Blaylock风险评估筛查量表的汉化及应用

Chinese version and application of Blaylock Risk Assessment Screening Score

目的:对Blaylock风险评估筛查量表(BRASS)进行汉化,并探讨其在慢性心力衰竭病人中的应用效果。方法:对BRASS进行直译、回译及文化调试,通过专家函询与预试验形成中文版BRASS,并将其应用于150例慢性心力衰竭病人,通过关联性分析和多因素分析探讨BRASS得分对慢性心力衰竭病人住院天数的影响。结果:中文版BRASS包含10个条目,条目水平的内容效度指数(I-CVI)为0.83~1.00;量表水平的内容效度指数(S-CVI)为0.80。150例慢性心力衰竭病人中文版BRASS总分为(10.19±5.04)分,≥10分者占51.4%;心力衰竭病人住院天数为(8.61±3.69)d,BRASS得分<10分者住院天数为(7.89±2.95)d,得分≥10分者住院天数为(9.30±4.18)d,两组住院天数比较差异有统计学意义(t=-2.374,P=0.019)。多因素分析显示,BRASS的生活状况/社会支持条目得分是心力衰竭病人住院天数的主要影响因素(P=0.036)。结论:中文版BRASS具有较好的内容效度,能够用于早期识别具有延长住院风险和需要出院计划支持的心力衰竭病人。

Objective:To translate Blaylock Risk Assessment Screening Score(BRASS)into the Chinese,and to explore its application effect in patients with chronic heart failure.Methods:Chinese version of BRASS was formed by translation,retranslate,cultural adjustment,expert consultation and pre-test.The application of Chinese version of BRASS were tested by means of questionaire among 150 patients with chronic heart failure.To explore the effect of BRASS score on the length of hospital stay in patients with chronic heart failure through correlation analysis and multivariate analysis.Results:The Chinese version of BRASS contained 10 items.The item content validity index(I-CVI)ranged from 0.83 to 1.00,and the scale level content validity index(S-CVI)was 0.80.The total score of Chinese version of BRASS in 150 patients with chronic heart failure was 10.19±5.04,and the score≥10 in patients accounted for 51.4%.The hospitalization days of patients with heart failure was 8.61±3.69 days,those with the BRASS score<10 were 7.89±2.95 days,and those with score≥10 were 9.30±4.18 days.There was significant difference between the two groups(t=-2.374,P=0.019).Multivariate analysis showed that the score of life status social support items of BRASS was the main influencing factor of hospitalization days in patients with heart failure(P=0.036).Conclusions:The Chinese version of BRASS had good content validity,which could be used as a tool for identifing the risk of prolonged hospitalization and in need of discharge planning support among patients with heart failure.