中国全科医学2017，Vol.20Issue(33)：4162-4166,5.DOI:10.3969/j.issn.1007-9572.2017.00.112
深圳市城镇老年人自测健康评定量表得分常模的制定
Establishment of the Norm for Serf-rated Health Measurement Scale Version 1.0 Scores in Urban Elderly People in Shenzhen
摘要
Abstract
Objective To explore the reliability and validity of Self-rated Health Measurement Scale Version 1.0 (SRHMS V1.0) in evaluating the self-related health of urban elderly people in Shenzhen,and develop the norm for SRHMS V1.0 scores in this population.Methods From July to October 2016,we stratified the elderly in Futian district of Shenzhen city according to gender,and then selected 2 000 elderly people aged 60 or older by simple random sampling with a sample size of1 000 males and 1 000 females respectively.The survey was conducted in them with a demographic questionnaire and SRHMS V1.0.We analyzed the reliability and validity of SRHMS V1.0 and established mean norm and threshold norm based on the SRHMS V1.0 scores of the urban elderly in Shenzhen.Results A total of 1 661 participants (839 males and 822 females) returned responsive questionnaires with a response rate of 83.05％ (1 661/2 000).The Cronbach's a coefficients of SRHMS V1.0 and 3 subscales (Self-rated Physical Health,Self-rated Mental Health,and Self-rated Social Functioning) were 0.946,0.896,0.883,0.877,respectively.After modification,the model demonstrated a good fitting result:x2/df=5.777,NFI =0.885,RFI =0.873,IFI =0.903,TLI =0.893,CFI =0.903,RMSEA =0.054.All the three subscales were positively correlated with their own dimensions in scoring (P ＜ 0.05).The correlation coefficient between the dimension and the subscale it belonging to was larger than that between the dimension and the other two subscales in scoring.The SRHMS V1.0 and 3 subscales scores of males were all higher than those of the females (P ＜0.05).The mean norms for SRHMS V1.0 scores were established on the basis of gender:(71.14 ± 11.48) for males and (66.69 ± 13.05) for females.For the five health states in the elderly,namely,severe poor,poor,fair,good and very good,the score ranges of the threshold norms were [0,59.66),[59.66,65.40),[65.40,76.88),[76.88,82.62),[82.62,100.00] for males and [0,53.64),[53.64,60.17),[60.17,73.22),[73.22,79.74),[79.74,100.00] for females.Conclusion SRHMS vi.0 has good reliability and validity in measuring the health status of urban elderly people in Shenzhen.And the norms of SRHMS V1.0 established in this study can provide a reference for evaluating the elderly people's health status and its impacting factors.关键词
老年人身心健康评价/城市/自测健康评定量表/常模Key words
Geriatric assessment/Cities/Self-rated Health Measurement Scale Version 1.0/Norm分类
医药卫生引用本文复制引用
夏聪,许军,杨枭楠,黄山,吴伟旋,林沅锜..深圳市城镇老年人自测健康评定量表得分常模的制定[J].中国全科医学,2017,20(33):4162-4166,5.基金项目
广东省自然科学基金资助项目(2015A030313267) （2015A030313267）
国家自然科学基金资助项目(71673126) （71673126）
广州市公共卫生服务体系建设研究基地2017年度课题成果 （）
