农村失能老人家庭积极度量表的编制及信效度检验
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女,硕士在读,护士

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中华护理学会2024年一般项目(ZHKY202414)


Development and reliability and validity testing of Family Activation Scale for Rural Disabled Older Adults
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    目的 编制农村失能老人家庭积极度量表并进行信效度检验,为衡量农村失能老人家庭积极度水平提供有效的测评工具。方法 遵循量表开发范式,以前期质性研究形成的农村失能老人家庭积极度概念框架为基础,通过文献分析、小组讨论、专家函询形成量表初稿。依据经济发展水平,采用分层整群抽样法抽取郑州市4个辖区8个行政村的463名失能老年人为调查对象,对量表进行项目分析和信效度检验。结果 最终形成的量表包括7个维度、28个条目。探索性因子分析提取特征值>1的7个公因子,累计方差贡献率为86.333%;验证性因子分析χ2/df=1.220,RMSEA=0.030,GFI=0.891,CFI=0.981,IFI=0.982,TLI=0.979,NFI=0.906;量表I-CVI为0.857~1.000,S-CVI/Ave为0.973;量表总的Cronbach′s α系数为0.927,Spearman-Brown折半信度为0.761,重测信度为0.932。结论 农村失能老人家庭积极度量表信效度良好,可用于评估农村失能老人家庭积极度。

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    Objective To develop the Family Activation Scale for Rural Disabled Older Adults and test its reliability and validity,and to provide a validated assessment tool for measuring the level of family activation among the disabled elderly in rural areas. Methods Following the process of scale development, the scale was developed based on the previously formed conceptual framework of the family activation of rural disabled older adults. The first draft of the scale was formed through literature analysis, group discussion, and expert consultation. According to the level of economic development, 463 disabled older adults from 8 administrative villages in 4 districts of Zhengzhou were selected as the survey participants by stratified cluster sampling, and the item analysis and reliability and validity of the scale were tested. Results The finalized scale consists of 7 dimensions and 28 items. Seven common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 86.333%. The results of validated factor analysis showed that χ2/df=1.220, RMSEA=0.030, GFI=0.891, CFI=0.981, IFI=0.982, TLI=0.979, NFI=0.906. The I-CVI ranged from 0.850 to 1.000, and the S-CVI/Ave was 0.973. The Cronbach′s α coefficient, Spearman-Brown split-half reliability and test-retest reliability coefficients were 0.927, 0.761,and 0.932, respectively. Conclusion The scale has good reliability and validity, and can be used to evaluate family activation of rural disabled older adults.

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李琪,张艳,吴心琦,温馨,马诗薇,赵雪敏.农村失能老人家庭积极度量表的编制及信效度检验[J].护理学杂志,2026,41(10):23-27

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  • 收稿日期:2025-12-19
  • 最后修改日期:2026-02-20
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  • 在线发布日期: 2026-06-15