Department of Puplic Health Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey.
Department of Public Health Nursing, Faculty of Health Sciences, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
Psychogeriatrics. 2021 Mar;21(2):166-174. doi: 10.1111/psyg.12651. Epub 2020 Dec 22.
Stress can threaten the health and recovery of patients, and determining the level of stress can be an important factor in curing illnesses. The aim was to adapt the Hospitalisation-Related Stressors Questionnaire for Elderly Patients (HRSQ-EP) and perform its psychometric evaluation.
In the study, the method of developing a scale and determining the construct validity and reliability of this scale was used. The research was carried out with elderly patients who were hospitalised. The research was conducted in two main phases; in the first phase, after providing expert opinion for the language validity of the scale, the content and face validity were confirmed and then confirmatory and exploratory factor analyses were applied for content validity and reliability in the second phase.
The new scale, which was formed as a result of evaluating the construct validity, consisted of three factors and 15 items, and all factors explained 67.1% of the total variance. Kaiser-Meyer-Olkin, which determined the suitability of the measurement tool for factor analysis, was determined as 0.901 and Bartlett test 0.000. The adapted short form is a simple and easy-to-understand tool for determining the stress levels of hospitalised elderly individuals. HRSQ-EP provided evidence that it demonstrates adequate internal consistency, reliability and construct validity.
The results suggested that the adapted measurement tool will be useful. The scale is recommended to be evaluated in different populations to determine cultural differences.
压力会威胁到患者的健康和康复，而确定压力水平可能是治愈疾病的一个重要因素。本研究旨在对老年住院患者应激源量表（HRSQ-EP）进行改编，并对其进行心理测量学评估。
本研究采用量表编制方法，确定量表的结构效度和信度。研究对象为住院老年患者。研究分两个主要阶段进行；在第一阶段，在为量表的语言效度提供专家意见后，确认内容和表面效度，然后在第二阶段应用验证性和探索性因子分析来确认内容效度和信度。
新量表经结构效度评价后形成，包含 3 个因子和 15 个项目，所有因子共解释了总方差的 67.1%。Kaiser-Meyer-Olkin 用于确定测量工具是否适合因子分析的指标为 0.901，Bartlett 检验为 0.000。改编后的简短形式是一种简单易用的工具，用于确定住院老年个体的应激水平。HRSQ-EP 提供了充分的内部一致性、可靠性和结构效度的证据。
研究结果表明，该改编后的测量工具将是有用的。建议在不同人群中评估该量表，以确定文化差异。
