摘要
目的探讨老年眩晕患者安全感现状及其影响因素。方法选取2021年7月至2022年7月国家电网公司北京电力医院老年眩晕患者,在专家咨询的基础上确定老年眩晕患者安全感量表内容,采用探索性因子分析(exploratory factor analysis,EFA)和验证性因素分析(confirmatory factor analysis,CFA)法分析量表的信度和效度,通过问卷调查了解老年眩晕患者的安全感现状,采用多元线性回归分析老年眩晕患者安全感的影响因素。结果共纳入176例老年眩晕患者,其中男78例、女98例,年龄60~86岁,平均(69.1±21.2)岁。老年眩晕患者安全感量表包括4个维度(控制感、身体疾病、医护技能、人际关系和沟通)共20个条目,通过EFA提取4个公因子,累计方差贡献率62.884%,内容效度指数(content validity index,CVI)=0.938,球形检验的KMO为0.934(P<0.05),问卷的总Cronbach's α系数为0.912,各维度Cronbach's α系数为0.692~0.879。多元线性回归结果显示,教育水平、有无子女、住院经历是眩晕老年患者安感的影响因素(P<0.05)。从回归系数看,住院经历对安全感的影响最大,其次是有无子女,教育水平影响最小;安全感随教育水平的增加而增加,有子女、有住院经历的老年眩晕患者比无子女、无住院经历的安全感高。结论老年眩晕患者安全感量表的信度和效度较好,能够评价老年眩晕患者的安全感。教育水平、有无子女和住院经历是老年眩晕患者安全感的影响因素。
Objective To explore the current status and influencing factors of sense of security in elderly patients with vertigo.Methods Elderly patients with vertigo from July 2021 to July 2022 in Beijing Electric Power Hospital of State Grid Corporation were selected.On the basis of experts consultation,the content of the sense of security scale for elderly patients with vertigo was determined.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)were used to analyze the reliability and validity of the scale,and the current situation of sense of security for elderly patients with vertigo was understood through questionnaire survey,the multiple linear regression was used to analyze the influencing factors of the sense of security of elderly patients with vertigo.Results A total of 176 elderly patients with vertigo were selected,including 78 males and 98 females,aged from 60 to 86 years,with an average of(69.1±21.2)years.The elderly vertigo patient safety scale included 20 items in four dimensions(sense of control,illness,medical skill,interpersonal relationship and communication).Four common factors were extracted by EFA,with a cumulative variance contribution rate of 62.884%,the content validity index(CVI)was 0.938,and the KMO of the spherical test was 0.934(P<0.05),the total Cronbach's α coefficient of the questionnaire was 0.912,and the Cronbach's α coefficient of each dimension was 0.692-0.879.The results of multiple linear regression showed that education level,children and hospitalization experience were the influencing factors of the elderly patients with vertigo(P<0.05).From the regression coefficient,hospitalization experience had the greatest impact on security of the paitents,followed by children,and education level had the smallest impact.The sense of security increased with the increase of education level,and the elderly vertigo patients with children and hospitalization experience had higher sense of security than those without children and hospitalization experience.Conclusions The reliability and validity of the security scale for elderly patients with vertigo are good,and can be used as a tool to evaluate the sense of safety of elderly patients with vertigo.Education level,children and hospitalization experience are the influencing factors of the sense of security of elderly patients with vertigo.
作者
李杨
单希征
于春刚
马肖钰
王杰
邢永生
Li Yang;Shan Xizheng;Yu Chungang;Ma Xiaoyu;Wang Jie;Xing Yongsheng(Department of Otolaryngology Head and Neck Surgery,Beijing Electric Power Hospital,Beijing 100073,China)
出处
《北京医学》
CAS
2023年第8期666-670,共5页
Beijing Medical Journal
基金
国中康健眩晕医学学科联盟机制建设与专科发展策略(GZKJ-KJXX-QTHT-20230428)
关键词
眩晕
安全感量表
影响因素
老年
vertigo
security questionnaire
influence factor
elderly
作者简介
通信作者:单希征,Email:sxzent@163.com
