Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients

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 c...

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Main Author: LI Hang, LIU Suzhen, NI Yunxia
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2024-06-01
Series:Zhongguo quanke yixue
Subjects:
Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/20220684.pdf
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author LI Hang, LIU Suzhen, NI Yunxia
author_facet LI Hang, LIU Suzhen, NI Yunxia
author_sort LI Hang, LIU Suzhen, NI Yunxia
collection DOAJ
description 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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spelling doaj.art-c97c0a2748ae481ebd009adcdd4e67432024-04-09T09:41:06ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722024-06-0127161950195510.12114/j.issn.1007-9572.2022.0684Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly PatientsLI Hang, LIU Suzhen, NI Yunxia01. Department of Urology, West China Hospital, Sichuan University/Institute of Urology/West China School of Nursing, Sichuan University, Chengdu 610041, China;2. West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, China;3. Department of Cardiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, ChinaBackground 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.https://www.chinagp.net/fileup/1007-9572/PDF/20220684.pdfhome medical care|health surveys|aged|home care|chirs|scale|validation|reliability
spellingShingle LI Hang, LIU Suzhen, NI Yunxia
Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
Zhongguo quanke yixue
home medical care|health surveys|aged|home care|chirs|scale|validation|reliability
title Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
title_full Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
title_fullStr Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
title_full_unstemmed Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
title_short Sinicization Based on Community Health Intensity Rating Scale and Its Reliability and Validity Test in Elderly Patients
title_sort sinicization based on community health intensity rating scale and its reliability and validity test in elderly patients
topic home medical care|health surveys|aged|home care|chirs|scale|validation|reliability
url https://www.chinagp.net/fileup/1007-9572/PDF/20220684.pdf
work_keys_str_mv AT lihangliusuzhenniyunxia sinicizationbasedoncommunityhealthintensityratingscaleanditsreliabilityandvaliditytestinelderlypatients