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跌倒效能感量表-国际版:对成人日间护理使用者的心理测量学特性进行探索。

Falls Efficacy Scale-International: Exploring psychometric properties with adult day care users.

机构信息

School of Health Sciences, University of Aveiro (ESSUA), Agras do Castro - Campus Universitário de Santiago, Edifício 30, 3810-193, Aveiro, Portugal; Center for Health Technology and Services Research - University of Aveiro Unit (CINTESIS.UA), Campus Universitário de Santiago, Aveiro, Portugal.

University of Aveiro, Agras do Castro - Campus Universitário de Santiago, Edifício 30, 3810-193, Aveiro, Portugal.

出版信息

Arch Gerontol Geriatr. 2018 Nov-Dec;79:145-150. doi: 10.1016/j.archger.2018.09.001. Epub 2018 Sep 10.

DOI:10.1016/j.archger.2018.09.001
PMID:30223237
Abstract

The majority of validation studies with the Falls Efficacy Scale-International (FES-I) are conducted with independent community-dwelling older people, which limits extrapolation to more vulnerable people, namely those receiving adult day care services. This study aimed to analyse the psychometric properties of the FES-I in terms of internal consistency, test-retest reliability, concurrent and convergent validity with users of adult day care centres. A cross-sectional study was conducted. Data collection included a socio-demographic questionnaire, the FES-I, the Activities-specific Balance Confidence Scale (ABC), the Hospital Anxiety and Depression Scale (HADS), the Timed Up and Go test (TUG) and the Five Times Sit to Stand Test (FTSST). Descriptive and inferential analyses were performed. A total of 100 users of adult day care centres (81.94 ± 6.43 years old; 77% female) have participated. The FES-I had excellent internal consistency (α = 0.970) and test-retest reliability (ICC = 0.979). A significant negative correlation was found between the FES-I and the ABC (r = -0.828; p < 0.001), suggesting good concurrent validity. FES-I scores were significantly higher among those who were female, had less educational levels and reported having fear of falling. Significant correlations were found between FES-I and age (r = 0.217; p < 0.05), HADS-Anxiety (r = 0.486; p < 0.001), HADS-Depression (r = 0.658; p < 0.001), TUG (r = 0.653; p < 0.001) and FTSST (r = 0.635; p < 0.001), indicating acceptable convergent validity. The FES-I is a reliable and valid instrument to assess concern about falling among users of adult day care centres. The findings are highly comparable with those previously found for non-users. FES-I can be used to prevent risk of falls in this type of care settings.

摘要

大多数《跌倒效能量表-国际版》(Falls Efficacy Scale-International,FES-I)的验证研究都是针对独立的社区居住的老年人进行的,这限制了其在更脆弱人群中的推广,即那些接受成人日间护理服务的人群。本研究旨在分析 FES-I 在内部一致性、重测信度、与成人日间护理中心使用者的同时和收敛效度方面的心理测量特性。这是一项横断面研究。数据收集包括社会人口学问卷、FES-I、活动特异性平衡信心量表(Activities-specific Balance Confidence Scale,ABC)、医院焦虑和抑郁量表(Hospital Anxiety and Depression Scale,HADS)、计时起立行走测试(Timed Up and Go test,TUG)和五次坐立站起测试(Five Times Sit to Stand Test,FTSST)。进行了描述性和推断性分析。共有 100 名成人日间护理中心使用者(81.94±6.43 岁;77%为女性)参与了研究。FES-I 具有极好的内部一致性(α=0.970)和重测信度(ICC=0.979)。FES-I 与 ABC 呈显著负相关(r=-0.828;p<0.001),提示良好的同时效度。女性、受教育程度较低和报告有跌倒恐惧的参与者的 FES-I 评分显著较高。FES-I 与年龄(r=0.217;p<0.05)、HADS 焦虑(r=0.486;p<0.001)、HADS 抑郁(r=0.658;p<0.001)、TUG(r=0.653;p<0.001)和 FTSST(r=0.635;p<0.001)显著相关,提示具有可接受的收敛效度。FES-I 是一种可靠且有效的评估成人日间护理中心使用者跌倒担忧的工具。研究结果与非使用者的研究结果高度一致。FES-I 可用于预防这类护理环境中的跌倒风险。

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