本文選題：老年人　切入點：衰弱　出處：《山東大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的翻譯蒂爾堡衰弱指標量表(TFI)形成中文版,檢驗該量表在中國社區(qū)老年人群中的適用性和信效度,探尋中文版TFI量表的衰弱臨界值。應(yīng)用中文版TFI量表探討衰弱與生存質(zhì)量之間的關(guān)系,以期為衰弱的預(yù)防與干預(yù)提供可靠依據(jù)。方法取得TFI量表作者的同意與授權(quán)后,采用標準的量表翻譯方法對TFI量表進行翻譯與回譯,最后由專家討論形成最終的中文版TFI量表。根據(jù)分層抽樣法從濟南市選取的歷下區(qū)、市中區(qū)、天橋區(qū)的共917名60歲及以上的社區(qū)老年人為調(diào)研對象。應(yīng)用一般資料問卷、采用簡易認知狀態(tài)量表(SPMSQ)、日常生活能力量表(ADL)和工具性日常生活能力量表(IADL)、老年人抑郁評定量表(GDS-15)、站起走試驗(TUG)、肖水源社會支持評定量表(SSRS)、家庭關(guān)懷度(APGAR)、Fried衰弱表型評估法對中文版TFI量表進行信效度檢驗。應(yīng)用SF-12測評生存質(zhì)量,研究衰弱與生存質(zhì)量的相關(guān)關(guān)系。信度的檢驗采用Cronbach's α 一致性檢驗及Pearson相關(guān)分析,聚合效度采用Kappa 一致性檢驗與Pearson相關(guān)性分析,標準效度應(yīng)用ROC曲線分析。衰弱與生存質(zhì)量的關(guān)系研究采用相關(guān)性分析及多元線性回歸分析。統(tǒng)計分析采用SPSS 21.0統(tǒng)計軟件包及STATA 12.0。P0.05時有統(tǒng)計學(xué)意義。結(jié)果1.中文版本的TFI量表,其Cronbach's α系數(shù)為0.71,103位研究對象的衰弱總得分重測相關(guān)系數(shù)為0.88。2.中文版TFI量表的各條目與其相對應(yīng)的替代性測量之間的Kappa 一致性系數(shù)均具有統(tǒng)計學(xué)意義(P0.01)。以Fried表型為標準的曲線下面積為0.87,得出衰弱的最佳臨界值為4。以ADL、IADL、衛(wèi)生服務(wù)利用情況、抑郁為結(jié)局變量,擬合ROC曲線,曲線下面積分別為:0.73、0.68、0.65、0.69、0.83。3.TFI總分對生存質(zhì)量的預(yù)測能力強,且對心理總得分MCS(35.8%)的解釋貢獻率大于對生理總得分PCS的(15.0%)的解釋貢獻率。是否衰弱對生存質(zhì)量有顯著性影響,對PCS的解釋貢獻率為10.5%,對MCS的解釋貢獻率為22.3%。4.TFI各條目與生存質(zhì)量的多元線性回歸分析中,TFI生理方面8個條目對PCS的變異解釋率為25.2%,對MCS的變異解釋率為20.4%;增加了心理與社會方面的條目后,對PCS于MCS的變異解釋率分別增加了 1.4%、20.8%。5.TFI生理方面中對PCS的影響具有統(tǒng)計學(xué)意義的指標有:行走困難、自評健康、身體疲乏;對MCS的影響具有統(tǒng)計學(xué)意義的指標有:身體疲乏、體重下降、平衡能力。TFI心理方面的各條目對PCS均不具有顯著性影響;對MCS均具有顯著性影響。對PCS、MCS均具有顯著性影響的TFI社會方面的指標為:社會支持;此外,社會關(guān)系也是MCS的顯著性影響指標。6.TFI量表各條目對PCS貢獻最大的條目為行走困難(β=-0.254,P0.001),對MCS貢獻最大的條目為情緒低落(β=-0.272,P0.001)。結(jié)論1.中文版本的TFI量表信效度良好,得出的衰弱臨界值更適用于我國老年人,能夠用于社區(qū)老年人的衰弱狀況的評測。2.TFI量表總分與是否衰弱對生存質(zhì)量的影響顯著。3.影響老年人生存質(zhì)量的衰弱指標有:步行困難、自評健康、身體疲乏、體重下降、平衡功能差、情緒低落、焦慮、記憶力不好、應(yīng)對能力弱、社會關(guān)系不良、社會支持匱乏。
[Abstract]:The purpose of translation scale index (TFI) to form weak tiburg Chinese version, test of the scale in the community elderly population Chinese the applicability and validity, explore the Chinese version of the TFI scale. The critical value of application. Chinese version of the TFI scale to explore the relationship between the weak and the quality of life, in order to provide a reliable basis for the prevention of with the intervention of weakening. Methods TFI scale the author's consent and authorization, the TFI scale translation and back translation scale translation method based on the standard, finally discussed by experts to form the final version of the TFI Chinese scale. According to the stratified sampling method to select from Ji'nan, Lixia District, Central City flyover. The total of 917 elderly aged 60 and above as the research objects. With the general information questionnaire, the Mini Mental State Scale (SPMSQ), activity of daily living scale (ADL) and instrumental activities of daily living scale (IADL), the elderly depression rating Quantitative table (GDS-15), then walk test (TUG), Xiao of social support rating scale (SSRS), family care (APGAR), Fried weak phenotypic evaluation method for the Chinese version of the TFI scale test of the validity. The quality of life assessment using SF-12, a study on the relationship between weak reliability and life