高级检索
中华老年医学杂志
期刊首页
过刊列表
高级检索
稿件发表
• 调查研究 •
ENGLISH ABSTRACT
5种老年人失能失智分级标准及可视化评估工具的编制和信效度检验
陈程
焦昕
王乙休
张芹
鲁翔
李汶汶
江钟立
作者及单位信息
·
DOI： 10.3760/cma.j.issn.0254-9026.2024.05.012
Development of five grading standards and visual assessment tools for the elderly disability with dementia and its reliability and validity testing
Chen Cheng
Jiao Xin
Wang Yixiu
Zhang Qin
Lu Xiang
Li Wenwen
Jiang Zhongli
Authors Info & Affiliations
Chen Cheng
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Jiao Xin
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Wang Yixiu
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Zhang Qin
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Lu Xiang
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Li Wenwen
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
Jiang Zhongli
Department of Rehabilitation, The Affiliated Sir Run Run Hospital of Nanjing Medical University, Nanjing 211100, China
·
DOI： 10.3760/cma.j.issn.0254-9026.2024.05.012
332
86
0
0
0
1
PDF下载
APP内阅读
摘要

目的建立与国际功能、残疾和健康分类(ICF)条目相匹配的中国老年人失能失智分级标准，同时编制能使患者、家属、医疗卫生工作者一致理解的可视化评估工具并验证其信效度。

方法通过参考相关文献及专家咨询，初步确立5种老年人失能失智分级、ICF条目及可视化评估工具；随后通过问卷法进行分级合理度及与插图、GIF动图、ICF条目匹配度调查。通过项目分析筛选条目，图文匹配效度检验确定可视化评估工具匹配程度，内部一致性信度或重测信度进行信度检验，内容效度进行效度检验。

结果每种失能失智分级初始分为5级，经过专家咨询修改后分为4级，并对相关描述语进行简化；所有条目与各部分总分的Pearson相关系数均大于0.3，且差异有统计学意义(均 P<0.05)；插图及GIF动图与相关描述语匹配度的平均分、众数均大于3，一致性率均大于50%，且两者在8个条目上的差异具有统计学意义；反映内部一致性的Cronbach's α系数均大于0.60，反映重测信度的组内相关系数均大于0.70；反映内容效度的问卷水平内容效度指数均大于0.90，条目水平内容效度指数均大于0.78。

结论初步确立了符合ICF的中国老年人失能失智分级标准及可视化评估工具，且具有良好的信效度；两种可视化评估工具中GIF动图更受欢迎，更容易帮助理解。

认知障碍;日常生活活动;失能;信度;效度
ABSTRACT

ObjectiveTo establish Chinese grading standards for elderly disability and dementia, in accordance with the International Classification of Functioning, Disability and Health(ICF)items, and to develop visual assessment tools that can be easily understood by patients, family members, and health workers.The aim is to verify the reliability and validity of these tools.

MethodsIn this study, we established five categories of elderly disability classification, along with corresponding ICF items and visual evaluation tools.The appropriateness and compatibility of the tools were assessed using questionnaires, which included illustrations, GIF dynamic pictures, and ICF items.Correlation analysis was conducted to screen the items, and the validity of the visual evaluation tools was determined through a picture-text matching validity test.Reliability was evaluated using internal consistency or test-retest reliability, and validity was assessed through content validity.

ResultsEach grade of disability was initially divided into five levels.However, after expert consultations and classification revision, each level was ultimately simplified into four levels with clearer descriptions.The Pearson correlation coefficients between all items and the total scores of each part were found to exceed 0.3, and the difference was statistically significant(all P<0.05).The average and mode of the illustrations and GIF dynamic pictures, when matched with related descriptions, were both above 3, with consistency rates surpassing 50%.Statistical differences were observed in eight items between the two visual assessment tools.The Cronbach's α coefficients, which reflect internal consistency, were all above 0.60.The intra-group correlation coefficients, which indicate test-retest reliability, were all greater than 0.70.The content validity index of the questionnaire at the overall level was above 0.90, while the item-level content validity index was more than 0.78.

