英國EASY-Care Standard評估工具於台灣老人之應用初探

The Application of EASY-Care Standard Instrument to the Assessment of Taiwanese Older People's Health Needs: A Preliminary Study

林淑緩(Shu-Shuan Lin) ； 李玲玲(Ling-Ling Li) ； 賴思穎(Szu-Ying Lai) ； 彭少貞(Shoa-Jen Perng)

《安泰醫護雜誌》 19卷4期 (2013/12) Pp. 51-62

摘要

背景：目前較缺乏社區老人全面性之健康需求評估工具。目的：初探測試中文版社區老人健康需求評估工具用於台灣不同族群老人之可行性。方法：採橫斷研究設計，研究對象為65歲以上社區老人。結果：中文版益健社區老人健康需求評估工具的八個面向之專家效度內容效度指標值介於0.71至0.95之間，跨面向之三類別內容效度指標值介於0.89至0.94之間。八面向以外省籍老人之健康需求較高，在三類別的「維持獨立需求」亦以外省籍老人得分最高，而跌倒及住院風險則以原住民老人呈現較高需求。結論／實務應用：益健社區老人健康需求評估工具可初步用於評估不同族群老人之健康需求。未來應以較大之規模之研究對象進行近一步之測試，以期建構本全面性之社區老人健康需求評估工具，並據以提供較為個別性之老人健康照護。

關鍵字

益健老人健康需求評估工具 ； 跌倒 ； 老人

並列摘要

Background: A comprehensive assessment tool of older people's health needs in the community is scanty. Purpose: To pilot test the feasibility of using the Chinese Easy-Care Standard Instrument to assess the health needs of older people from different ethnic groups in the community. Methods: The study design was cross-sectional survey. A purposive sample of 40 people aged above 65 was used to examine the content validity of the instrument by five experts. Results: The expert validity and content validity index (CVI) of the eight domains and three cross-dimensional categories of the Chinese EASY-Care Standard Instrument ranged from 0.71 to 0.95 and 0.89 to 0.94, respectively. Among different ethnic groups, mainlanders had the highest scores in the eight domains of health needs. As for the three cross-dimensional categories, they also had the highest scores in ”independence,” while aboriginal older people had the highest scores in the ”risk of falling” and ”hospitalization.” Conclusion/Implications for practice: The application of Chinese EASY-Care Standard Instrument has potential capability to present the health needs and opinions on health issues of older people from different ethnic groups in the community. This instrument could be used by future studies to extensively assess older people's health needs and to facilitate individualized health care.

並列關鍵字

EASY-Care Standard Instrument ； Fall ； Older people