住院患者自我跌倒风险评估量表的汉化及信效度评价

Reliability and validity of the Chinese version of self-assessment of fall risk questionnaire for hospitalized patients

目的 汉化住院患者自我跌倒风险评估量表,并对其信效度进行评价.方法 在取得原作者同意后,对Self-assessment of Fall Risk Questionnaire进行翻译、回译及文化调适,确定量表中文版,测量量表的内容效度,并在我院护理单元对中文版《住院患者自我跌倒风险评估量表》进行重测信度、内部一致性信度和结构效度检验.结果 汉化并修订形成的《中文版住院患者自我跌倒风险评估量表》信效度较高,其中量表重测信度ICC为0.80（P〈0.05）;内部一致性信度Cronbach＆#39;sα系数为0.688.量表通过德尔菲专家咨询得出内容效度指数（CVI）为0.97;量表的结构效度采用因子分析的方法进行考察,用探索性因素分析提取了特征值大于1的公因子2个,其累积方差贡献率为57.588%.结论 中文版《住院患者自我跌倒风险评估量表》具有良好的信、效度,且操作简便、快速,可作为住院患者自我评估跌倒风险的初步筛查工具.

Objective To translate the self-assessment of fall risk questionnaire for hospitalized patients （SAFR） into Chinese and test the reliability and validity of the instrument.Methods After obtaining permission from the original author, we translated the SAFR to Chinese and to do back-translation as well as cultural adjustment. And then, the Chinese version of SAFR was confirmed and its content validity was tested. Besides, the retest reliability, internal consistency reliability and construct validity of the Chinese version of SAFR were tested in nursing unit of our hospital.Results The Chinese version of SAFR was with high reliability and validity with 0.80 for the retest reliability ICC （P〈0.05） and 0.688 for the Cronbach＇s α reliability coefficient. The content validity index （CVI） was 0.97 with the method of Delphi expert consultation. The construct validity of the instrument was measured by factor analysis. There were two common factors （eigenvalue 〉1） extracted by exploratory factor analysis with 57.588% for the cumulative variance contribution rate.Conclusions The Chinese version of SAFR has high reliability and validity with convenient and fast operation. The instrument can be considered a primary screening instrument of self-assessment of fall risk for hospitalized patients.