摘要
目的汉化老年人复杂性自评量表(The INTERMED for the elderly self-assessment,IM-E-SA),并在老年慢性病患者中进行信度、效度检验,以期为医护工作者测量患者的复杂性提供评估工具。方法2023年8月取得作者授权,2023年11月采用改良Brislin翻译模型对IM-E-SA量表翻译、回译及跨文化调适。采用便利抽样法,于2024年8月至11月选取贵阳市某三级甲等综合医院的405例老年慢性病患者对汉化后形成的量表的信度、效度进行检验。结果405例老年慢性病患者完成研究。中文版老年人复杂性自评量表共20个条目,4个维度,包括生物、心理、社会、医疗保健各5个条目。总量表的内容效度指数为0.993,Cronbachα系数为0.865,重测信度为0.883、折半信度为0.615,各维度Cronbachα系数为0.766~0.879,重测信度为0.812~0.890。探索性因子分析KMO值为0.832,Bartlett’s球形检验值为2001.388(P<0.001),累计方差贡献率64.560%。结论中文版IM-E-SA量表信度、效度良好,可用于国内老年慢性病患者中复杂性识别。
Objective To translate and culturally adapt the INTERMED for the elderly self-assessment(IM-E-SA)into Chinese and test its reliability and validity among older adults with chronic diseases,so as to provide healthcare professionals with an instrument for measuring patient complexity.Methods Having been authorised in August 2023,a modified Brislin translation model was used to translate,back-translate,and cross-culturally adapt the IM-E-SA in November 2023.Then a convenience sampling was employed to recruit 405 elderly patients with chronic disease from a Tier-IIIA hospital in Guiyang,between August to November 2024,to test the reliability and validity of the translated and adapted version of IM-E-SA.Results All 405 patients completed the study.The Chinese version of IM-E-SA comprised 4 dimensions with a total of 20 items:biology(5 items),psychology(5 items),society(5 items),and healthcare(5 items).The content validity index of the scale was 0.993,Cronbach's alpha coefficient was 0.865,test-retest reliability was 0.883,and split-half reliability was 0.615.Cronbach's alpha coefficients of the dimensions ranged from 0.766-0.879 with testretest reliabilities from 0.812 to 0.890.The Kaiser-Meyer-Olkin(KMO)value was 0.832 and Bartlett's sphericity test yielded a value of 2001.388(P<0.001),accounting for 64.560%of cumulative variance.Conclusion The Chinese version of the IM-E-SA has good reliability and validity and can be used to identify complexity in elderly patients with chronic disease in China.
作者
马蕾
赵雪
蔡鹏
Ma Lei;Zhao Xue;Cai Peng(School of Nursing Administration,Guizhou Medical University,Guiyang 550004,Guizhou Province,China;The Affiliated Hospital of Guizhou Medical University,Guiyang 550001,Guizhou Province,China)
出处
《现代临床护理》
2026年第1期52-59,共8页
Modern Clinical Nursing
基金
贵州医科大学附属医院护理科研基金项目,项目编号为gyfyhl-2024-A8。
关键词
老年人
自评
患者复杂性
信度
效度
elderly
self-assessment
patient complexity
reliability
validity
