临床生理弹性评估量表在老年住院病人中的信效度检验  

Reliability and validity of the Clinical pHysical rEsilience assEssment Scale(CHEES)in elderly inpatients

作　　者：刘川[1] 潘一鸣 于文华 张婉淑 李嘉潼 李夏夏 邢怡文 李静[1] 马丽娜[1] LIU Chuan;PAN Yiming;YU Wenhua;ZHANG Wanshu;LI Jiatong;LI Xiaxia;XING Yiwen;LI Jing;MA Lina(Department of Geriatrics,Xuanwu Hospital,Capital Medical University,China National Clinical Research Center for Geriatric Medicine,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院老年医学科,国家老年疾病临床研究中心,北京市100053

出　　处：《实用老年医学》2025年第1期37-40,45,共5页Practical Geriatrics

基　　金：高层次公共卫生技术人才建设项目(学科骨干-03-14);北京市属医学科研院所公益发展改革试点项目(JYY2023-13);首都医科大学临床专科学院(系)培养基金开放课题(CCMU2022ZKYXZ007)。

摘　　要：目的在我国老年住院病人中对临床生理弹性评估量表(CHEES)进行信效度检验。方法选取362例60岁及以上的老年住院病人进行调查。信度检验采用Cronbach’sα系数和分半信度Spearman-Brown系数、Guttman系数,效度检验采用内容效度和基于探索性因子分析法的结构效度进行评价。结果CHEES量表接受率为90.88%,量表合格率为100%。总量表的Cronbach’sα系数为0.826,分半信度Spearman-Brown系数为0.737、Guttman系数为0.731。量表的条目制定依据充分,专家咨询过程权威可靠,涵盖内容全面。探索性因子分析提取出3个公因子,各条目因子负荷为0.446~0.656,累计方差贡献率为57.49%。结论CHEES量表具有较好的信度和效度,适合医院环境下老年人生理弹性的评估。Objective To test the reliability and validity of the Clinical pHysical rEsilience assEssment Scale(CHEES)in the elderly inpatients in China.Methods A total of 362 elderly inpatients aged 60 years and over were enrolled in this study.Cronbach’sαcoefficient,Spearman-Brown coefficient and Guttman coefficient were used for reliability test.Validity was assessed by content validity and construct validity based on exploratory factor analysis.Results The acceptance rate of CHEES was 90.88%,and the qualified rate of the scale was 100%.The Cronbach’sαcoefficient of the total scale was 0.826,Spearman-Brown coefficient was 0.737,and Guttman coefficient was 0.731.The items of the scale were based on sufficient basis,and the expert consultation process was authoritative and reliable,and the content was comprehensive.Exploratory factor analysis extracted three common factors.The factor load of each item was 0.446-0.656,and the cumulative variance contribution rate was 57.49%.Conclusions CHEES has good reliability and validity,and is suitable for the evaluation of physical resilience of the older adults in the hospital environment.

关 键 词：生理弹性 量表 老年人 信度 效度 

分 类 号：R592[医药卫生—老年医学]