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《急性护理医院住院患者跌倒风险感知问卷-简短版的心理测量特性》

Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals.

机构信息

Department of Nursing, Asan Medical Center, Seoul, Korea.

College of Nursing, Korea University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2024 May;54(2):151-161. doi: 10.4040/jkan.23127.

Abstract

PURPOSE

Patients' perception of fall risk is a promising new indicator for fall prevention. Therefore, a fall risk perception questionnaire that can be used rapidly and repeatedly in acute care settings is required. This study aimed to develop a short version of the fall risk perception questionnaire (Short-FRPQ) for inpatients.

METHODS

For the psychometric measurements, 246 inpatients were recruited from an acute care hospital. The construct (using confirmatory factor analysis and discriminant validity of each item), convergent, and known-group validities were tested to determine the validity of the Short-FRPQ. McDonald's omega coefficient was used to examine the internal consistency of reliability.

RESULTS

In the confirmatory factor analysis, the fit indices of the Short-FRPQ, comprising 14 items and three factors, appeared to be satisfactory. The Short-FRPQ had a significantly positive correlation with the original scale, the Korean Falls Efficacy Scale-International, and the Morse Fall Scale. The risk of falls group, assessed using the Morse Fall Scale, had a higher score on the Short-FRPQ. McDonald's omega coefficient was .90.

CONCLUSION

The Short-FRPQ presents good reliability and validity. As patient participation is essential in fall interventions, evaluating the fall risk perception of inpatients quickly and repeatedly using scales of acceptable validity and reliability is necessary.

摘要

目的

患者对跌倒风险的感知是预防跌倒的一个很有前景的新指标。因此,需要一种能够在急性护理环境中快速且重复使用的跌倒风险感知问卷。本研究旨在为住院患者开发一种简短的跌倒风险感知问卷(Short-FRPQ)。

方法

在心理测量学测量方面,从一家急性护理医院招募了 246 名住院患者。对 Short-FRPQ 的结构(使用验证性因子分析和每个项目的判别有效性)、收敛和已知组有效性进行了测试,以确定 Short-FRPQ 的有效性。使用 McDonald's omega 系数来检验可靠性的内部一致性。

结果

在验证性因子分析中,由 14 个项目和 3 个因素组成的 Short-FRPQ 的拟合指数似乎令人满意。Short-FRPQ 与原始量表、韩国跌倒效能感量表-国际版和 Morse 跌倒量表呈显著正相关。使用 Morse 跌倒量表评估的跌倒风险组在 Short-FRPQ 上的得分较高。McDonald's omega 系数为.90。

结论

Short-FRPQ 具有良好的信度和效度。由于患者的参与在跌倒干预中至关重要,因此使用具有可接受的有效性和可靠性的量表快速且重复地评估住院患者的跌倒风险感知是必要的。

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