中文版SARC-F量表在社区老年人群中的应用研究  

Validation of the Sarcopenia-Five scale in Chinese community-dwelling elderly

作　　者：黄丽洁 王飞杰[1] 孟令弟 刘堃 Huang Lijie;Wang Feijie;Meng Lingdi;Liu Kun(The Third Division of Department of Urology,Henan Provincial People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院泌尿外科三病区,河南郑州450003 [2]锦州医科大学

出　　处：《护理学杂志》2020年第19期85-87,共3页Journal of Nursing Science

摘　　要：目的汉化和验证Sarcopenia-Five(肌肉减少症五条目,SARC-F)量表,为社区老年人肌肉减少症筛查提供简便有效的测评工具。方法将SARC-F量表进行翻译修订,邀请6名专家进行内容效度评定,调查340名社区老年人进行结构效度、效标效度、特异度及灵敏度测评。结果中文版SARC-F量表的Cronbach′sα系数为0.803,重测信度为0.821;探索性因子分析提取1个公因子,方差累积贡献率为56.871%;验证性因子分析结构模型拟合良好(χ2/df=1.767,CFI=0.992,GFI=0.990,NFI=0.983,TLI=0.985,RMSEA=0.048);与四肢骨骼肌质量指数的效标关联效度r=-0.796,P<0.01。男性的临界点为4.5,特异度97.2%,灵敏度76.9%;女性的临界点为5.5,特异度95.1%,灵敏度71.4%。结论中文版SARC-F量表信效度良好,特异度较高,可用于社区老年人肌肉减少症的初步筛查。Objective To translate and validate the Sarcopenia-Five Scale in Chinese community-dwelling elderly,and to provide a simple and effective assessment tool for screening sarcopenia.Methods The SARC-F Scale was translated into Chinese.Then 6 experts were invited to evaluate the content validity,and 340 community-dwelling elderly people were assessed to calculate construct validity,criterion validity,specificity and sensitivity.Results The Cronbach′sαcoefficient was 0.803 and test-retest reliability was 0.821.One factor was identified through exploratory factor analysis,accounting for 56.871%of the total variance and the confirmatory factor analysis revealed 1-factor model fit well(χ2/df=1.767,CFI=0.992,GFI=0.990,NFI=0.983,TLI=0.985,RMSEA=0.048).The SARC-F Scale score was significantly correlated with appendicular skeletal muscle mass index(r=-0.796,P<0.01).The optimal cut-off point for sarcopenia in male was 4.5,with the specificity of 97.2%and sensitivity of 76.9%,and that in female was 5.5,with the specificity of 95.1%and sensitivity of 71.4%.Conclusion The SARC-F has good reliability and validity and high specificity,which can be used for screening sarcopenia in community-dwelling elderly persons.

关 键 词：老年人 社区 肌肉减少症 肌肉减少症五条目量表 信度 效度 

分 类 号：R473.2[医药卫生—护理学]