ConclusionsThe Chinese grading standards for elderly disability and dementia, which are aligned with the ICF, have been preliminarily established.Visual assessment tools have also been developed, which demonstrate good reliability and validity.Among the two visual assessment tools, GIF dynamic pictures were found to be more popular and easier to understand.

Cognition disorders;Activities of daily living;Disability;Reliability;Validity
Jiang Zhongli, Email: mocdef.3ab611273hzgnaij
Copyright by Chinese Medical Association
No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.
All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.
引用本文

陈程,焦昕,王乙休,等. 5种老年人失能失智分级标准及可视化评估工具的编制和信效度检验[J]. 中华老年医学杂志,2024,43(05)：616-622.

DOI:10.3760/cma.j.issn.0254-9026.2024.05.012

PERMISSIONS

Request permissions for this article from CCC.

评价本文
*以上评分为匿名评价

版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

失能是指由于意外伤害或疾病导致身体或精神上损伤，使个人主要活动或生活能力丧失或受限，预计我国2050年失能老年人总量将从2020年的2 485.2万人增长至5 472.3万人 [ 1 ]。失智是指由于脑部伤害或疾病所导致的进行性认知功能退化，2018年我国失智老年人有1 200万，预计2040年将达到2 200万 [ 2 , 3 ]。失能失智老年人从发现至生命终结，平均10年以上，部分可长达20～30年 [ 4 ]，给家庭和社会带来巨大负担。国际功能、残疾和健康分类(ICF)是描述健康及与健康相关状态的统一标准语言和框架，通过科学的功能和残疾概念化，为描述和比较人群健康状况提供了宝贵工具 [ 5 , 6 ]。ICF涵盖了社会服务中所需要的概念及术语，可以在老年人社会服务管理过程中起到有效的记录作用，有助于评估干预措施在实现康复目标中的效果 [ 7 ]。为了更早、更便捷地了解自身状况，合理利用医疗资源，本研究将建立与ICF相匹配的视力、听力、行走、构音、认知5种中国老年人失能失智分级标准及可视化评估工具。因此，本研究将完成以下内容：第一部分，建立与ICF条目相匹配的中国老年人失能失智分级标准并验证其信效度；第二部分，建立相应的可视化评估工具并验证其信效度。
试读结束，您可以通过登录机构账户或个人账户后获取全文阅读权限。
参考文献
[1]
廖少宏，王广州．中国老年人口失能状况与变动趋势[J]. 中国人口科学， 2021,35(1):38-49,126-127.
返回引文位置Google Scholar
百度学术
万方数据
Liao SH , Wang GZ . Disability status and changing trend of the elderly population in China[J]. Chin J Popul Sci， 2021,35(1):38-49,126-127.
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[2]
贾让成．老年失智症给公共卫生带来的重大挑战与应对策略研究[J]. 中国卫生经济， 2019,38(7):44-47. DOI： 10.7664/CHE20190711 .
返回引文位置Google Scholar
百度学术
万方数据
Jia RC . Analysis on major challenge and coping strategy for public health brought by elderly dementia[J]. China Health Econ， 2019,38(7):44-47. DOI： 10.7664/CHE20190711 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[3]
World Health Organization. Dementia：a public health priority[R]. 2012.
返回引文位置Google Scholar
百度学术
万方数据
[4]
李晶．失能失智照护的社工视角与社区行动建议[J]. 中国社会工作， 2021,32(17):42-43. DOI： 10.3969/j.issn.1674-3857.2021.17.026 .
返回引文位置Google Scholar
百度学术
万方数据
Li J ．Social worker perspective and community action suggestions on disability and mental retardation care[J]. Chin Soc Work， 2021,32(17):42-43. DOI： 10.3969/j.issn.1674-3857.2021.17.026 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[5]
World Health Organization. International classification of functioning，disability and health：ICF[M]. Geneva：World Health Organization， 2001.
返回引文位置
[6]
Abdi S , Spann A , Borilovic J ，et al. Understanding the care and support needs of older people：a scoping review and categorisation using the WHO international classification of functioning，disability and health framework(ICF)[J]. BMC Geriatr， 2019,19(1):195. DOI： 10.1186/s12877-019-1189-9 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Almborg AH , Welmer AK . Use of the international classification of functioning，disability and health(ICF)in social services for elderly in Sweden[J]. Disabil Rehabil， 2012,34(11):959-964. DOI： 10.3109/09638288.2011.628739 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
陈新民，张宗久，叶奇，等．残疾人残疾分类和分级[S]. 2011.
返回引文位置
Chen XM ， Zhang ZJ ， Ye Q ，et al. Classification and grading criteria of disability[S]. 2011.
Goto Citation
[9]
World Health Organization. The World report on vision[R]. 2019.
返回引文位置Google Scholar
百度学术
万方数据
[10]
World Health Organization. The World Report on Hearing[R]. 2021.
返回引文位置Google Scholar
百度学术
万方数据
[11]
Lin K ， Wroten M ．Ranchos Los Amigos[M/OL]. Treasure Island(FL)：StatPearls Publishing， 2022. http://www.ncbi.nlm.nih.gov/books/NBK448151.
返回引文位置
[12]
沈德立，陶云．初中生有无插图课文的眼动过程研究[J]. 心理科学， 2001,24(4):385-388,508. DOI： 10.3969/j.issn.1671-6981.2001.04.001 .
返回引文位置Google Scholar
百度学术
万方数据
Shen DL , Tao Y ．A study on the eye movement process of junior middle school students with or without illustrations[J]. J Psych Sci， 2001,24(4):385-388,508. DOI： 10.3969/j.issn.1671-6981.2001.04.001 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[13]
