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老年人多维健康状况量表信效度

发布时间:2019-02-14 20:16
【摘要】:目的以美国老年人资源与服务量表(OARS)中的多维功能评价问卷(MFAQ)为母版,进行改编,并检测其信效度,最终形成方便实用的老年人多维健康功能评价量表(MHACS)。方法 2014年3~6月采用分层随机抽样,运用MHACS,对939名社区老年人进行问卷调查。结果 Cronbachα系数为0.86,分半信度为0.66,重测信度为0.69;条目相关性分析结果显示所有条目-总分均有显著性相关(P0.01),条目水平的内容效度指数(I-CVI)为0.82~1.00,量表水平的内容效度指数(I-CVI)即全体一致性I-CVI(S-CVI/UA)为0.86、平均S-CVI(S-CVI/Ave)为0.95;经探索性因子分析(EFA)得到五因子结构方程模型,各条目共同度为0.49~0.87,累计方差贡献率为66.87%,对模型进行验证性因子分析(CFA),拟合优度指数(GFI)、调整后适配度指数(AGFI)均0.90,渐进残差均方和平方根(RMSEA)0.08。结构方程模型中非标准化与标准化回归系数分别为0.82~1.25、0.64~0.93。结论 MHACS量表信效度良好,可用于评价中国老年人多维健康功能状况。
[Abstract]:Objective to adapt and test the reliability and validity of the Multidimensional function Evaluation questionnaire (MFAQ) in the American elderly Resources and Services scale (OARS), and to form a convenient and practical Multidimensional Health function Evaluation scale (MHACS).) for the elderly. Methods A total of 939 elderly people in the community were investigated by stratified random sampling and MHACS, from March to June 2014. Results the Cronbach 伪 coefficient was 0.86, the split-half reliability was 0.66, and the test-retest reliability was 0.69. The results of item correlation analysis showed that all item-total scores were significantly correlated (P0. 01), and the content validity index (I-CVI) of item level was 0. 82 卤1. 00, The content validity index (I-CVI) of the scale level was 0.86, and the average S-CVI (S-CVI/Ave) was 0.95, that is, the whole consistency I-CVI (S-CVI/UA) was 0.86; By exploratory factor analysis (EFA), a five-factor structural equation model was obtained. The common degree of each entry was 0.49 ~ 0.87, and the cumulative contribution rate of variance was 66.87. The model was tested by confirmatory factor analysis, (CFA), goodness of fit index (GFI),). The adjusted fitness index (AGFI) was 0.90, progressive residual mean square (RMS) and square root (RMSEA) (RMSEA) 0.08. The non-standardized and normalized regression coefficients of the structural equation model are 0.82 ~ 1.25 ~ 0.64 ~ 0.93, respectively. Conclusion the reliability and validity of MHACS scale are good and can be used to evaluate the multi-dimensional health function of the elderly in China.
【作者单位】: 锦州医科大学附属第三医院;锦州医科大学护理学院;
【分类号】:R592


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