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跌倒危险因子评分表的汉化及信度、效度评价

丁辉蓉 王红萍   

  1. 上海交通大学医学院附属新华医院心血管内科
  • 出版日期:2015-12-25 发布日期:2015-12-25
  • 基金资助:
    上海交通大学医学院附属新华医院院级基金项目(12YJ20)

Translation of fall risk factor score table into Chinese and examination of the reliability and validity

  • Online:2015-12-25 Published:2015-12-25

摘要: 目的:汉化日文版跌倒危险因子评分表,并对其信度、效度进行评价。方法:对日文版跌倒危险因子评分表进行翻译、回译及文化调试,并用中文版跌倒危险因子评分表对238 例住院老年患者进行跌倒风险评估,对测试结果进行信度和效度分析。结果:中文版跌倒危险因子评分表由11 个维度27 项条目组成,内部一致性Cronbach’s α 系数为0.865,重测信度为0.985,评定者间信度为0.988。各条目的内容效度指数(CVI) 为0.9 ~ 1.0,全部条目的平均CVI 为0.95。采用主成分分折法提取了11 个公因子,对总方差的累计贡献率为62.868%。区分效度的总得分差异有统计学意义(P <0.01)。结论:中文版跌倒危险因子评分表具有良好的信度和效度,可作为临床上护士评估住院老年患者是否有跌倒风险的初步筛查工具。

Abstract: Objective: To translate and develop the Chinese version of Fall Risk Factor Score Table (C-FRFST) and to evaluate reliability, validity of the C-FRFST. Methods: The C-FRFST was adapted following the standard process of "Translation-Back translation-Cultural Adjustment-Preliminary Test-Field Test". Using C-FRFST to assess fall risk in 238 cases of cardiovascular department and analyze the reliability and validity of the test results. Results: The C-FRFST had 11 dimensions and 27 items. The Cronbach's α was 0.865, and the repeatability was 0.985. The inter-rater reliability was 0.988. The content validity index (CVI) for each item was ranged from 0.9 to 1.0 and the CVI for overall table was 0.95. Exploratory factor analysis yielded with an eleven-factor solution, explaining 62.868% of the total variance. There were significant differences in total score of discriminate validity. Conclusion:The C-FRFST shows good reliability and validity can be used by clinical nurses to assess fall risk for hospitalized elderly patients.