医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
5期
15-16
,共2页
跌倒风险评估%老年患者%信度%效度
跌倒風險評估%老年患者%信度%效度
질도풍험평고%노년환자%신도%효도
Fal risk assessment%Elderly inpatients%Validity%Reliability
目的引进和翻译Hendrich I Fal risk Model(HFRM)跌倒风险评估量表，并对翻译后的量表信效度进行评价,探索其在中国的适用性。方法将量表进行翻译、回译及文化调试，用中文版HFRM跌倒风险评估量表对北京协和医院住院的老年患者989例进行跌倒风险评估，所得资料运用SPSS 12.0对其进行信效度评价。结果中文版Hendrich跌倒风险评估量表Cronbach'S a系数为0.336，重测信度ICC=0.9950(95%CI 0.9923，0.9984)；评定者间信度ICC=0.9950(95%CI 0.9923，0.9984)；内容效度比CVR为0.9333；因子分析共提取了3个公因子，能解释总方差的50.117%，且各项目在相应因子上有较满意的因子载荷量(>0.4)；当临界值为≥5分时，其敏感度为72%，特异度为69%,ROC曲线下面积为0.815，<0.001。结论中文版Hendrich跌倒风险评估量表具有良好的信度和效度。可作为临床上医务人员用于评估住院老年患者是否有跌倒风险的初步筛查工具。
目的引進和翻譯Hendrich I Fal risk Model(HFRM)跌倒風險評估量錶，併對翻譯後的量錶信效度進行評價,探索其在中國的適用性。方法將量錶進行翻譯、迴譯及文化調試，用中文版HFRM跌倒風險評估量錶對北京協和醫院住院的老年患者989例進行跌倒風險評估，所得資料運用SPSS 12.0對其進行信效度評價。結果中文版Hendrich跌倒風險評估量錶Cronbach'S a繫數為0.336，重測信度ICC=0.9950(95%CI 0.9923，0.9984)；評定者間信度ICC=0.9950(95%CI 0.9923，0.9984)；內容效度比CVR為0.9333；因子分析共提取瞭3箇公因子，能解釋總方差的50.117%，且各項目在相應因子上有較滿意的因子載荷量(>0.4)；噹臨界值為≥5分時，其敏感度為72%，特異度為69%,ROC麯線下麵積為0.815，<0.001。結論中文版Hendrich跌倒風險評估量錶具有良好的信度和效度。可作為臨床上醫務人員用于評估住院老年患者是否有跌倒風險的初步篩查工具。
목적인진화번역Hendrich I Fal risk Model(HFRM)질도풍험평고량표，병대번역후적량표신효도진행평개,탐색기재중국적괄용성。방법장량표진행번역、회역급문화조시，용중문판HFRM질도풍험평고량표대북경협화의원주원적노년환자989례진행질도풍험평고，소득자료운용SPSS 12.0대기진행신효도평개。결과중문판Hendrich질도풍험평고량표Cronbach'S a계수위0.336，중측신도ICC=0.9950(95%CI 0.9923，0.9984)；평정자간신도ICC=0.9950(95%CI 0.9923，0.9984)；내용효도비CVR위0.9333；인자분석공제취료3개공인자，능해석총방차적50.117%，차각항목재상응인자상유교만의적인자재하량(>0.4)；당림계치위≥5분시，기민감도위72%，특이도위69%,ROC곡선하면적위0.815，<0.001。결론중문판Hendrich질도풍험평고량표구유량호적신도화효도。가작위림상상의무인원용우평고주원노년환자시부유질도풍험적초보사사공구。
Objective To translate Hendrich I Fal risk Model (HFRM)into Chinese and examine it's reliability and validity in predicting patient fal s. Methods A convenience sample of 989 Chinese elderly inpatients was recruited sequential y upon admission in Peking Union Medical Col ege Hospital. The patients were assessed for fal risk by using the Chinese version of HFRM on admission. SPSS12.0 was used to conduct it's reliability and validity. Results The field test demonstrated excel ent repeatability with an ICC value of 0.9950 (95% CI 0.9923~0.9984).Inter-rater reliability was high with an ICC of 0.9950 (95%CI 0.9923~0.9984). Cronbach's alpha coef icient is 0.366. Content validity is excel ent which CVR is 0.9333. The scale had a sensitivity of 72%and a specificity of 69%when the cut-of point was determined at 5. AUC is 0.815,<0.001. Conclusion The evidence col ected in this study has shown good reliability and validity by using the Chinese version of HFRM in assessing the fal risk of Chinese elderly inpatients.
