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2020, vol. 37, br. 2, str. 160-170
Validnost i pouzdanost Čarlsonovog indeksa komorbiditeta kod starije iranske populacije koja živi u uslovima zajedničkog smeštaja
aIranski univerzitet medicinskih nauka, Fakultet za sestrinstvo i akušerstvo, Istraživački centar za zdravstvenu negu, Teheran, Islamska Republika Iran
bUniverzitet za socijalnu zaštitu i rehabilitacione nauke, Iranski centar za istraživanje starenja, Teheran, Islamska Republika Iran
cUniverzitet u Putri, Malezijski centar za istraživanje starenja (MyAgeing), Putra, Malezija
dUniverzitet Tarbiat Modares, Teheran, Islamska Republika Iran

e-adresamohammadifarahnaz@gmail.com
Projekat:
This study was supported by grant No 1690 at the University of Social Welfare & Rehabilitation Sciences.

Ključne reči: Čarlsonov indeks komorbiditeta; validnost kriterijuma; pouzdanost; starija populacija koja živi u uslovima zajedničkog smeštaja; Iran
Sažetak
Čarlsonov indeks komorbiditeta jednostavna je metoda za prikazivanje opterećenja komorbiditetom. Cilj ove studije bila je procena validnosti i pouzdanosti Čarlsonovog indeksa komorbiditeta kod starije iranske populacije u uslovima zajedničkog smeštaja. Ova studija preseka sprovedena 2017. godine, uključila je 600 starijih osoba starosti preko 60 godina, koje su živele u uslovima zajedničkog smeštaja u Teheranu, u Iranu. Za dobijanje uzorka primenjena je višefazna metoda slučajnog uzorkovanja po klasterima. Čarlsonov indeks komorbiditeta obuhvatio je 17 kategorija bolesti i upotrebljen je kao sredstvo za merenje jednogodišnjeg rizika i opterećenja bolestima. Validnost kriterijuma procenjena je skalom za samoprocenu zdravlja i skalom za ocenu svakodnevnih aktivnosti. Za testiranje validnosti i pouzdanosti Čarlsonovog indeksa komorbiditeta korišćena je Spirmanova korelacija ranga, kao i koeficijent korelacije unutar klase, softver SPSS, verzija 23. Od ukupno 600 ispitanika, 64% bilo je ženskog pola. Prosečna starost bila je 76,82 (SD = 7,45) godine i skoro 63% ispitanika bilo je u braku. Rezultati validnosti kriterijuma, primenom analize višestruke linearne regresije, pokazali su da je Čarlsonov indeks komorbiditeta značajno predviđen primenom skale za samoprocenu zdravlja (Beta = -0,26; p < 0,001) i skalom za ocenu svakodnevnih aktivnosti (Beta = -0,17; p < 0,001). Pored toga, pouzdanost Čarlsonovog indeksa komorbiditeta, primenom koeficijenta korelacije unutar klase iznosila je 0,77; 95% CI, 0,60 do 0,87. Kako su rezultati pokazali dobar nivo validnosti i pouzdanosti Čarlsonovog indeksa komorbiditeta, njegova primena se preporučuje u zdravstvenim studijama o starijoj populaciji, koja živi u uslovima zajedničkog smeštaja u Iranu.
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O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.5937/afmnai2002160H
objavljen u SCIndeksu: 06.08.2020.
metod recenzije: dvostruko anoniman
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