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社区居住老年人中虐待怀疑指数土耳其文版本的信度和效度。

Reliability and validity of the Turkish version of the elder abuse suspicion index in community-dwelling older adults.

机构信息

Department of Medical History and Bioethics, Gülhane Faculty of Medicine, University of Health Sciences, Ankara, Turkey.

Division of Geriatrics, University of Health Sciences, Gülhane Faculty of Medicine and Gülhane Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Med Sci. 2023 Feb;53(1):432-438. doi: 10.55730/1300-0144.5600. Epub 2023 Feb 22.

Abstract

BACKGROUND

Elder abuse is among the most important ethical issue during the management of older population. The elder abuse suspicion index (EASI) was developed for evaluating abuse in older adults. We aimed to assess the reliability and validity of the Turkish version EASI-Türkiye (TR) among older adults.

METHODS

This study included 89 community-dwelling older adults. The EASI-TR and other scales, including HwalekSengstock Elder Abuse Screening Test-Türkiye (HS/EAST-TR), YGDS, Yesavage Geriatric Depression Scale (YGDS), Instrumental Activities of Daily Living (IADL), and Activities of Daily Living (ADL) were administered to all participants. Internal consistency and external validity were assessed.

RESULTS

EASI-TR revealed an excellent test-retest reliability and acceptable level of internal consistency (Cronbach's α = 0.711). The item-total correlations ranged between 0.296 and 0.701, except for the second item. This test showed significant correlations with the HS/EAST-TR and IADL (p < 0.05), demonstrating good external validity.

DISCUSSION

The EASI-TR appears to have acceptable reliability and validity in screening for abuse in older adults. This tool may recognize cases that require additional evaluation in managing of ethical issues.

摘要

背景

在老年人管理中,虐待老人是最重要的伦理问题之一。虐待老人怀疑指数(EASI)是为评估老年人虐待而开发的。我们旨在评估土耳其版 EASI-Türkiye(TR)在老年人中的可靠性和有效性。

方法

本研究纳入 89 名居住在社区的老年人。所有参与者均接受 EASI-TR 及其他量表评估,包括 HwalekSengstock 老年虐待筛查测试-土耳其版(HS/EAST-TR)、YGDS、Yesavage 老年抑郁量表(YGDS)、日常生活活动工具(IADL)和日常生活活动(ADL)。评估内部一致性和外部有效性。

结果

EASI-TR 显示出极好的重测信度和可接受的内部一致性水平(Cronbach's α = 0.711)。除第二项外,项目与总分的相关性在 0.296 至 0.701 之间。该测试与 HS/EAST-TR 和 IADL 呈显著相关(p < 0.05),表明具有良好的外部有效性。

讨论

EASI-TR 在筛查老年人虐待方面具有可接受的可靠性和有效性。该工具可以识别需要进一步评估以处理伦理问题的情况。

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