摘要
目的 系统评价中文版老年人多维衰弱评估工具,为医护人员选择适宜的工具提供参考。方法 系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、Medline、中国知网、万方数据库和中国生物医学文献服务系统,检索时限为建库至2025年5月21日。依据共识驱动的健康测量工具选择标准指南系统评价纳入的评估工具,并生成推荐意见。结果 共纳入22项研究,涉及17种中文版老年人多维衰弱评估工具。其中,老年人衰弱指数量表的内容效度和内部一致性较好,为A级推荐,其余评估工具均为B级或C级推荐。结论 中文版老年人多维衰弱评估工具较多,多数评估工具的方法学质量和测量学属性存在一定问题,暂推荐使用老年人衰弱指数量表,但选择时仍需结合具体的临床情境。
Objective To systematically evaluate assessment tools of the Chinese version for multi-dimensional frailty and to provide a reference to select appropriate tools.Methods PubMed,Web of Science,Embase,Cochrane Library,CINAHL,Medline,CNKI,Wanfang Database,and China Biomedical Literature Database were searched from inception to May 21,2025.The included studies were evaluated using the consensus-driven standards for the selection of health measurement instrument guidelines to generate recommendations.Results A total of 22 studies were included,involving 17 Chinese version assessment tools for measuring multi-dimensional frailty.Among them,the content validity and internal consistency of the Index of Frailty Scale for Older Adults were good,and it was recommended at level A.The rest were recommended at level B or C.Conclusion The Chinese versions of multi-dimensional frailty assessment tools are diverse,and most demonstrate methodological and psychometric limitations.The Index of Frailty Scale for Older Adults is provisionally recommended,but its use should depend on specific clinical contexts.
作者
吴燕
陈管洁
吴燕平
孙惠
顾玥
WU Yan;CHEN Guanjie;WU Yanping;SUN Hui;GU Yue
出处
《中华护理杂志》
北大核心
2025年第24期3045-3051,共7页
Chinese Journal of Nursing
关键词
老年人
多维衰弱
评估工具
系统评价
护理
Aged
Multi-Dimensional Frailty
Assessment Tools
Systematic Review
Nursing Care
