北京地区医疗机构老年人群健康综合评估量表的编制和信度、效度的检验

doi:10.3969/j.issn.1006-7795.2024.06.019

首都医科大学学报 ›› 2024, Vol. 45 ›› Issue (6): 1088-1094.doi: 10.3969/j.issn.1006-7795.2024.06.019

北京地区医疗机构老年人群健康综合评估量表的编制和信度、效度的检验

赵文芝¹, 彭璐¹, 张骁玮², 王欣², 杨柳青¹, 石汉平^2*

1.首都医科大学附属北京世纪坛医院临床营养科,北京 100038 ;2首都医科大学附属北京世纪坛医院肿瘤营养与代谢中心/国家市场监管重点实验室 (肿瘤特医食品)/首都医科大学营养代谢调控基础临床联合实验室/北京肿瘤代谢与营养国际科技合作基地,北京 100038

收稿日期:2024-01-11 出版日期:2024-12-21 发布日期:2024-12-19
通讯作者: 石汉平 E-mail:shihp@ccmu.edu.cn
基金资助:
北京市科技重大专项项目（D181100000218004）。

Development and reliability and validity testing of a health comprehensive evaluation scale for elder population in medical institutions of Beijing

Zhao Wenzhi¹, Peng Lu¹, Zhang Xiaowei², Wang Xin², Yang Liuqing¹, Shi Hanping^2*

1. Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China; 2. Center for Tumor Nutrition and Metabolism Beijing Shijitan Hospital, Capital Medical University/Key Laboratory of Cancer FSMP for State Market Regulation/Laboratory for Clinical Medicine，Capital Medical University/Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition, Beijing 100038, China

Received:2024-01-11 Online:2024-12-21 Published:2024-12-19
Supported by:
This study was supported by Major Scientific and Technological Projects in Beijing (D181100000218004).

摘要/Abstract

摘要： 目的编制适用于北京地区医疗机构就医的老年人群健康状态的综合评估量表并检验其信度、效度。方法采用文献回顾法、专家讨论会、德尔斐专家咨询法拟定初始量表。选取60例老年患者进行预调查完善初始量表，选取461例老年患者进行量表信度、效度检验的初步验证，采用项目区分度、相关性分析、探索性因素分析和内部一致性检验等进行条目的筛选。选取347例老年患者进行量表信度、效度的再次验证，采用重测信度、评定者信度和效标信度（预测效度）等进行量表的评价。结果正式量表包括5个维度（患病情况、用药情况、饮食营养与生活方式、症状与体征和身体功能）、26个条目。量表的分半信度为0.631，Cronbach's α系数为0.665，重测信度为0.739，评定者信度为0.747，量表得分与常见血液检查指标（白蛋白、血红蛋白）、体格检查指标（提质量指数、握力、小腿围）、营养筛查量表,及住院时长具有显著的相关性。结论本研究编制的量表具的信度、效度尚可，可用于北京地区医疗机构就医的老年人的健康综合评估。

关键词: 北京地区医疗机构, 老年人, 综合评估, 量表

Abstract: Objective To develop a health comprehensive evaluation scale for elder population seeking medical advice or care in medical institutions of Beijing and test the reliability and validity. Method To put together an initial scale through literature review, expert seminar and Delphi expert consultations. There were 60 elderly patients selected to participate the pre-experiment to and the initial scale improved. Total of 461 elderly patients were analyzed in the preliminary testing of validity and reliability and item discrimination, correlation analysis, exploratory factor analysis and internal consistency check was conducted for items screening. Total of 347 elderly patients were recruited in the second testing, and test-retest reliability, rater consistence reliability and predictive validity was conducted. Result There were 5 dimensions (clinical complexity;medication treatment; diet, nutrition, and lifestyle; signs and symptoms;functional status) and 26 items contained in the formal scale. For the whole scale the split-half reliability was 0.631, and the Cronbach's α coefficient was 0.665, and the test-retest reliability was 0.739, and the rater consistence reliability was 0.747. There was significant correlation between score of the scale and common blood tests index (albumin, hemoglobin), physical examination index (body mess index, grip strength, calf circumference), nutritional screening scale, and hospitalization duration.Conclusions The preliminary work was finished by developing a health comprehensive evaluation scale with acceptable reliability and validity, which was suitable for elder population seeking medical advice or care in medical institutions of Beijing.

Key words: medical institution of Beijing, the elderly, comprehensive evaluation, scale

中图分类号:

赵文芝, 彭璐, 张骁玮, 王欣, 杨柳青, 石汉平. 北京地区医疗机构老年人群健康综合评估量表的编制和信度、效度的检验[J]. 首都医科大学学报, 2024, 45(6): 1088-1094.

Zhao Wenzhi, Peng Lu, Zhang Xiaowei, Wang Xin, Yang Liuqing, Shi Hanping. Development and reliability and validity testing of a health comprehensive evaluation scale for elder population in medical institutions of Beijing[J]. Journal of Capital Medical University, 2024, 45(6): 1088-1094.

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北京地区医疗机构老年人群健康综合评估量表的编制和信度、效度的检验

Development and reliability and validity testing of a health comprehensive evaluation scale for elder population in medical institutions of Beijing

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