Self-maintenance habits and preferences in elderly (SHAPE): reliability of reports of self-care preferences in older persons
Self-maintenance habits and preferences in elderly (SHAPE): reliability of reports of self-care preferences in older persons
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DOI：
10.1007/bf03325212
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发表时间：
2007-02-01
影响因子：
4
通讯作者：
Jensen, Barbara
中科院分区：
文献类型：
--
作者：
Cohen-Mansfield, Jiska;Jensen, Barbara
背景和目的：自我护理偏好可以用于设计护理方案。然而，关于老年人的自我护理习惯和偏好的记录很少。研究方法：本研究使用老年人自我维护习惯和偏好（SHAPE）工具评估了自我护理偏好报告的可靠性及其在老年人中的重要性。20名社区老年人在一到两周的时间间隔内完成了两次SHAPE问卷。精确和接近/部分的一致性百分比被计算以评估偏好内容的可靠性，并且类内相关性（ICC）被用于偏好重要性。影响信度的测试和主题因素也进行了调查。结果：项目内容完全符合率为73%，完全/部分符合率为93%。项目重要性的平均ICC为0.72。二分项目的可靠性高于顺序或分类问题。项目内容的信度随回答选项的数量而变化，重要性信度随年龄和IADL状态而变化。结论：来自SHAPE的关于自我护理偏好的信息可用于为老年人规划服务，并为老年人提供个性化护理，特别是那些过渡到新生活环境或接受家庭护理的老年人。
Background and aims: Self-care preferences can be used in designing programs of care. Yet little has been documented concerning the self-care habits and preferences of older adults. Methods: This study assessed the reliability of reports of self-care preferences and their importance among older adults using the Self-maintenance Habits and Preferences in Elderly (SHAPE) instrument. Twenty community-dwelling seniors completed the SHAPE questionnaire twice within a one-to two-week interval. Percent agreement, both exact and close/partial, was computed to assess the reliability of preference content, and intra-class correlations (ICCs) were used for preference importance. Test and subject factors affecting reliability were also investigated. Results: Exact agreement rate for item content was 73%, and that for close/partial agreement was 93%. Mean ICC for item importance was 0.72. Reliability was greater for dichotomous items than for either ordinal or categorical questions. Reliability of item content varied with number of response options and importance reliability varied with age and IADL status. Conclusions: Information from SHAPE about self-care preferences can be used to plan services for seniors and to individualize care for older persons, especially those transitioning to new living environments or those receiving home care.