《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (12): 1438-1442.

• 国际会议报道 • 上一篇    下一篇

简明国际跌倒效能感量表在脑梗死患者中的信度和效度检验

邓宁，张彤，史宝欣
  

  1. 天津医科大学护理学院，天津市 300070。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-25 发布日期:2015-12-25

Reliability and Validity of Chinese Version of Short Falls Efficacy Scale International in Patients with Cerebral Infarction

DENG Ning, ZHANG Tong, SHI Bao-xin
  

  1. Tianjin Medical University College of Nursing, Tianjin 300070, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-25 Online:2015-12-25

PDF (PC)

被引次数

6

摘要： 目的 引入简明国际跌倒效能感量表(简明 FES-I)，探讨该量表在脑梗死患者中应用的信度和效度。方法 联系欧洲跌倒预防网络工作组(ProFaNe)取得英文版和繁体中文版简明 FES-I，进一步修订形成简体中文版。采用便利抽样方法选取 2014年12 月~2015 年 5 月在天津市 2 所三级甲等医院住院的脑梗死患者 105 例，发放简体中文版简明 FES-I、修订版跌倒效能感量表(MFES)、广泛性焦虑量表-7(GAD-7)和病人健康状况问卷-9(PHQ-9)进行问卷调查，同期收集患者实验室指标。结果 简明 FES-I的内在一致性 Cronbach α系数为 0.98，简明 FES-I 与 MFES 呈负相关(r=-0.41, P<0.001)；与 GAD-7(r=0.52, P<0.001)、PHQ-9(r=0.46, P<0.001)、C反应蛋白(r=0.21, P=0.032)相关，与其他实验室指标不相关(P>0.05)。有跌倒史者和无跌倒史者之间简明FES-I评分有显著性差异(P<0.05)。结论 简明FES-I内部一致性高且有效，是一种可应用于筛查国内脑梗死患者跌倒恐惧发生的直接、简便的临床测评工具。

关键词: 脑梗死, 跌倒恐惧, 跌倒效能, 信度, 效度

Abstract: Objective To introduce the Chinese version of short Falls Efficacy Scale International (short FES-I) and test its reliability and validity in patients with cerebral infarction. Methods The English version and the traditional Chinese version of short FES-I were obtained from the Prevention of Falls Network Europe, and the simplified Chinese version was developed after a further revision. A sample of 105 inpatients with cerebral infarction from December 2014 to May 2015 were recruited from 2 tertiary hospitals in Tianjin. They were investigated with the simplified Chinese version of short FES- I, modified Falls Efficacy Scale (MFES), Generalized Anxiety Disorder- 7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). At the same time, the laboratory indexes of the patients were collected. Results The Cronbach's α coefficient of short FES-I was 0.98 and the score of short FES-I was negatively correlated with MFES (r=-0.41, P<0.001). Short FES-I was correlated wtih GAD-7 score (r=0.52, P<0.001), PHQ-9 score (r=0.46, P<0.001) and the level of C reaction protein (r= 0.21, P=0.032), but uncorrelated with other laboratory indexes (P>0.05). There was significant difference in the score of short FES-I between the patients with or without falling. Conclusion Short FES-I is valid and internal consistant, and can be used as an assessment tool to screen fear of falling among patients with cerebral infarction.

Key words: cerebral infarction, fear of falling, falls efficacy, reliability, validity