摘要
目的引进并翻译美国版持续评估记录和评价条目集(Continuity Assessment Record and Evaluation item set,CARE)并检验其信效度。方法根据Brislin翻译模型对CARE进行直译和回译,通过专家咨询和预试验对中文版CARE进行初步修订。随后选取187名不同功能状态的老年人实施评估,验证中文版CARE的信效度。结果中文版CARE功能状态亚量表的Cronbach’α系数为0.97(P<0.05);总量表中93.5%的主观性条目的Kappa系数为0.6~1;总量表的全体一致性指数为0.93,平均内容效度为0.98,各条目的内容效度指数为0.83~1;认知功能亚量表与简明精神状态量表的相关系数为0.70(P<0.05),抑郁亚量表与老年抑郁量表的相关系数为0.46(P<0.05),功能状态亚量表与巴氏指数的相关系数为0.93(P<0.05),与工具性日常生活活动量表的相关系数为0.85(P<0.05)。结论中文版CARE简单易懂,使用方便,具有良好的信效度,可以作为全面评估中国老年人健康状况和功能状态的工具。
Objective To develop the Chinese version of Continuity Assessment Record and Evaluation item set （CARE） and examine its reliability and validity. Methods According to Bfislin translation model,we translated the English scale into Chinese following the forward-translation and back-translation procedure and revised the Chinese version of CARE through expert review and a pilot study. A total of 187 elderly patients who were in different function status completed the Chinese CARE to test its reliability and validity. Results The Cronbach＇ α coefficient of the function sub-scale was 0.968 （P〈0.05）. For 93.5% of subjective items,the Kappa coefficients ranged from 0.6 to 1.The scale-level content validity index （universal agreement）（S-CVI/UA） was 0.93,the scalelevel content validity index（average）（S-CVI/Ave） was 0.98,the item-level content validity index ranged from 0.83 to 1. The correlation coefficient between cognitive function sub-scale and Mini-Mental State Examination was 0.70 （P〈0.05）;the correlation coefficient between depression sub-scale and Geriatric Depression Scale was 0.46（P〈0.05）; the correlation coefficient between functional status sub-scale and Barthel Index was 0.93（P〈0.05）,and the cor- relation coefficient between functional status sub-scale and Instrumental Activity of Daily Living was 0.85（P〈0.05）. Conclusion The Chinese version of CARE which is simple and easy to understand or to use has good reliability and validity,so Chinese CARE can serve as a comprehensive assessment tool to evaluate health status and function of the elderly.
作者
肖艳艳
杨雪
肖树芹
范环
黄勇军
吴瑛
XIAO Yanyan;YANG Xue;XIAO Shuqin;FAN Huan;HUANG Yongjun;WU Ying
出处
《中华护理杂志》
CSCD
北大核心
2018年第6期762-768,共7页
Chinese Journal of Nursing
基金
国家自然科学基金国际(地区)合作与交流项目(7166-1167008)
北京市教育委员会2016年社科计划资助重点项目(SZ20161002510)
关键词
老年人
评估
量表
信度
效度
Aged
Assessment
Scale
Reliability
Validity
