本文選題：老年人　切入點(diǎn)：流調(diào)中心抑郁量表　出處：《中國現(xiàn)代醫(yī)學(xué)雜志》2016年10期 　論文類型：期刊論文

【摘要】：目的對(duì)用拉西分析法(Rasch-Derived)得來的流調(diào)中心抑郁量表(CES-D)精簡(jiǎn)版(CES-D-R)進(jìn)行信效度的監(jiān)測(cè),為社區(qū)老年人抑郁自評(píng)提供一種新的更加簡(jiǎn)便的工具。方法采用分層隨機(jī)抽樣,運(yùn)用精簡(jiǎn)版量表CES-D-R對(duì)500名社區(qū)老年人進(jìn)行問卷調(diào)查,運(yùn)用SPSS 17.0和AMOS 17.0軟件對(duì)所得數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果條目相關(guān)性分析結(jié)果顯示,所有條目-總分均有顯著性相關(guān),與原流調(diào)中心抑郁量表(CES-D)做校標(biāo)關(guān)聯(lián)分析顯示均顯著相關(guān),I-CVI為0.830~1.000,S-CVI/UA為0.860、S-CVI/Ave為0.970;EFA得到四因子結(jié)構(gòu)方程模型,各條目共同度為0.701~0.834,累積方差貢獻(xiàn)率為78.913%,對(duì)模型進(jìn)行CFA得到CMIN/DF3,GFI、TLI、CFI均0.90,RMSEA0.08,PGFI0.50,除CMIN和AGFI外,均達(dá)到適配標(biāo)準(zhǔn);Cronbachα系數(shù)為0.798,4個(gè)維度的Cronbachα系數(shù)分別為0.725、0.780、0.882和0.755,分半信度系數(shù)為0.769,ICC為0.798。結(jié)論精簡(jiǎn)版流調(diào)中心抑郁量表(CES-D-R)信效度良好,可用于社區(qū)老年人抑郁狀況的評(píng)價(jià)。
[Abstract]:Objective to monitor the reliability and validity of CES-D-R, a simplified version of CES-D, obtained from Rasch-Derived by Rasch-Derived, and to provide a new and more convenient tool for self-assessment of depression in elderly people in community. Methods stratified random sampling was used. A questionnaire survey was conducted among 500 elderly people in the community with CES-D-R. The data were analyzed by SPSS 17.0 and AMOS 17.0. The results of item correlation analysis showed that all items-total scores were significantly related to each other. The correlation analysis with CES-D showed that there was a significant correlation between I-CVI and CES-DV, and the correlation between I-CVI and CES-DV was 0.830V 1.000, S-CVI / UA was 0.860 + S-CVI / Ave = 0.970 / EFA, and the four-factor structural equation model was obtained. The common degree of each item is 0.701 / 0.834, and the contribution rate of cumulative variance is 78.913.The CMINP / DF _ 3F _ I _ I _ I _ I _ I _ I _ I _ I _ I _ I _ (0.90) RMSEA _ (0.08) PGFI _ (0.50) are obtained by CFA, except for CMIN and AGFI. The Cronbach 偽 coefficients of the four dimensions were 0.725, 0.780, 0.882 and 0.755, respectively, and the split-half reliability coefficients were 0.776 9 and 0.7988.Conclusion the CES-D-RV is good in reliability and validity, and can be used to evaluate the depression status of the elderly in the community.
【作者單位】： 遼寧省錦州市遼寧醫(yī)學(xué)院護(hù)理學(xué)院;
【分類號(hào)】：R749.4

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