Neubauer H, Kempe P, Closs C, Waldmann G
Aktuelle Gerontol. 1979 Feb;9(2):91-8.
Studies to develop and validate two Guttman-scales are reported, which aim at measuring level of functional health and inclination to engage in social contacts in aged persons. A first scale analysis, based on the answers of 150 old persons, resulted in two, 12-item scales, which according to Guttman's criterion were fully satisfying. In two consecutive studies Guttman-selfratings of two other samples of old people were validated against ratings of experts, who disposed of profound knowledge of the sampled persons (a physician of a nursing home, managers of homes for the aged). A second scale analysis was performed, too. The results, especially the very significant correlations between expert ratings and selfassessments, suggest a broader application of at least the functional health scale. It is proposed to use the scales, if one aims at increasing the fit between individual needs and amount of services provided, and as instruments to control for sample characteristics, if different care programs are evaluated.
本文报告了两项旨在开发和验证古特曼量表的研究,其目的是测量老年人的功能健康水平和参与社交活动的倾向。基于150位老年人的回答进行的首次量表分析得出了两个包含12个条目的量表,根据古特曼标准,这两个量表完全令人满意。在两项连续的研究中,针对另外两组老年样本的古特曼自评结果与专家评分进行了验证,这些专家对抽样人群(一家养老院的医生、老年之家的管理人员)有着深入的了解。同时也进行了第二次量表分析。结果,尤其是专家评分与自我评估之间非常显著的相关性,表明至少功能健康量表有更广泛的应用前景。建议如果旨在提高个人需求与所提供服务数量之间的匹配度,就使用这些量表;如果对不同的护理项目进行评估,就将其作为控制样本特征的工具。