累积移动量表在住院老年患者中的汉化及信效度检验  

Translation and psychometric evaluation of Cumulative Ambulation Score in elderly inpatients

作　　者：梁宇琪 邹敏[2] 田冰洁 刘奕艳 陈华 王萍 姜丽萍[2] Liang Yuqi;Zou Min;Tian Bingjie;Liu Yiyan;Chen Hua;Wang Ping;Jiang Liping(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Nursing,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Nursing,Shanghai Yangpu District Kongjiang Hospital,Shanghai,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学医学院附属新华医院护理部,上海200092 [3]上海市杨浦区控江医院护理部,上海200093

出　　处：《中国实用护理杂志》2024年第18期1418-1423,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(72181240168)。

摘　　要：目的检验累积移动量表(CAS)中文版的信效度及对住院老年患者移动能力评估的效果,为评估患者住院期间基础移动能力提供依据。方法采用横断面研究方法,经作者授权、遵循WHO的量表跨文化翻译流程,形成中文版累积移动量表。采用便利抽样法,于2021年3—9月选取上海交通大学医学院附属新华医院和上海市杨浦区控江医院414例住院老年患者为研究对象,采用Cronbachα系数检验量表内部一致性,线性加权Kappa评价评分者间信度,以Barthel指数中移动能力相关条目总分为校标进行校标效度检验。结果414例患者中,男221例,女193例,年龄(76.67±9.98)岁。122例(29.5%)CAS得分为满分6分,基础移动能力正常,89例(21.5%)为0分,能力完全丧失,其余203例患者为1~5分,基本移动能力不同程度下降。中文版CAS的Cronbachα系数为0.952,各条目及总分评分者间加权Kappa均>0.85;以Barthel指数为校标,其校标效度r=0.935(P<0.01),CAS总分与Barthel指数各条目得分及总分显著相关(r值为0.423~0.944,均P<0.01)。结论中文版CAS信效度较好,条目表达简明清晰,易操作,适合作为医护人员快速评估住院老年患者的基本移动能力初步筛查工具。Objective To translate the Cumulated Ambulation Score(CAS)into Chinese and test its reliability and validity in elderly inpatients,to provide a basis for assessing elderly inpatients′basic mobility during hospitalization.Methods This was a cross-sectional study.After obtaining the authorization of the original author,the Chinese version of CAS was formed by WHO′s cross-cultural translation process.A total of 414 hospitalized elderly inpatients from Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,and Shanghai Yangpu District Kongjiang Hospital were selected between March and September 2021.Cronbach′sαcoefficient was used to test internal consistency,linear weighted Kappa was employed to assess inter-rater reliability,and concurrent validity was examined using items related to mobility of Barthel Index scores as a reference standard.Results Of the 414 patients,221 were males and 193 were females,and the patients aged(76.67±9.98)years old;122 cases(29.5%)had a perfect score of 6 with normal basic mobility,89 cases(21.5%)had a score of 0 with complete loss of mobility,and the remaining 203 patients had a score of 1-5 with varying degrees of reduced mobility.The Chinese version of CAS demonstrated good assessment performance for basic mobility in elderly inpatients with a Cronbach′sαcoefficient of 0.952.Weighted Kappa values for individual items and total scores showed excellent agreement among raters(>0.85),while concurrent validity yielded a value of 0.935(P<0.01)when compared with Barthel Index scores.Total score of CAS was significantly correlated with item scores and total score of Barthel index(r values were 0.423 to 0.944,all P<0.01).Conclusions The Chinese version of CAS has good reliability and validity.The items are concise,clear and easy to understand.It is suitable as a preliminary screening tool for clinical departments to evaluate the basic mobility of elderly inpatients.

关 键 词：住院病人 老年患者 累积移动量表 基本移动能力 信度 效度 

分 类 号：R473[医药卫生—护理学]