基于德尔菲专家咨询法构建的老年肌少症评估初始量表

doi:10.16138/j.1673-6087.2022.03.012

摘要/Abstract

摘要：

目的：构建适合我国老年人群肌少症全面评估量表（包括自评与他评2个部分）的初始量表。方法：通过检索和复习文献,选取与肌少症相关的量表,形成初步条目池后,经国内16名相关领域的专家2轮德尔菲咨询问卷筛选条目,通过统计专家积极系数、专家权威程度、专家意见重要性的协调系数、各指标得分平均值、变异系数和满分率,形成老年人肌少症评估初始量表。结果：经文献收集及专家小组讨论,首先形成了包括3个一级指标、5个二级指标、21个三级指标（条目）的自评部分初步条目池,和包括2个一级指标、4个二级指标、17个三级指标（条目）的他评部分初步条目池。第1轮德尔菲咨询的专家积极系数为100%,专家权威系数Cr=0.956。自评和他评部分,专家对所有条目的重要性Kendall协调系数分别为0.424和0.449, χ²分别为133.534（P<0.001）和114.591（P<0.001）;第2轮德尔菲咨询的专家积极系数为100%,专家权威系数Cr=0.968。自评和他评部分,专家对所有条目的重要性Kendall协调系数分别为0.350和0.400, χ²分别为84.119（P<0.001）和67.546（P<0.001）。根据2轮的得分情况及专家修改意见,最终形成3个一级指标、5个二级指标、10个三级指标（条目）的自评部分条目池,和包括2个一级指标、4个二级指标、13个三级指标（条目）的他评部分条目池初始量表。结论：通过德尔菲专家咨询法构建的老年人肌少症全面评估初始量表,专家积极参与,权威度高,专家意见集中程度和协调度好。

关键词: 德尔菲法, 老年, 肌少症, 评估, 量表

Abstract:

Objective To develop the preliminary scales suitable to the comprehensive assessment scale for elderly sarcopenia in China (including self-evaluation and evaluation from others). Methods Through searching and reviewing literatures, the scales related to sarcopenia were selected and a preliminary item pool was formed. The items were screened through two rounds of Delphi consultation questionnaires completed by 16 domestic experts in related fields. Through analyzing the expert positive coefficient, expert authority level, coordination coefficient of the importance of expert opinions, average value of each index score, coefficient of variation and the full score rate, the preliminary scales for evaluating sarcopenia in the elderly were developed. Results After literature collection and expert discussion, the initial item pools of self-assessment (3 first-level items, 5 second-level items, 21 third-level items) and assessment from others (2 first-level items, 4 second-level items and 17 third-level items) were developed. The expert positive coefficient in the first round of Delphi consultation was 100%, and the coefficient of expert authority was Cr=0.956. In the self-evaluation and evaluation from others, the Kendall coordination coefficients of the importance of experts to all items were 0.424 and 0.449, and χ² were 133.534 (P<0.001) and 114.591 (P<0.001), respectively. The positive coefficient of expert in second round of Delphi consultation was 100%, and the authority coefficient of expert was Cr=0.968. In self-evaluation and evaluation from others, the Kendall coordination coefficients of the importance of experts to all items were 0.350 and 0.400, and χ² are 84.119 (P<0.001) and 67.546 (P<0.001), respectively. According to two rounds scores of Delphi consultation and the expert opinions of modification, the item pools of self-assessment (3 first-level items, 5 second-level items and 10 third-level items) and assessment from others(2 first-level items, 4 second-level items and 13 three-level items) were finally formed. Conclusions The preliminary scales for comprehensive assessment of elderly sarcopenia developed through Delphi expert consultation method involved active participation of experts, and presented high level of expert authority, and well concentrated and coordinated opinions from experts.

Key words: Delphi method, Aged, Sarcopenia, Assessment, Questionnaire

中图分类号:

R592

李菲卡, 杨文丽, 蒋倩雯, 方芳, 白婷婷, 徐刚, 吴方, 何清. 基于德尔菲专家咨询法构建的老年肌少症评估初始量表[J]. 内科理论与实践, 2022, 17(03): 238-242.

LI Feika, YANG Wenli, JIANG Qianwen, FANG Fang, BAI Tingting, XU Gang, WU Fang, HE Qing. Development of preliminary scales for elderly sarcopenia based on Delphi method[J]. Journal of Internal Medicine Concepts & Practice, 2022, 17(03): 238-242.

