老年综合评估工具CARE的汉化及信效度分析

Objective: To debug and evaluate the reliability and validity of the Continuity Assessment Record and Evaluation (CARE) scale in the elderly in hospitals and nursing homes, and to provide an assessment tool for the referral of the elderly between hospitals and nursing homes. Methods: The English version of CARE was translated and culturally adapted to form the simplified Chinese version of CARE. The Chinese version of CARE was used to investigate 120 elderly inpatients in hospitals and 120 elderly in nursing homes in Shanghai to test its internal consistency reliability, inter-rater reliability and criterion-related validity. Results: In the hospital elderly, 80.0% (8/10) of the subscales of CARE had a Cronbach's α coefficient > 0.6, and the inter-rater reliability (ICC) of 1 item was 0.75. When used for the elderly in nursing homes, all subscales had a Cronbach's α coefficient > 0.6, the ICC of 3 items was 0.40 - 0.75, and that of 50 items was > 0.75. The correlation coefficients between the CARE subscales of cognitive function, basic self-care ability and other activities of daily living and their corresponding criterion scales were all > 0.8 in the elderly in hospitals and nursing homes. Conclusion: The comprehensive geriatric assessment tool CARE has good reliability and validity in the elderly in hospitals and nursing homes in China and can be used as an assessment tool for the continuity of care of the elderly between hospitals and nursing homes.

目的调试并评价连续性评估记录与评价量表(CARE)在医院和护理院老年人中的信效度,为老年人在医院和护理院间转介提供评估工具。方法对英文版CARE进行翻译、文化调试,形成简体中文版CARE。采用中文版CARE调查上海市120例医院住院老年人和120例护理院老年人,检验其内部一致性信度、评估者间信度和效标关联效度。结果CARE在医院老年人中80.0%(8/10)的分量表Cronbach'sα系数>0.6,1个条目的评估者间信度(ICC)0.75。用于护理院老年人,所有分量表Cronbach'sα系数>0.6,3个条目的ICC为0.40~0.75,50个条目>0.75。CARE认知功能、基本自理能力和其他日常生活活动能力分量表与其相应的效标量表的相关系数在医院和护理院老年人中均>0.8。结论老年综合评估工具CARE在我国医院和护理院老年人中均有良好的信效度,可作为老年人在医院和护理院间连续性照护的评估工具。