School of Nursing, Fujian Medical University, NO 1 Xuefu North Road, University Town, Shangjie Zhen, Minhou County, Fuzhou, Fujian, China.
Qual Life Res. 2019 Sep;28(9):2535-2542. doi: 10.1007/s11136-019-02192-y. Epub 2019 May 3.
For older adults, psychological adjustment has a great impact on successfully making the transition to living in a nursing home. However, a tailored Nursing Home Adjustment Scale (NHAS) for Chinese nursing home residents is not available. The aim of this study was to develop and psychometrically test properties of the NHAS for Chinese residents.
A total of 425 residents were recruited from 10 nursing homes from September 2017 to February 2018 in Fujian, China, to examine the psychometrics of the NHAS Chinese version. exploratory structural equation modeling (ESEM) was applied to evaluate the NHAS scale. Internal consistency, test-retest reliability, and construct validity were examined.
The final structure for the NHAS was categorized into five domains, including emotional distress, relationship development, acceptance of new residence, depressed mood, and feeling at home. The goodness-of-fit indices of ESEM supported the five-factor model with satisfactory internal consistency (Cronbach's α = 0.87) and test-retest reliability of 0.72 for the entire scale.
The Chinese version of the NHAS is a reliable and valid instrument to assess the level of nursing home adjustment among nursing home residents in China.
对于老年人来说，心理调整对成功过渡到养老院生活有很大的影响。然而，针对中国养老院居民的定制化养老院调整量表（NHAS）尚不可用。本研究旨在开发和检验 NHAS 中文版的心理测量学特性。
2017 年 9 月至 2018 年 2 月，我们从中国福建的 10 家养老院招募了 425 名居民，以检验 NHAS 中文版的心理测量学特性。探索性结构方程建模（ESEM）被用于评估 NHAS 量表。我们检验了内部一致性、重测信度和结构效度。
NHAS 的最终结构分为五个领域，包括情绪困扰、关系发展、接受新住所、抑郁情绪和居家感。ESEM 的拟合优度指数支持五因素模型，整个量表的内部一致性（Cronbach's α=0.87）和重测信度为 0.72，均令人满意。
NHAS 中文版是一种可靠且有效的工具，可用于评估中国养老院居民的养老院适应水平。
