores,the correlative coefficient of the cognitive function and subjective well-being scores were positively correlated with MMSE scores and MUNSH scores.Conclusions SAMAS suggested good reliability,validity and could well evaluate comprehensive health for the elderly,at the same time could distinguish between SA and non SA group.

关 键 词：成功老龄化 多维度健康评估 量表编制 

分 类 号：R195[医药卫生—卫生统计学] C913.6[医药卫生—卫生事业管理]