老年人自我忽视调查问卷的编制及信效度检验

Development of the Self-neglect Questionnaire for the aged and its reliability and validity

目的编制适用于我国老年人的自我忽视调查问卷,并对其进行信效度检验,为鉴别老年人自我忽视提供一个有效的测评工具。方法基于前期质性研究的结果,通过文献回顾、德尔菲专家函询法形成初始问卷。2018年4—5月,采用便利抽样法选取武汉市某三级甲等医院71例住院老年人进行预调查,进行项目分析;2018年6—10月,采用便利抽样法选取武汉市某三甲医院的314例住院老年人进行正式调查,对问卷进行信效度评价。结果最终形成包含7个公因子、24个条目的老年人自我忽视调查问卷。问卷Cronbach'sα系数为0.875,折半信度系数为0.709。问卷的条目内容效度指数(I-CVI)为0.895~1,平均问卷效度指数(S-CVI/Ave)为0.987。探索性因子分析共提取7个公因子,累积方差贡献率为69.391%。结论老年人自我忽视调查问卷的信效度良好,可作为老年人自我忽视的评估工具。

Objective To develop a Self-neglect Questionnaire for the aged in China and to test its reliability and validity so as to provide an effective assessment tool for differentiating self-neglect for the aged.Methods The initial questionnaire was developed based on former results of qualitative research,literature review and the method of Delphi expert consultation.From April to May 2018,a total of 71 elderly inpatients were selected by convenience sampling at a ClassⅢGrade A hospital in Wuhan to investigation with item analysis.From June to October 2018,by convenience sampling a total of 314 elderly inpatients were investigated formally at a ClassⅢGrade A hospital in Wuhan,and the questionnaire was tested in terms of reliability and validity.Results Finally,the Self-neglect Questionnaire induding 7 common factors and 24 items was formed.The Cronbach'sαof the questionnaire was 0.875,the split-half reliability coefficient was 0.709.In content validity,the item-content validity index(I-CVI)ranged from 0.895 to 1,and the average scale-content validity index(S-CVI/Ave)was 0.987.Exploratory factor analysis extracted 7 common factors with 69.391%for the cumulative variance contribution.Conclusions The Self-neglect Questionnaire for the aged has good reliability and validity which can be an assessment tool for self-neglect of the aged.