Wilson-Sims精神科跌倒风险评估量表的汉化修订及信效度评价  

Chinesization,revision and reliability and validity evaluation of Wilson-Sims Psychiatric Fall Risk Assessment Tool

作　　者：盛梅青[1] 祁雯雯 施忠英[2] Sheng Meiqing;Qi Wenwen;Shi Zhongying(First Department of Geriatrics,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Department of Nursing,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心老年一科,上海200030 [2]上海交通大学医学院附属精神卫生中心护理部,上海200030

出　　处：《中华现代护理杂志》2021年第14期1864-1867,共4页Chinese Journal of Modern Nursing

基　　金：上海市精神卫生中心院级课题(2018-YJ-21);上海市精神卫生中心特色学科建设项目精神科护理(2017-TSXK-04)。

摘　　要：目的汉化、修订Wilson-Sims精神科跌倒风险评估量表(WSFRAT),并对其进行信效度进行检验。方法依据改良Brislin量表翻译原则汉化该量表后通过专家咨询形成WSFRAT-M。采用便利抽样法,选取上海交通大学医学院附属精神卫生中心2020年1月收治的182例住院患者为研究对象,评价量表的结构效度、评价者间信度和预测信度。结果最终形成的WSFRAT-M具有15个条目,通过探索性因子分析划分为5个因子,贡献率为65.558%。该量表的评价者间信度为0.98;ROC曲线下面积为0.818,当切分点为7.5分时,灵敏度为83.3%、特异度为78.4%。结论WSFRAT-M的预测信度较好,但结构效度一般,一定程度上值得在精神科临床中应用。Objective To Chinesize and revise Wilson-Sims Psychiatric Fall Risk Assessment Tool(WSFRAT)and test its reliability and validity.Methods According to the modified translation principle for scale of Brislin,WSFRAT-M was formed through expert consultation after the Chinesization of the scale.Using the convenient sampling method,a total of 182 inpatients in Shanghai Mental Health Center Affiliated to Shanghai Jiao Tong University School of Medicine in January 2020 were selected as the research objects.The structural validity,inter-evaluator reliability and predictive reliability of the scale were evaluated.Results The final WSFRAT-M had 15 items,which were divided into 5 factors through exploratory factor analysis,with a contribution rate of 65.558%.The inter-evaluator reliability of the scale was 0.98.The area under the ROC curve was 0.818.When the segmentation point was 7.5,the sensitivity and specificity were 83.3%and 78.4%.Conclusions The predictive reliability of WSFRAT-M is good,but the structural validity is general.To some extent,WSFRAT-M is worthy of clinical application in psychiatry.

关 键 词：精神科 跌倒 评估工具 量表汉化 信效度检验 

分 类 号：R473.74[医药卫生—护理学]