School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China.
Operating Room of People's Hospital, Xinzhou, Shanxi, China.
Front Public Health. 2023 Mar 15;11:1119630. doi: 10.3389/fpubh.2023.1119630. eCollection 2023.
The purpose of this study was to translate and verify the reliability and validity of the Chinese version of the self-care scale for older adults undergoing hip fracture surgery.
A total of 502 older adult/adults patients after hip fracture surgery were recruited from Liaoning, Shanxi, and Beijing, China. The reliability of the Chinese version of the scale was measured by internal consistency, split-half reliability, and retest reliability, and the validity was evaluated by the content validity index and structure validity index.
The Chinese version of the HFS-SC scale had a Cronbach's alpha coefficient of 0.848, and the Cronbach's alpha coefficients for the five dimensions ranged from 0.719 to 0.780. The split-half reliability of the scale was 0.739, and the retest reliability was 0.759. The content validity index (S-CVI) was 0.932. The five-factor structure, supported by the eigenvalues, total variance explained, and the scree plot accounted for 66.666% of the total variance. In confirmatory factor analysis, the model fit results were as follows, X2/df = 1.847, GFI = 0.914, AGFI = 0.878, PGFI = 0.640, IFI = 0.932, TLI = 0.912, CFI = 0.931, RMSEA = 0.058, PNFI = 0.679. The indicators of the model's fit were within reasonable bounds.
The Chinese version of the self-care scale for older adults undergoing hip fracture surgery has suitable reliability and validity. The scale can be used to assess the level of older adult/adults self-care in China following hip replacement surgery and serves as a useful benchmark for identifying potential intervention targets to raise the level of older adult/adults self-care following hip replacement surgery.
本研究旨在翻译和验证中文版老年人髋关节骨折手术后自我护理量表的信度和效度。
共招募中国辽宁、山西和北京 502 名髋关节骨折手术后的老年/成年患者。通过内部一致性、分半信度和重测信度来衡量量表的信度，通过内容效度指数和结构效度指数来评估效度。
中文版 HFS-SC 量表的 Cronbach's α 系数为 0.848，五个维度的 Cronbach's α 系数在 0.719 到 0.780 之间。量表的分半信度为 0.739，重测信度为 0.759。内容效度指数（S-CVI）为 0.932。五个因素结构，由特征值、总方差解释和碎石图支持，占总方差的 66.666%。验证性因子分析中，模型拟合结果为 X2/df = 1.847，GFI = 0.914，AGFI = 0.878，PGFI = 0.640，IFI = 0.932，TLI = 0.912，CFI = 0.931，RMSEA = 0.058，PNFI = 0.679。模型拟合的指标在合理范围内。
中文版老年人髋关节骨折手术后自我护理量表具有良好的信度和效度。该量表可用于评估中国老年人髋关节置换手术后的自我护理水平，为确定潜在的干预目标以提高老年人髋关节置换手术后的自我护理水平提供有用的基准。
