基于COSMIN指南对中文版老年人跌倒恐惧评估工具的系统评价  

Chinese version of the fear of falling assessment tools for older adults based on COSMIN guidelines:a systematic review

作　　者：周越 潘宇帆 戴雨 孙羽健 肖益 余雨枫[1] ZHOU Yue;PAN Yufan;DAI Yu;SUN Yujian;XIAO Yi;YU Yufeng(College of nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610032,P.R.China)

机构地区：[1]成都中医药大学护理学院,成都610032

出　　处：《中国循证医学杂志》2024年第11期1305-1311,共7页Chinese Journal of Evidence-based Medicine

摘　　要：目的系统评价中文版老年人跌倒恐惧评估工具的测量学特性及研究的方法学质量,为医护人员选择高质量的评估工具提供依据。方法计算机检索CNKI、WanFang Data、VIP、CBM、PubMed、Embase和Web of Science数据库中与老年人跌倒恐惧评估工具测量学特性评价相关的研究,检索时限为建库至2024年1月19日。由2名研究人员独立筛选文献和提取资料,采用健康测量工具共识标准(consensus-based standards for the selection of health measurement instruments,COSMIN)偏倚风险评价清单和测量学特性进行评价并形成最终推荐意见。结果共纳入15项研究,涉及11个中文版老年人跌倒恐惧评估工具,均未报告测量误差、跨文化效度、反应度。因内容效度均为不充分或不确定,证据质量为低及以下,最终11个工具均为B级推荐。结论与其他10个工具相比,中文版国际跌倒效能量表的测量学特性评价最为均衡,具有较好的信效度,可被暂时推荐,但该评估工具的其他测量学特性仍有待验证。Objective This study aimed to systematically review the quality of psychometric properties and methodological quality of the Chinese versions of fear of falling assessment tools for the elderly,providing evidence-based guidance for medical staff in selecting high-quality assessment tools.Methods We systematically searched CNKI,WanFang Data,VIP,CBM,PubMed,Embase,and Web of Science databases for studies related to the evaluation of psychometric properties and methodological quality of fear of falling assessment tools for the elderly.The search spanned from the inception of the databases to January 19,2024.Two researchers independently screened literature and extracted data using the consensus-based standards for the selection of health measurement instruments.The COSMIN risk of bias checklist and quality criteria were employed to evaluate instrument measurement characteristics and formulate final recommendations.Results Fifteen studies involving 11 Chinese versions of fear of falling assessment tools for the elderly were included.None of the studies reported measurement error,cross-cultural validity,or responsiveness.Due to insufficient or uncertain content validity and low or below-quality evidence,all 11 tools received a recommendation of level B.Conclusion Among the 11 instruments,the Chinese version of IFES demonstrates the most balanced measurement characteristics,along with good reliability and validity.However,further verification of other measurement characteristics of this instrument is warranted.

关 键 词：老年人 跌倒恐惧 量表 测量学特性 系统评价 COSMIN 

分 类 号：R592[医药卫生—老年医学]