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参考文献 16

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项目	最低分	最高分	平均分	标准差	变异系数（%）	满分比例（%）
自评Q1	4	5	4.88	0.342	7.01	87.5
自评Q2	3	5	4.13	0.806	19.52	37.5
自评Q3	3	5	4.00	0.632	15.80	18.8
自评Q4	2	5	4.44	0.892	20.09	62.5
自评Q5	2	5	4.13	1.025	24.82	43.8
自评Q6	2	5	4.38	0.806	18.40	50.0
自评Q7	3	5	4.06	0.680	16.75	25.0
自评Q8	1	5	3.81	1.047	27.48	25.0
自评Q9	1	5	3.75	1.183	31.55	31.3
自评Q10	3	5	4.38	0.806	18.40	56.3
自评Q11	1	5	4.13	1.258	30.46	56.3
自评Q12	3	5	4.75	0.577	12.15	81.3
自评Q13	1	5	3.94	1.063	26.98	31.3
自评Q14	1	5	3.94	1.063	26.98	31.3
自评Q15	3	5	4.75	0.577	12.15	81.3
自评Q16	1	5	3.56	1.263	35.48	31.3
自评Q17	1	5	3.56	1.153	32.39	25.0
自评Q18	1	5	3.44	1.031	29.97	18.8
自评Q19	3	5	4.31	0.793	18.40	50.0
自评Q20	1	5	4.19	1.167	27.85	56.3
自评Q21	1	5	3.63	1.360	37.47	31.3
合计	1	5	4.103	0.930	23.337	44.376

项目	最低分	最高分	平均分	标准差	变异系数（%）	满分比例（%）
他评Q1	1	5	4.25	1.065	25.06	50.0
他评Q2	4	5	4.63	0.500	10.80	62.5
他评Q3	4	5	4.69	0.479	10.21	68.8
他评Q4	4	5	4.63	0.500	10.80	62.5
他评Q5	1	5	4.19	0.981	23.41	37.5
他评Q6	4	5	4.69	0.479	10.21	68.8
他评Q7	1	5	4.19	1.109	26.47	50.0
他评Q8	1	5	4.19	1.109	26.47	50.0
他评Q9	1	5	4.19	1.047	24.99	43.8
他评Q10	1	5	4.06	1.063	26.18	37.5
他评Q11	1	5	4.38	1.088	24.84	62.5
他评Q12	1	5	4.19	1.047	24.99	43.8
他评Q13	1	5	3.88	1.204	31.03	37.5
他评Q14	1	5	4.50	1.095	24.33	75.0
他评Q15	1	5	4.31	1.138	26.40	62.5
他评Q16	1	5	4.19	1.109	26.47	50.0
他评Q17	1	5	4.00	1.155	28.88	43.8
合计	1	5	4.304	0.951	22.444	53.324

项目	最低分	最高分	平均分	标准差	变异系数（%）	满分比例（%）
自评Q1	3	5	4.88	0.500	10.25	93.8
自评Q2	2	5	4.25	0.931	21.91	50.0
自评Q4	3	5	4.63	0.806	17.41	81.3
自评Q5	3	5	4.13	0.885	21.43	43.8
自评Q6	3	5	4.31	0.873	20.26	56.3
自评Q7	3	5	4.44	0.727	16.37	56.3
自评Q8	2	5	3.69	0.946	25.64	18.8
自评Q9	2	5	4.31	1.014	23.53	62.5
自评Q10	3	5	4.44	0.629	14.17	50.0
自评Q11	3	5	4.56	0.629	13.79	62.5
自评Q12	4	5	4.88	0.342	7.01	87.5
自评Q13	3	5	4.25	0.856	20.14	50.0
自评Q14	3	5	4.12	0.806	19.56	37.5
自评Q15	3	5	4.75	0.577	12.15	81.3
自评Q19	2	5	4.31	0.873	20.26	50.0
自评Q20	3	5	4.69	0.602	12.84	75.0
合计	2	5	4.415	0.750	17.293	59.788

项目	最低分	最高分	平均分	标准差	变异系数（%）	满分比例（%）
他评Q1	3	5	4.64	0.745	16.06	78.6
他评Q2	3	5	4.43	0.938	21.17	71.4
他评Q3	3	5	4.50	0.650	14.44	57.1
他评Q4	3	5	4.57	0.756	16.54	71.4
他评Q6	4	5	4.93	0.267	5.42	92.9
他评Q7	3	5	4.29	0.825	19.23	50.0
他评Q8	2	5	3.93	1.207	30.71	42.9
他评Q9	2	5	4.21	1.051	24.96	57.1
他评Q11	2	5	4.71	0.825	17.52	85.7
他评Q12	3	5	4.43	0.646	14.58	50.0
他评Q14	3	5	4.79	0.579	12.09	85.7
他评Q15	3	5	4.64	0.745	16.06	78.6
他评Q16	3	5	4.43	0.756	17.07	57.1
合计	2	5	4.500	0.768	17.373	67.577