Okochi J , Takahashi T , Takamuku K ，et al. Reliability of a geriatric assessment instrument with illustrations[J]. Geriatr Gerontol Int， 2005,5(1):37-47. DOI： 10.1111/j.1447-0594.2005.00268.x .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Begdache L , Marhaba R , Chaar M ．Validity and reliability of food-mood questionnaire(FMQ)[J]. Nutr Health， 2019,25(4):253-264. DOI： 10.1177/0260106019870073 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
王瑛．问卷调查的质量控制[J]. 商业经济与管理， 2003,138(4):25-27. DOI： 10.3969/j.issn.1000-2154.2003.04.006 .
返回引文位置Google Scholar
百度学术
万方数据
Wang Y ．Quality control of questionnaire survey[J]. J Bus Econ， 2003,138(4):25-27. DOI： 10.3969/j.issn.1000-2154.2003.04.006 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[16]
林章祥．听障学生心理健康评估问卷的初步编制[D]. 杭州：浙江理工大学， 2020.
返回引文位置Google Scholar
百度学术
万方数据
Lin ZX . A primary design of hearing-impaired student mental health scale[D]. Hangzhou：Zhejiang Sci-Tech University， 2020.
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[17]
杨茗，罗理，蒋皎皎，等．老年失能评估量表的编制(二)：正式量表的建立[J]. 中国康复医学杂志， 2014,29(3):212-217. DOI： 10.3969/j.issn.1001-1242.2014.02.004 .
返回引文位置Google Scholar
百度学术
万方数据
Yang M , Luo L , Jiang JJ ，et al. Development of the elderly disability assessment scale(Ⅱ)：the selection of items for the formal version[J]. Chin J Rehabil Med， 2014,29(3):212-217. DOI： 10.3969/j.issn.1001-1242.2014.02.004 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[18]
Norman G ．Likert scales，levels of measurement and the "laws" of statistics[J]. Adv Health Sci Edu Theory Pract， 2010,15(5):625-632. DOI： 10.1007/s10459-010-9222-y .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Krasnoryadtseva A , Dalbeth N , Petrie KJ . The effect of different styles of medical illustration on information comprehension，the perception of educational material and illness beliefs[J]. Patient Educ Couns， 2020,103(3):556-562. DOI： 10.1016/j.pec.2019.09.026 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
Shu X , Wu A , Tang J ，et al. What makes a data-GIF understandable？[J]. IEEE Trans Vis Comput Graph， 2021,27(2):1492-1502. DOI： 10.1109/TVCG.2020.3030396 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
李灿，辛玲．调查问卷的信度与效度的评价方法研究[J]. 中国卫生统计， 2008,25(5):541-544. DOI： 10.3969/j.issn.1002-3674.2008.05.034 .
返回引文位置Google Scholar
百度学术
万方数据
Li C , Xin L ．Research on the evaluation method of the reliability and validity of the questionnaire[J]. Chin J Health Stat， 2008,25(5):541-544. DOI： 10.3969/j.issn.1002-3674.2008.05.034 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[22]
欧奇令．对临沧工业园区员工信度的克朗巴哈系数分析[J]. 当代经济， 2016,32(7):118-120. DOI： 10.3969/j.issn.1007-9378.2016.07.048 .
返回引文位置Google Scholar
百度学术
万方数据
Ou QL . Cronbach coefficient analysis on the reliability of employees in Lincang industrial park[J]. Contemp Econ， 2016,32(7):118-120. DOI： 10.3969/j.issn.1007-9378.2016.07.048 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[23]
韩春红，王洁，洪洋，等．深静脉血栓形成机械预防知信行问卷的编制及信度和效度检验[J]. 上海交通大学学报(医学版)， 2022,42(1):28-35. DOI： 10.3969/j.issn.1674-8115.2022.01.001 .
返回引文位置Google Scholar
百度学术
万方数据
Han CH , Wang J , Hong Y ，et al. Development of knowledge-attitude-practice questionnaire for mechanical prophylaxis of deep venous thrombosis and its reliability and validity testing[J]. J Shanghai Jiaotong Univ(Med Sci)， 2022,42(1):28-35. DOI： 10.3969/j.issn.1674-8115.2022.01.001 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[24]
史静琤，莫显昆，孙振球．量表编制中内容效度指数的应用[J]. 中南大学学报(医学版)， 2012,37(2):49-52. DOI： 10.3969/j.issn.1672-7347.2012.02.007 .
返回引文位置Google Scholar
百度学术
万方数据
Shi JC , Mo XK , Sun ZQ . Content validity index in scale development[J]. J Cent South Univ(Med Sci)， 2012,37(2):49-52. DOI： 10.3969/j.issn.1672-7347.2012.02.007 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[25]
宗慧燕，何毅，郭华，等．脊髓损伤社区康复转介模式探索[J]. 华西医学， 2017,32(3):404-407. DOI： 10.7507/1002-0179.201504167 .
返回引文位置Google Scholar
百度学术
万方数据
Zong HY , He Y , Guo H ，et al. Exploration of referral patterns for rehabilitation of patients with spinal cord injury in community hospitals[J]. West China Med J， 2017,32(3):404-407. DOI： 10.7507/1002-0179.201504167 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
备注信息
A
江钟立　Email： mocdef.3ab611273hzgnaij
B

