STEADI老年人跌倒风险自评量表的汉化及信效度检验  

Translation of a fall risk self-assessment tool of the STEADI Toolkit:testing reliability and validity in the elderly

作　　者：李亚玲[1] 丁福[2] Li Yaling;Ding Fu(Geriatric Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院老年病科,重庆400016 [2]重庆医科大学附属第一医院护理部,重庆400016

出　　处：《护理学杂志》2020年第3期8-12,共5页Journal of Nursing Science

基　　金：重庆市技术创新与应用示范项目(社会民生类一般项目)(cstc2018jscx-msybX0124);重庆医科大学附属第一医院2017年度院内护理科研项目(HLJJ2017-02)。

摘　　要：目的汉化及验证STEADI老年人跌倒风险自我评估量表,为我国老年人提供适用性自评工具。方法选取STEADI工具包中的“Stay Independent Brochure Questionnaire”,按翻译、回译和文化调适,形成“中文版老年人跌倒风险自我评估量表”,分别选取医护人员10名、住院老年人197例、门诊老年人196例、社区老年人232例进行效度信度检验。结果中文版老年人跌倒风险自我评估量表在住院、门诊、社区老年人群中的Cronbach′sα信度系数分别为0.716、0.674、0.608;重测信度r值分别为0.992、0.996、0.998;量表的内容效度指数S-CVI/UA为0.920,S-CVI/AVE为0.980,各条目内容效度指数I-CVI为0.800~1.000;因子分析共提取4个公因子,住院、门诊、社区的公因子对应的条目不同,其累积方差贡献率分别为54.096%、52.730%、51.180%。结论中文版老年人跌倒风险自我评估量表具有良好的信度与效度,可用于中国老年人跌倒风险自我评估。在使用过程中,注意结合老年人生活场景和健康状况进行最终跌倒风险判定。Objective To translate and validate a fall risk self-assessment tool of the STEADI(Stopping Elderly Accidents,Deaths&Injuries)Toolkit into simplified Chinese,and to provide a practical fall-risk screening tool for the elderly.Methods Stay Indepen-dent Brochure of the STEADI Toolkit was translated into simplified Chinese,then back-translation and cultural adaptation was conducted to develop the questionnaire for pilot survey.Ten medical staff,197 hospitalized elderly patients,196 elderly outpatients and 232 community-dwelling elderly residents were surveyed to test the validity and reliability.Results The Cronbach′sαcoefficient of the scale was 0.716 in hospitalized participants,0.674 in outpatients,and 0.608 in community samples.The test-retest reliability was 0.992,0.996 and 0.998,respectively.The scale level content validity index/universal agreement(S-CVI/UA)was 0.920,scale level CVI/average agreement(s-CVI/AVE)was 0.980,and item level CVI(I-CVI)ranged from 0.800 to 1.000.Four factors were identified through exploratory factor analysis,and items of each factor in hospitalized participants,outpatients and community samples were different,which could explain 54.096%,52.730%and 51.180%of the total variance,respectively.Conclusion The Chinese version of fall risk self-assessment tool demonstrates good reliability and validity and is suitable for self-assessment of fall risk in Chinese elderly.However,actual living situation and health status of the elderly should be considered additionally when we use the tool to determine the fall risk.

关 键 词：老年人 住院 门诊 社区 跌倒 跌倒风险自我评估 量表汉化 信度 效度 

分 类 号：R473.5[医药卫生—护理学] R471[医药卫生—临床医学]