老年失能评估量表的编制(一):初始量表的建立

Development of the elderly disability assessment scale(I): The selection of items for the preliminary version

目的:建立基于《国际功能、残疾和健康分类》(ICF)理论框架,适用于老年人群,符合中国国情的老年失能评估量表(EDAS)初始量表。方法:首先采用系统评价方法,全面检索Medline、Embase、PsycINFO、CINAHL、PROQOLID、CBM、CNKI、维普以及万方数据库,筛选出与老年失能密切相关的量表,将这些量表的条目与对应的ICF条目相关联,建立备选条目池。然后采用Delphi法,收集国内相关领域专家的意见,筛选条目池,建立初始量表。结果:共检索到7370篇相关文献,纳入其中25个量表(包含476个条目)。将这些条目与对应的ICF条目相关联,合并重复条目,形成包含46个ICF条目的备选条目池。然后采用Delphi法筛选条目,三轮专家征询的积极系数分别为80%、80%和94%;专家权威系数Cr分别为0.92、0.88、0.88;重要性评分的Kendall协调系数分别为0.66、0.65、0.75。共删除17个条目,新增3个条目,建立的初始量表包括32个条目,分属"身体功能"和"活动和参与"两个领域的8个维度。结论:本研究采用系统评价和Delphi法,编制了老年失能评估量表(EDAS)的初始量表。

Objective： To develop the preliminary version of the elderly disability assessment scale （EDAS） to assess dis- ability for Chinese older people according to the international classification of functioning, disability and health （ICF）. Method： The following databases were systematically searched： Medline, Embase, PsycINFO, CINAHL, PRO- QOLID, CBM, CNKI, VIP, WanFang, and included the scales related to elderly disability. All items in these scales were extracted, and linked them to the ICF items. After deleting the duplicates, the remaining ICF items composed the item pool. Geriatricians and rehabilitation physicians used Delphi method to select proper item and develop the preliminary version. Result： A total of 7370 articles were identified, 25 scales （including 476 items） were included. The item pool were consisted of 46 items. The enthusiasm coefficients of experts in three rounds were 80%, 80%, 94%, re- spectively. The degree of experts＇ authority were 0.92, 0.88 and 0.88, respectively. The Kendall＇s coordination coefficients of specialists＇ opinion were 0.66, 0.65 and 0.75, respectively. According to the experts＇ opinion, 17 items were deleted and 3 items were added. The preliminary version included 32 items, which belonging to the domains of ＂body functions＂ and ＂activities and participations＂. Conclusion： The preliminary version of the EDAS was established by suing systematic assessment and Delphi method.