quality. A consistency test using Cronbach's test and Pearson correlation analysis, Kappa correlation analysis of polymerization consistency test and the validity of Pearson by using ROC curve analysis, criterion validity. The research on the relationship between weak and quality of life by using correlation analysis and multivariate linear regression analysis. Statistical analysis using SPSS 21 statistical software package STATA and 12.0.P0.05 had statistical significance. TFI 1. Chinese version of the table, the Cronbach's alpha coefficient for the total score of 0.71103 subjects. The test-retest correlation coefficient is 0.88.2. Chinese version of each item of the TFI scale and The consistency coefficient Kappa between alternative corresponding to the measurements were statistically significant (P0.01). The area to Fried phenotype as the standard curve was 0.87, the optimal critical value of weak to 4. to ADL, IADL, utilization of health services, depression is the outcome variable fitting ROC curve, the area under the curve respectively. The total score of 0.73,0.68,0.65,0.69,0.83.3.TFI: the ability to predict the quality of life, and the total score of MCS (35.8%) psychological explanation on the physiological contribution rate is more than the total PCS score (15%) interpretation of the contribution rate. Whether the weak significant impact on the quality of life, to explain the contribution to PCS was 10.5%, explain the contribution to MCS the rate for each item and multiple linear regression analysis of the quality of life of 22.3%.4.TFI TFI, the physiological aspects of 8 items to the interpretation of the PCS mutation rate was 25.2%, the variance of MCS accounted for 20.4%; increase the psychological and social aspects. At present, the variation of PCS in MCS explain increased by 1.4% respectively, with significant impact on PCS 20.8%.5.TFI in physiological indicators are: walking difficulties, self-rated health, physical fatigue; statistically significant effect on MCS index: body fatigue, weight loss, each item.TFI psychological balance on the PCS does not have a significant effect; have a significant effect on the MCS. The PCS TFI, the social aspects of the MCS index are significant for social support; in addition, the social relationship is also MCS significant effect index of.6.TFI scale of each entry the largest contribution to the PCS entry for difficult to walk (beta =-0.254, P0.001), the largest contribution to the MCS entry for depression (beta =-0.272, P0.001). Conclusion: 1. Chinese version of TFI had good reliability and validity, the critical value of weakness for the elderly in China, can be used for community elderly The debilitating condition evaluation score of.2.TFI scale and whether the impact on the quality of life significantly weakened the influence of.3. weak indicators of quality of life of the elderly people are walking difficulties, self-rated health, body fatigue, weight loss, poor balance, depression, anxiety, poor memory, coping ability is weak, poor social relations, the lack of social support.

【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.2

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