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題名:Psychometric Evaluation of the Chinese Version of the Cornell Scale for Depression in Dementia    
康乃爾失智者憂鬱量表之中文信效度評量
著者:Jong-Ni Lin(林忠尼) ;Jing-Jy Wang(王靜枝)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:康乃爾失智者憂鬱量表中文版 ; 憂鬱症 ; 失智症 ; Cornell Scale for Depression in Dementia Chinese version CSDD-C ; depression ; dementia
刊名:The Journal of Nursing Research
卷期:16卷3期(2008.9)
頁碼:202-210
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

老人認知障礙常伴隨憂鬱症狀,然這類老人經常無法透過口語表達來與人進行適度溝通而使得其憂鬱症狀難以被辨識。因此,對這些認知障礙的老人進行有效且適當的憂鬱檢測有賴於可靠的觀察量表。雖然「康乃爾失智者憂鬱量表」(Cornell Scale for Depression in Dementia, CSDD)已被發展多年,且在全世界廣被使用於評估失智老人之憂鬱狀態,但至今仍無以實證基礎正式建構的中文版量表。本研究之目的為建構「康乃爾失智者憂鬱量表中文版」(Cornell Scale for Depression in Dementia Chinese version, CSDD-C)及其信效度。本研究首先進行中文翻譯和專家效度測試,之後以方便取樣於台灣南部數所長期照護機構共獲取145位失智老人為研究對象。研究工具除中文版「康乃爾失智者憂鬱量表」外,另以「老人憂鬱簡表」(Geriatric Depression Scale short form, GDS-SF)來收集資料。在效度方面,本研究結果顯示中文版的專家內容效度指標(content validity index, CVI)達.92;其與老人憂鬱簡表之同時效度(concurrent validity)為.322(p<.001);再者,以台灣族群資料進行的因素分析所萃取之因素數量與原量表呈現一致性。在信度方面,本中文量表在間隔二週之評分者間一致性信度(inter-rater agreement)所得Kappa值為.43-.89,顯示所有題目皆達顯著穩定性;而其內在一致性信度的Cronbach's alpha 為.84。本研究結果顯示「康乃爾失智者憂鬱量表中文版」,無論是效度或信度上,皆可為協助講中文的照顧者在確認失智老人的憂鬱症狀和徵象,為一可靠及可信的工具。
Elders with cognitive impairments frequently experience concomitant unidentified depressive symptoms due to an impaired capacity for verbal communication. Therefore, determination of a valid and reliable instrument with which to detect depression in this population requires confirmation through observation. The Cornell Scale for Depression in Dementia (CSDD) has been employed worldwide. However, no formally established psychometric properties have yet been made available for its Chinese version. For this study, we attempted to translate and test the validity and reliability of the CSDD Chinese version (CSDD-C). After completing translation and expert validity, a convenient sample of 145 older adults with dementia was assessed by their caregivers in several care facilities in Southern Taiwan. The CSDD-C was administered to collect data along with the Geriatric Depression Scale short form (GDS-SF). Results found an expert content validity index (CVI) of .92 and concurrent validity between CSDD-C and GDS-SF of .322 (p<.001). The number of factors extracted through our samples is consistent with the original CSDD; inter-rater agreement over a two-week period on each item was significant (Kappa=.43-.89); and the Cronbach's alpha for internal consistency reliability was .84. Results indicate the CSDD-C to be a reliable and valid instrument to help Chinese speaking caregivers determine signs and symptoms of depression in elders with dementia under their care.


    

本卷期目次
The Journal of Nursing Research 16卷3期 (2008.9)
The Mothering Experience: Perspectives of Women from Indonesia Married and Living in Taiwan/ Bih-Ching ShuLi-Yu ChuangLi-Ling LinKai-Ling Liu
Effects of Postpartum Exercise Program on Fatigue and Depression during "Doing-the-Month" Period/ Yi-Li KoChi-Li YangLi-Chi Chiang
Effectiveness of a Nosocomial Infection Control Training in Improving Knowledge in Patient-Hired Attendants and Outsourced Workers in Taiwan/ Chiou-Fen LinChyn-Yng YangMeei-Shiow LuChing-Chiu Kao
E-Learning Education Program for Registered Nurses: The Experience of a Teaching Medical Center/ Shu-Tai Hsiao SheenWen-Yin ChangHsiao-Lien ChenHui-lin ChaoChing-Ping Tseng
Psychometric Evaluation of the Chinese Version of the Cornell Scale for Depression in Dementia/ Jong-Ni LinJing-Jy Wang
Restructuring the Organizational Culture of Medical Institutions: A Study on a Community Hospital in the I-Lan Area/ Yu-Chih Chen
The Life Stories of Motherhood among Divorced Women in Taiwan/ Li-Ling Yang
Low Back Pain during Labor and Related Factors/ Ya-Ling TzengTsann-Juu Su
 
   
 
   

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