Zhongguo quanke yixue (Jun 2024)
Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
Abstract
Background In the context of the national efforts to promote the development of home care services for the elderly, chronic diseases and disabled patients, the adoption of professional assessment tools that can effectively assess the health of patients in the home environment and meet the needs of care services is an important guarantee to accurately match the needs of patients for home medical care. Objective To sinicize the Community Health Intensity Rating Scale (CHIRS) and evaluate its reliability and validity in the elderly patients with chronic diseases in the community. Methods After obtaining authorization from the original author, the translation, back translation and cultural adaptation process of the Brislin model were followed to form the Chinese version of CHIRS. From March to June 2021, a convenience sampling method was used to select elderly patients managed by a community health service center (station) in Chengdu as the research subjects. Expert consultation was used to evaluate the content validity of the scale; the internal consistency coefficient was used to test the reliability of the scale and to verify its practicality. Results A total of 244 patients were investigated and completed the household questionnaire, with a valid recovery rate of 100.0%. The expert consultation results showed that the S-CVI/ave of the Chinese version of CHIRS was 0.98, and the I-CVI ranged from 0.71 to 1.00; the overall Cronbach's α coefficient was 0.884, and the Cronbach's α coefficients for the four dimensions ranged from 0.593 to 0.787, the predictive validity results showed that the Spearman correlation coefficients of CHIRS result with self-rated health status and demand for home care services were -0.611 (P<0.001) and 0.584 (P<0.001) . Conclusion After sinicization and localization modification, the Chinese version of CHIRS has better reliability and reference value, which can be used to evaluate the health status and demand for home care services of elderly patients with chronic diseases in the community.
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