眼科住院患者跌倒风险评估工具的修正与心理计量学评估。
Refining and psychometric evaluation of the falling risk assessment tool in ophthalmology inpatients.
机构信息
Department of Ophthalmology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou, China.
出版信息
Nurs Open. 2023 Oct;10(10):6912-6922. doi: 10.1002/nop2.1945. Epub 2023 Jul 17.
AIMS
The aim of this study was to refine the Falling Risk Assessment Tool in Ophthalmology Inpatients (FRAT) and assess its psychometric properties.
DESIGN
A cross-sectional design was used.
METHODS
A convenience sample of 730 patients in the ophthalmology department was recruited in a level A tertiary hospital in Guangdong Province from July 2021 to January 2022. Data were analysed using item analysis, interrater reliability, content validation, internal consistency reliability and exploratory factor analysis.
RESULTS
Five factors were extracted, accounting for 63.039% of the variance. The interrater reliability of the tool was 0.97. Cronbach's α was 0.658. The I-CVI was 0.75-1.00, the S-CVI/UA was 0.95 and the adjusted mean values of Kappa for indicators ranged from 0.72 to 1.00, as evaluated by the expert group. The FRAT showed satisfactory reliability and validity, and can be used to measure the fall risk assessment in ophthalmology inpatients.
PATIENT OR PUBLIC CONTRIBUTION
After explaining the purpose, the patients received our fall risk assessment and answered the corresponding questionnaire questions.
目的
本研究旨在改进眼科住院患者跌倒风险评估工具（FRAT），并评估其心理测量学特性。
设计
采用横断面设计。
方法
于 2021 年 7 月至 2022 年 1 月，在广东省一家 A 级三级医院的眼科部门，便利选取 730 例患者作为研究对象。采用项目分析、评分者间信度、内容效度、内部一致性信度和探索性因子分析对数据进行分析。
结果
提取出 5 个因子，占总方差的 63.039%。工具的评分者间信度为 0.97。克朗巴赫 α 系数为 0.658。I-CVI 为 0.75-1.00，S-CVI/UA 为 0.95，专家组评估的指标的校正后 Kappa 值的平均范围为 0.72-1.00。FRAT 具有良好的信度和效度，可用于评估眼科住院患者的跌倒风险。
患者或公众参与
在解释目的后，患者接受了我们的跌倒风险评估，并回答了相应的问卷问题。
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