目的 编制失能老人老老照护者社会隔离评估量表并检验其信效度。方法 以社会生态系统理论为理论框架,基于文献回顾、半结构式访谈、参与式观察形成初始版量表;便利抽样法选取广西省南宁、百色、来宾市的9个社区/村庄的失能老人老老照护者为研究对象,采用初始版量表对其进行调查并检验量表的信、效度。结果 该量表包括个体身心系统、家庭支持系统、社区支持系统及社会支持系统4个维度,共22个条目,累计方差贡献率为70.659%。量表水平的平均内容效度指数为0.935,条目水平的内容效度指数为0.874~1.000;总Cronbach's α系数为0.895、折半信度系数为0.902,重测信度为0.864。结论 编制的失能老人老老照护者社会隔离评估量表具有良好的信效度,适用于测量老老照护者的社会隔离水平。

Objective To develop a social isolation assessment scale for older caregivers of older adults with disabilities and to test its reliability and validity.Methods Guided by the socio-ecological systems theory as the theoretical framework, the initial version of the scale was formed through literature review, semi-structured interviews, and participatory observation.Convenience sampling was used to select older caregivers of older adults with disabilities from 9 communities/villages in Nanning, Baise, and Laibin of Guangxi.The initial scale was administered to them, and its reliability and validity were tested.Results The scale consisted of 4 dimensions (individual physical-mental system, family support system, community support system, and social support system) with a total of 22 items, and the cumulative variance contribution rate was 70.659%.The scale-level content validity index (S-CVI) was 0.935, and the item-level content validity index (I-CVI) ranged from 0.874 to 1.000.The overall Cronbach's α coefficient was 0.895; the split-half reliability coefficient was 0.902; and the test-retest reliability was 0.864.Conclusions The social isolation assessment scale developed for older caregivers of older adults with disabilities demonstrates good reliability and validity, and is suitable for measuring the social isolation level of the group.

R473.2

广西哲学社会科学研究课题(23FRK003)；广西科技计划项目(2025GXNSFHA069281)