摘要
目的编制老年住院患者口腔衰弱评估量表并检验其信效度。方法通过文献回顾、质性访谈、专家函询、预调查形成老年住院患者口腔衰弱评估量表初稿。采用便利抽样法,选取2023年4—6月在武汉大学中南医院老年医学科住院的300例老年患者为研究对象进行调查。采用项目分析法、探索性因子分析、验证性因子分析、信度分析检验量表的信效度。结果本研究共发放问卷300份,回收有效问卷274例,问卷有效回收率为91.33%(274/300)。老年住院患者口腔衰弱评估量表包含牙齿、口干、吞咽、咀嚼4个维度,共11个条目。探索性因子分析提取出4个公因子,累计方差贡献率为69.059%。验证性因子分析结果显示,整体模型拟合度较好。量表的Cronbach'sα系数为0.76,折半信度系数为0.67,重测信度系数为0.98。结论老年住院患者口腔衰弱评估量表具有良好的信效度,适用于老年住院患者口腔衰弱的评估。
Objective To develop an Oral Frailty Assessment Scale for Elderly Inpatients and test its reliability and validity.Methods Through literature review,qualitative interview,expert consultations and pre-investigation,the preliminary draft of Oral Frailty Assessment Scale for Elderly Inpatients was formed.Using the convenient sampling method,a total of 300 elderly patients who were hospitalized in Geriatrics Department of Zhongnan Hospital of Wuhan University from April to June 2023 were selected as the research subjects.The reliability and validity of the scale were tested using item analysis,exploratory factor analysis,confirmatory factor analysis and reliability analysis.Results A total of 300 questionnaires were distributed in this study,and 274 valid questionnaires were collected,with an effective response rate of 91.33%(274/300).The Oral Frailty Assessment Scale for Elderly Inpatients included four dimensions of teeth,dry mouth,swallowing and chewing,with a total of 11 items.The exploratory factor analysis extracted four common factors,and the cumulative variance contribution rate was 69.059%.The Cronbach'sαcoefficient for the scale was 0.76,the split-half reliability coefficient was 0.67,and the retest reliability coefficient was 0.98.Conclusions The Oral Frailty Assessment Scale for Elderly Inpatients has good reliability and validity,which is suitable for evaluating oral frailty in elderly inpatients.
作者
李晨
程智
常傲然
黄桂玲
王琼
邱添
李洁莉
Li Chen;Cheng Zhi;Chang Aoran;Huang Guiling;Wang Qiong;Qiu Tian;Li Jieli(Department of Neurosurgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Nursing Department,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Health Science Center,Yangtze University,Jingzhou 434023,China)
出处
《中华现代护理杂志》
2024年第21期2844-2850,共7页
Chinese Journal of Modern Nursing
基金
武汉大学中南医院临床护理研究项目(LCHLYJ202308)。
关键词
老年人
住院患者
口腔衰弱
量表编制
信度
效度
The aged
Inpatient
Oral frailty
Scale development
Reliability
Validity
