家庭护理评估量表的汉化和信效度检验

Translation and reliability and validity testing of Chinese version of InterRAI Home Care

目的翻译国际居民评估工具家庭护理评估量表(International Resident Assessment Instrument Home Care,InterRAI Home Care),简称InterRAI家庭护理评估量表,并对中文版InterRAI家庭护理评估量表的信效度进行检验。方法采用Beaton简洁六步法对InterRAI家庭护理评估量表进行翻译和跨文化调试,形成中文版InterRAI家庭护理评估量表。采用便利取样法,选取在北京市东城区6所社区卫生服务中心门诊就诊、符合纳入标准的老年患者215例,使用中文版InterRAI家庭护理评估量表和改良巴氏指数量表、改良工具性日常生活能力量表、简易精神状态检查量表对社区居家老年人进行评估。结果中文版InterRAI家庭护理评估量表总的Cronbach'sα系数为0.871,量表平均内容效度为1.00,评定者间信度为0.916～0.942。中文版InterRAI家庭护理评估量表的ADL维度与改良巴氏指数量表每个条目的Pearson相关系数为-0.999～-0.810;工具性日常生活能力维度与改良工具性日常生活能力量表的每个条目的Pearson相关系数为-0.996～-0.962;触发认知能力问题与MMSE量表评分判断认知障碍的一致性系数为100%;使用中文版InterRAI家庭护理评估系统所触发的问题与医生诊断间的一致性是100%。结论中文版InterRAI家庭护理评估量表在社区居家老年人群体中具有良好的信效度,量表的稳定性好、可靠性高,可以在我国社区居家老年人群体中使用。

Objective To translate the English version of InterRAI Home Care into the Chinese version and to evaluate its reliability and validity. Methods The translation and culturally adaptation of InterRAI Home Care were performed to construct the Chinese version of InterRAI Home Care. Using the convenience sampling,215 subjects who met eligibility criteria were recruited from community health care centers of Dongcheng District,Beijing. We used the Chinese version of InterRAI Home Care,Modified Barthel Index scale,Modified IADL scale,and Mini-Mental State Examination scale to assess the elderly. Results The Cronbach’s α of Chinese version of InterRAI Home Care was 0.871 which confirmed the internal consistency. The I-CVI was 1.0 for all items,and the S-CVI was also 1.0. The inter-rater reliability was confirmed by Pearson correlation coefficient which ranged from 0.916 to 0.942. The criterion-related validity was established by Pearson correlation coefficients which ranged from -0.999 to -0.810 between scores of the ADL and Modified Barthel Index scale. The criterion-related validity was established by Pearson correlation coefficients which ranged from -0.996 to -0.962 between scores of the IADL and Modified IADL scale. The criterion-related validity was established by correlation coefficient of 1.0 between cognitive disorder of CAPs and MMSE scale. The agreement coefficient was 1.0 between CAPs and doctors’ diagnoses. Conclusion The Chinese version of InterRAI Home Care was demonstrated to be reliable and valid among community dwelling elderly.