开发和验证一个观察者评级的尺度,以观察轻度至中度残疾社区老年人的自我照顾行为
Enjie Zheng1, Huixian Chen2, Shuya Cai2
1School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China; The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
概括
一个新的观察者评级尺度,CDESBS-MMD,评估残疾老年人的自我照顾行为. 这种工具有助于护士识别护理需求并改善社区老年人护理.
科学领域:
- 老年护理的护理工作
- 老年学是指老年学的学科.
- 健康评估工具 健康评估工具
背景情况:
- 评估残疾老年人的自我照顾对于有效的老年护理至关重要.
- 现有的工具往往是单维的或自我报告,限制了全面的评估.
- 需要为社区生活的老年人量身定制的经过验证,观察者评级的仪器.
研究的目的:
- 开发和验证居住在社区的老年人自我照顾行为量表 (CDESBS-MMD).
- 创建一个专门用于护理的观察者评级工具,用于评估轻度至中度残疾的老年人自我照顾.
- 通过一个全面的评估工具,加强老年护理实践.
主要方法:
- 这是一项两阶段的研究,利用奥伦的自我护理理论来开发仪器.
- 在第一阶段进行定性采访,德尔菲咨询和试点测试.
- 用EFA和CFA对中国500名老年人的心理测量评估 (第二阶段).
主要成果:
- 最终的CDESBS-MMD尺度包括6个维度的19个项目:卫生,营养,安全,社会互动,药物管理和活动.
- 该尺度解释了59.281%的总方差.
- 证明了良好的内部一致性 (克朗巴赫的α=0.780) 和出色的测试-重新测试可靠性 (ICC=0.934).
结论:
- 该CDESBS-MMD是第一个观察员评级的尺度,用于评估社区居住的轻度至中度残疾的老年人自我照顾.
- 它为护士在识别护理需求和定制干预措施方面提供了临床上重要的支持.
- 该尺度可以提高老年人群社区护理资源分配的效率.
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