中西医结合老年衰弱评估量表在北京城乡老年人群中的应用及调适研究  

Study on Application and Adjustment of Elderly Frailty Assessment Scale of Integrative Medicine in Urban and Rural Elderly Population in Beijing

作　　者：关欣[1] 王斗 乔琳琳[3] 艾双双 石杨 王秀芝 李怡[3] GUAN Xin;WANG Dou;QIAO Lin-lin;AI Shuang-shuang;SHI Yang;WANG Xiu-zhi;LI Yi(The Second Inpatient Department,Beijing Hospital,National Center of Gerontology,Beijing,100730;School of Nursing,Beijing University of Chinese Medicine,Beijing,102488;Department of Traditional Chinese Medicine,Beijing Hospital,National Center of Gerontology,Beijing,100730;Xinjiekou Community Health Service Center of Beijing,Beijing,100035;Sanjianfang Community Health Service Center,Chaoyang District,Beijing,100024;Endocrinology Department,Beijing Chinese Medicine Hospital Pinggu Hospital,Beijing,101200)

机构地区：[1]北京医院第二住院部管理处国家老年医学中心,北京100730 [2]北京中医药大学护理学院,北京102488 [3]北京医院中医科,国家老年医学中心,北京100730 [4]北京市新街口社区卫生服务中心,北京100035 [5]北京市朝阳区三间房社区卫生服务中心,北京100024 [6]北京市平谷区中医院内分泌科,北京101200

出　　处：《中国中西医结合杂志》2020年第6期655-660,共6页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：首都临床特色应用研究与成果推广(No.Z171100001017102);北京中医药科技发展资金项目(No.JJ2018-74)。

摘　　要：目的验证中西医结合老年衰弱评估量表在北京城乡老年居民中的信效度。方法采用便利抽样法,选取北京城乡老年居民868名,分别应用中西医结合老年衰弱评估量表(研究量表)和FI-CGA量表(效标量表)收集资料、评估衰弱指数,计算本量表的内部一致性,效标效度,并通过ROC曲线,计算诊断界值。结果中西医结合老年衰弱评估量表Cronbach'α系数0.860,评定者间信度0.967;与效标量表相关系数0.649(P<0.01),强相关;量表衰弱分级界值:≤0.15为健康,0.15+~0.23为衰弱前期,≥0.23为衰弱。结论中西医结合老年衰弱评估量表在北京城乡老年居民中信效度良好,可作为北京城乡老年居民衰弱评估的工具。Objective To test the reliability and validity of the Elderly Frailty Assessment Scale of Integra-tive Medicine among Beijing local elderly citizens.Methods The Convenience Sampling was used to select 868 Beijing local elderly citizens.The Elderly Frailty Assessment Scale of Integrative Medicine(the target scale)and the FI-CGA Scale(the criterion scale)were used to collect data and assess the Frailty Index,and the internal consistency and criterion validity were calculated.The optimal diagnostic cut-off point was determined by ROC curve.Results The Cronbach'α coefficient of The Elderly Frailty Assessment Scale of Integrative Medicine was 0.860,the internal consistency was 0.967,and the correlation coefficient with the criterion scale was 0.649(P<0.01),which indicated that the target scale and the criterion scale had strong correlation.The scale score≤0.15 was considered as health,0.15+-0.23 as pre-frailty,and≥0.23 as frailty.Conclusion With the good reliability and validity,The Elderly Frailty Assessment Scale of Integrative Medicine can be used as the assessment tool for the frailty problem among Beijing local elderly citizens.

关 键 词：衰弱 衰弱指数 中西医结合 老年综合评估 老年 

分 类 号：R592[医药卫生—老年医学]