老年自我忽视测评工具的系统评价

Assessment tools of elderly self-neglect:a systematic review

目的系统评价老年自我忽视问卷,为医护人员选择合适的老年自我忽视筛查工具提供参考。方法计算机检索PubMed、EBSCO、Web of Science、SCOPUS、Embase、Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库关于老年自我忽视测评工具的研究,检索时限建库至2020年10月,采用量表性能评价标准进行评价。结果最终共纳入12篇文献,包括8种英文问卷,4种中文问卷。12种问卷均可采取他评方式,其中3种问卷可同时自评和他评。6项研究清晰报告了问卷的内容效度,1项研究满足内部一致性信度评价标准。结论老年自我忽视评估工具大多为他评问卷且质量良莠不齐,有必要开发信效度较高的老年自我忽视快速筛查自评问卷。

Objective To systematically evaluate the tools that assess elderly self-neglect,and to provide a reference for selection of appropriate screening tool of elderly self-neglect.Methods PubMed,EBSCO,Web of Science,Scopus,Embase,The Cochrane Library,CNKI,Wanfang data,VIP and CBM were searched by computer for the studies on assessment tools of elderly self-neglect.The limit for publication date of the literature was from inception of the database until October 2020.The quality criteria for mea-surement properties of health status questionnaires were employed for the evaluation of the quality of the included assessment tools.Results A total of 12 papers were included,involving 8 English questionnaires and 4 Chinese questionnaires.All of the 12 tools can be used as other-reported questionnaires,while three of them were both self-reported and other-reported questionnaires.Six questionnaires reported clear content validity,and only one questionnaire met the criteria of internal consistency.Conclusion Most of the self-neglect assessment tools are other-reported quality of questionnaires and their quality varies.It is necessary to develop a rapid screening self-reported tool with high reliability and validity.