老年失能评估量表简明版本的编制  

Development the short version of elderly disability assessment scale

作　　者：林秀芳[1] 蒋佼佼[2] 杨茗[1] 罗理[1] 郝秋奎[1] 董碧蓉[1] 

机构地区：[1]四川大学华西医院老年医学中心/四川养老与老年健康协同创新中心,成都610041 [2]四川大学华西医院康复医学中心,成都610041

出　　处：《中国循证医学杂志》2017年第8期910-914,共5页Chinese Journal of Evidence-based Medicine

基　　金：成都市科技局惠民应用示范项目"成都市居家养老服务标准体系的建立"(编号:2015-HM02-00024-SF)

摘　　要：目的编制老年失能评估量表(EDAS)的简明版本(EDAS-SF),并评价其信度和效度。方法采用EDAS量表对四川省遂宁市5个农村社区和成都市3个城市社区的老年人群进行面对面调查。通过网络调查的方式请老年医学专家和康复医学专家填写专家咨询问卷。采用专家重要性评分法、离散趋势法、克朗巴赫系数法、相关系数法和探索性因子分析法筛选条目,编制并形成EDAS-SF量表。对建立的EDAS-SF量表采用克朗巴赫系数法评估其内在信度;采用验证性因子分析评估其结构效度。结果共调查916名受试者,回收有效问卷887份,问卷回收率为96.8%。研究人群平均年龄70.8±6.9岁。最终筛选出7个代表性条目(包括精神功能、器官功能、交流、活动、自理、家庭生活、经济和社会生活方面),构成EDAS-SF量表。EDAS-SF量表的总克朗巴赫系数为0.836,各维度(除"经济和社会功能"和"交流"维度外)的克朗巴赫系数均大于0.8,内在信度较好。验证性因子分析显示理论模型与实测数据拟合良好,说明EDAS-SF量表具有良好的结构效度。结论本研究编制了老年失能评估量表简明版本,其对于社区老年人群具有良好的内在信度和结构效度。Objective To develop the short version of the elderly disability assessment scale （EDAS-SF）, and to evaluate its validity and reliability. Methods We conducted a face-to-face investigation in five rural communities in Suining and three urban communities in Chengdu city for elderly adults. We consulted gerontologists and rehabilitation physicians through an internet survey. Proper items were selected from the EDAS according to the results from the following statistical methods： critical ration, Cronbach＇s ct, correlation coefficient and exploratory factor analysis. Based on these work, the EDAS-SF was developed. The Cronbach＇s u was used to assess the internal reliability and confirmatory factor analysis （CFA） to assess the construct validity of the EDAS-SF. Results A totally of 916 elderly adults were surveyed, among which, 887 finished the questionnaire, accounting for 96.8%. The mean age of the studied population was 70.8±6.9 years old. Finally, seven items were chosen for the EDAS-SF which included mental function, organ function, communication, activity, self-care, family function, economic and social function. The Cronbach＇s ct of the scale was 0.836. Except for the ＂economy and social function＂ dimension and the ＂communication＂ dimension, the Cronbach＇s a of other dimensions were higher than 0.8. EDAS-SF was proved to have good internal reliability. In addition, the CFA indicated that the theoretical model of the EDAS-SF was well fit to the data of the checking sample, which meant EDAS-SF had good construct validity. Conclusion The current study develops the short version of elderly disability assessment scale. The internal reliability and construct validity of the EDAS-SF are good.

关 键 词：失能 老年 老年失能评估量表 简明版本 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]