社区老年人和养老院居民的衰弱：一项改编与验证研究。
Frailty in community-dwelling older people and nursing home residents: An adaptation and validation study.
作者信息
Kmetec Sergej, Fekonja Zvonka, Davey Adam, Kegl Barbara, Mori Jernej, Reljić Nataša Mlinar, McCormack Brendan, Lorber Mateja
机构信息
Faculty of Health Sciences, University of Maribor, Maribor, Slovenia.
College of Health Sciences, University of Delaware, Newark, USA.
出版信息
J Adv Nurs. 2024 Mar;80(3):1111-1119. doi: 10.1111/jan.15898. Epub 2023 Oct 12.
AIM
The aim of this was to psychometrically adapt and evaluate the Tilburg Frailty Indicator to assess frailty among older people living in Slovenia's community and nursing home settings.
DESIGN
A cross-cultural adaptation and validation of instruments throughout the cross-sectional study.
METHODS
Older people living in the community and nursing homes throughout Slovenia were recruited between March and August 2021. Among 831 participants were 330 people living in nursing homes and 501 people living in the community, and all were older than 65 years.
RESULTS
All items were translated into the Slovene language, and a slight cultural adjustment was made to improve the clarity of the meaning of all items. The average scale validity index of the scale was rated as good, which indicates satisfactory content validity. Cronbach's α was acceptable for the total items and subitems.
CONCLUSIONS
The Slovenian questionnaire version demonstrated adequate internal consistency, reliability, and construct and criterion validity. The questionnaire is suitable for investigating frailty in nursing homes, community dwelling and other settings where older people live.
IMPACT
The Slovenian questionnaire version can be used to measure and evaluate frailty among older adults. We have found that careful translation and adaptation processes have maintained the instrument's strong reliability and validity for use in a new cultural context. The instrument can foster international collaboration to identify and manage frailty among older people in nursing homes and community-dwelling homes.
REPORTING METHOD
The Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting cross-sectional studies was used.
NO PATIENT OR PUBLIC CONTRIBUTION
No patient or public involvement in the design or conduct of the study. Head nurses from nursing homes and community nurses helped recruit older adults. Older adults only contributed to the data collection and were collected from nursing homes and community dwelling.
目的
本研究旨在对蒂尔堡衰弱指标进行心理测量学适应性调整和评估，以评估生活在斯洛文尼亚社区和养老院环境中的老年人的衰弱情况。
设计
在横断面研究中对工具进行跨文化适应性调整和验证。
方法
2021年3月至8月招募了生活在斯洛文尼亚各地社区和养老院的老年人。831名参与者中，有330人住在养老院，501人住在社区，所有人年龄均超过65岁。
结果
所有条目均被翻译成斯洛文尼亚语，并进行了轻微的文化调整以提高所有条目的含义清晰度。该量表的平均量表效度指数被评为良好，表明内容效度令人满意。总条目和子条目的克朗巴哈α系数均可接受。
结论
斯洛文尼亚问卷版本显示出足够的内部一致性、信度以及结构效度和效标效度。该问卷适用于调查养老院、社区住所及其他老年人居住场所中的衰弱情况。
影响
斯洛文尼亚问卷版本可用于测量和评估老年人的衰弱情况。我们发现，经过仔细的翻译和适应性调整过程，该工具在新的文化背景下仍保持了较强的信度和效度。该工具可促进国际合作，以识别和管理养老院及社区住所中老年人的衰弱情况。
报告方法
采用了加强流行病学观察性研究报告清单来报告横断面研究。
患者或公众贡献
在研究设计或实施过程中没有患者或公众参与。养老院的护士长和社区护士协助招募老年人。老年人仅参与了数据收集，数据收集于养老院和社区住所。
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