验证 REAGERA-S：一种新的自我管理工具，用于识别住院老年人中的虐待行为和终生虐待经历。

Validation of REAGERA-S: a new self-administered instrument to identify elder abuse and lifetime experiences of abuse in hospitalized older adults.

机构信息

Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Department of Psychiatry,Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

出版信息

J Elder Abuse Negl. 2020 Mar-May;32(2):173-195. doi: 10.1080/08946566.2020.1737614. Epub 2020 Mar 9.

DOI:10.1080/08946566.2020.1737614

PMID:32148186

Abstract

This study aimed to develop and validate REAGERA-S, a self-administered instrument to identify elder abuse as well as lifetime experiences of abuse in older adults. REAGERA-S consists of nine questions concerning physical, emotional, sexual, financial abuse and neglect. Participants were recruited among patients (≥ 65 years) admitted to acute in-hospital care (n = 179). Exclusion criteria were insufficient physical, cognitive, or language capacity to complete the instrument. A semi-structured interview conducted by a physician was used as a gold standard against which to assess the REAGERA-S. The final version was answered by 95 older adults, of whom 71 were interviewed. Sensitivity for lifetime experiences of abuse was 71.9% and specificity 92.3%. For elder abuse, sensitivity was 87.5% and specificity was 92.3%. REAGERA-S performed well in validation and can be recommended for use in hospitals to identify elder abuse as well as life-time experience of abuse among older adults.

摘要

本研究旨在开发和验证 REAGERA-S，这是一种自我管理的工具，用于识别老年人的虐待行为以及一生中遭受虐待的经历。REAGERA-S 由九个问题组成，涉及身体、情感、性、财务虐待和忽视。参与者是从接受急性住院治疗的患者（≥65 岁）中招募的（n=179）。排除标准是身体、认知或语言能力不足，无法完成该工具。一个由医生进行的半结构化访谈被用作评估 REAGERA-S 的金标准。最终版本由 95 名老年人回答，其中 71 人接受了访谈。对一生中遭受虐待的经历的敏感性为 71.9%，特异性为 92.3%。对于老年虐待，敏感性为 87.5%，特异性为 92.3%。REAGERA-S 在验证中表现良好，可推荐在医院使用，以识别老年人的虐待行为以及一生中遭受虐待的经历。