埃及老年人扩展照护依赖量表的心理测量学特性。
Psychometric properties of the extended Care Dependency Scale for older persons in Egypt.
机构信息
Department of the Education for Nurse and Paramedical Teachers and Nursing Science, Center for Humanities and Health Sciences, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, D 10117 Berlin, Germany.
出版信息
J Clin Nurs. 2009 Dec;18(23):3280-9. doi: 10.1111/j.1365-2702.2009.02946.x.
AIM
The aim of this study was to determine the validity and reliability of the modified Arabic Care Dependency Scale for self-assessment of older persons in Egypt and to compare these self-assessments to proxy assessments by care givers and family members.
BACKGROUND
The Care Dependency Scale is an internationally used instrument to measure care dependency. The Arabic version may improve data collection on this phenomenon in the Middle East where the population is ageing.
DESIGN
A cross-sectional study with a sample of 611 older persons living in Greater Cairo. Participants belonged to three groups: nursing home residents, home care recipients and non-care recipients; 459 participants were also rated by proxies and 171 repeated their self-assessment after two weeks.
METHODS
The correlation between sum scores of the Care Dependency Scale and the Activities of Daily Living scale was calculated to establish criterion validity. Construct validity was determined by comparing care recipients and non-care recipients with regard to their Care Dependency Scale sum scores and by exploratory factor analysis. Intraclass coefficients were used to assess test-retest reliability of self-ratings for each item. Mean differences between self and proxy assessment were calculated.
RESULTS
The Care Dependency Scale had a strong correlation to the Activities of Daily Living scale and is able to distinguish between care recipients and non-care recipients. Factor analysis revealed one factor for basic needs and one factor for psychosocial needs. ICC values were >0.7 for most items related to the factor for basic needs among care recipients. Proxy assessment yielded higher care dependency than self assessment.
CONCLUSION
Care Dependency Scale items for basic needs are suitable to assess care dependency among Egyptian care recipients.
RELEVANCE TO CLINICAL PRACTICE
Assessment of care dependency is useful to obtain data for appropriate resource allocation among care recipients.
目的
本研究旨在确定改良后的阿拉伯语自理依赖量表用于评估埃及老年人的有效性和可靠性，并将这些自我评估与护理人员和家庭成员的代理评估进行比较。
背景
自理依赖量表是一种国际上用于测量依赖护理的工具。阿拉伯语版本可能会改善中东地区对这一现象的数据收集，因为该地区人口正在老龄化。
设计
一项横断面研究，样本为居住在大开罗的 611 名老年人。参与者分为三组：养老院居民、家庭护理接受者和非护理接受者；459 名参与者还接受了代理评估，171 名参与者在两周后重复了自我评估。
方法
计算自理依赖量表总分与日常生活活动量表之间的相关性，以确定标准效度。通过比较护理接受者和非护理接受者的自理依赖量表总分，以及通过探索性因子分析，确定结构效度。对每个项目的自我评分进行重测信度评估，采用组内相关系数。计算自我评估和代理评估之间的平均差异。
结果
自理依赖量表与日常生活活动量表有很强的相关性，能够区分护理接受者和非护理接受者。因子分析显示，对于基本需求有一个因子，对于心理社会需求有一个因子。对于护理接受者基本需求相关的大多数项目，ICC 值均>0.7。代理评估的依赖护理程度高于自我评估。
结论
用于评估埃及护理接受者基本需求的自理依赖量表项目适合评估护理接受者的依赖护理程度。
临床相关性
评估护理依赖有助于在护理接受者之间获得适当资源分配的数据。
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