Qiongying Xu BS, RN, Liuqing Xu MS, RN, Jingrui Tao BS, RN, Xuewei Chen BS, RN, Yao Zhang BS, RN, Sisi Jiang MS, RN, Chaoqun Dong PhD. RN
{"title":"艾布拉姆斯老年自我忽视评估量表在住院中国老年人中的适应性和验证。","authors":"Qiongying Xu BS, RN, Liuqing Xu MS, RN, Jingrui Tao BS, RN, Xuewei Chen BS, RN, Yao Zhang BS, RN, Sisi Jiang MS, RN, Chaoqun Dong PhD. RN","doi":"10.1111/opn.12569","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test–retest reliability were also conducted to assess the psychometric properties of the scale.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach <i>α</i> = 0.740), and the test–retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (<i>r</i> = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale.</p>\n </section>\n \n <section>\n \n <h3> Implications for Practice</h3>\n \n <p>The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adaptation and validation of the Abrams geriatric self-neglect assessment scale among older Chinese people admitted to the hospital\",\"authors\":\"Qiongying Xu BS, RN, Liuqing Xu MS, RN, Jingrui Tao BS, RN, Xuewei Chen BS, RN, Yao Zhang BS, RN, Sisi Jiang MS, RN, Chaoqun Dong PhD. 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Adaptation and validation of the Abrams geriatric self-neglect assessment scale among older Chinese people admitted to the hospital
Objectives
Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital.
Methods
Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test–retest reliability were also conducted to assess the psychometric properties of the scale.
Results
EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach α = 0.740), and the test–retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (r = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity.
Conclusion
The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale.
Implications for Practice
The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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