CAJ | 학술논문

目的探讨中文版居家不出量表在中国社区老年人中应用的信度和效度.方法根据欧洲癌症研究及治疗机构(EORTC)生活质量小组关于量表翻译过程的指南,将居家不出量表翻译成中文并进行修订形成终稿,包括是否有居家不出的状态和居家不出状态的原因两个分量表.唐山市路北区127个社区随机抽取2个社区,以社区内居住的老年人860例为调查对象,对中文版居家不出量表进行了信度和效度评估.信度包括内部一致性信度和分半信度,效度包括内容效度和结构效度.结果量表的第一分量表Cronbach'α系数为0.743,分半信度系数是0.856,内容效度指数(CVR)值为0.960,辨别效度较好(P＜0.05).第二分量表Cronbach'α系数为0.853,分半信度系数是0.816；CVR值为0.910.应用因子分析方法提取了4个公因子,分别为躯体精神因素,环境因素,心理社会因素和听力因素,累计方差贡献率为48.37％,各条目在各自所属公因子的负荷值为0.422～0.826.结论中文版居家不出量表具有良好的信、效度,可用于社区老年人的居家不出状态的测量.
목적 탐토중문판거가불출량표재중국사구노년인중응용적신도화효도.방법 근거구주암증연구급치료궤구(EORTC)생활질량소조관우량표번역과정적지남,장거가불출량표번역성중문병진행수정형성종고,포괄시부유거가불출적상태화거가불출상태적원인량개분량표.당산시로북구127개사구수궤추취2개사구,이사구내거주적노년인860례위조사대상,대중문판거가불출량표진행료신도화효도평고.신도포괄내부일치성신도화분반신도,효도포괄내용효도화결구효도.결과 량표적제일분량표Cronbach'α계수위0.743,분반신도계수시0.856,내용효도지수(CVR)치위0.960,변별효도교호(P＜0.05).제이분량표Cronbach'α계수위0.853,분반신도계수시0.816；CVR치위0.910.응용인자분석방법제취료4개공인자,분별위구체정신인소,배경인소,심리사회인소화은력인소,루계방차공헌솔위48.37％,각조목재각자소속공인자적부하치위0.422～0.826.결론 중문판거가불출량표구유량호적신、효도,가용우사구노년인적거가불출상태적측량.
Objective To study the reliability and validity of Chinese version of housebound scale in Chinese elderly people in community.Methods The housebound scale was amended and translated according to the Procedure of the European organization for Research and Treatment of Cancer (EORTC) Quality of Life Group.Include two scales,which is whether is housebound and the reason of housebound.The reliability and validity of Chinese version of housebound scale were tested in a sample of 860 Chinese elderly people in two communities among 127 communities in Tangshan from October 2012 to March 2013.Reliability was evaluated using the splithalf reliability and internal consistency.Validity was assessed by content validity,discriminate validity and construct validity.Results The Cronbach’s α coefficient of the first subscales was 0.743,the split-half reliability was 0.856,the convergent validity ratio was 0.960,and the scale had good discriminate validity (P ＜ 0.01).The Cronbach's αcoefficient of the second subscales was 0.853,the split-half reliability was 0.816,the convergent validity ratio was 0.910.Four factors body and mental factors,environmental factors,psychological and social factors,listening factors were extracted by a factor analysis,which explained 48.37％ of the total variance.The loading value of each items in their respective common factor ranged from 0.42 to 0.82.Conclusion The housebound scale has better reliability and validity,which is available for the evaluation of housebound amnong elderly people.