陈程：论文撰写、数据整理、统计学分析；陈程、焦昕、王乙休、张芹、鲁翔、李汶汶：实验操作；江钟立：研究指导、论文修改、经费支持

C
所有作者声明无利益冲突
D
国家重点研发计划 (2020YFC2008500)
评论 （0条）
注册
登录
时间排序
暂无评论，发表第一条评论抢沙发
最新推荐
更多
护理人员对患者自杀风险感知量表的编制及信效度检验
贾朝朝 等
中国实用护理杂志 2023,39(19)
护士成长型思维评估量表的编制及信效度检验
石玉慧 等
中国实用护理杂志 2023,39(09)
老年人照护进程中子代、隔代孝老伦理知信行问卷的编制及信效度检验
王钰 等
中国全科医学 2023,26(07)
中国老年人腰痛评估量表的编制
刘亚洋 等
中华疼痛学杂志 2022,18(01)
MedAI助手（体验版）
文档即答
智问智答
机器翻译
回答内容由人工智能生成，我社无法保证其准确性和完整性，该生成内容不代表我们的态度或观点，仅供参考。
生成快照
文献快照

你好，我可以帮助您更好的了解本文，请向我提问您关注的问题。

0/2000

《中华医学会杂志社用户协议》 | 《隐私政策》

《SparkDesk 用户协议》 | 《SparkDesk 隐私政策》

网信算备340104764864601230055号 | 网信算备340104726288401230013号

技术支持：

历史对话
本文全部
还没有聊天记录
设置
模式
纯净模式沉浸模式
字号
小中大