School of Nursing, Wenzhou Medical University, Wenzhou, China.
Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Int J Older People Nurs. 2023 Sep;18(5):e12569. doi: 10.1111/opn.12569. Epub 2023 Aug 13.
Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital.
Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test-retest reliability were also conducted to assess the psychometric properties of the scale.
EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach α = 0.740), and the test-retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (r = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity.
The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale.
The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.
老年人自我忽视是一个全球性的公共卫生问题，由于健康状况恶化，住院的老年人可能有更高的自我忽视风险。本研究旨在将 Abrams 老年自我忽视评估量表（AGSS）翻译、改编并应用于中国住院老年人。
数据来自对一家综合医院的 452 名老年住院患者的横断面调查。采用探索性因子分析（EFA）和验证性因子分析（CFA）来检验 AGSS 的结构效度。还进行了内容效度、效标效度、内部一致性信度和重测信度，以评估量表的心理测量特性。
EFA 得出了一个 6 项单因素模型，该模型得到了 CFA 的支持，并解释了总方差的 44.74%。内部一致性可接受（Cronbach α=0.740），14 天间隔的重测信度良好（组内相关系数 ICC=0.966）。与照顾者评定的老年自我忽视评估量表显著正相关（r=0.648）支持了该量表的同时效度。在不同年龄、婚姻状况、教育程度和慢性病数量的受访者之间，评分存在显著差异，表明该量表具有鉴别效度。
AGSS 的中文版本是一种易于使用、可靠且有效的测量工具，具有令人满意的心理测量特性。未来的研究应招募更多具有代表性的中国老年人样本，以验证该量表的适用性。
AGSS 的中文版本使临床工作人员能够在住院时准确地筛查和评估老年自我忽视，从而为那些有自我忽视风险的人制定具体的干预措施，并指定额外的监护人。
