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Development of the oral frailty assessment scale for elderly stroke patients and its reliability and validity test
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Yuefei ZHAO1, Yin YAN2, Qizhen HE1, Qingling ZHONG1
Chinese Nursing Research | 2026, 40(16) : 2846 - 2852
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Chinese Nursing Research | 2026, 40(16): 2846-2852
• Scale Study •
Development of the oral frailty assessment scale for elderly stroke patients and its reliability and validity test
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Yuefei ZHAO1, Yin YAN2, Qizhen HE1, Qingling ZHONG1
Affiliations
  • 1School of Nursing, Jiangxi Medical College, Nanchang University, Jiangxi 330000 China
  • 2The First Affiliated Hospital of Nanchang University
Published: 2026-08-25 doi: 10.12102/j.issn.1009-6493.2026.16.011
Outline
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Objective

To develop the oral frailty assessment scale for elderly stroke patients,and to test its reliability and validity.

Methods

Guided by the Adulyanon's oral health consequences model,combined with literature review and expert consultation,the initial draft of the scale was established.A total of 336 elderly stroke patients admitted to the rehabilitation department of a tertiary grade A hospital in Jiangxi province from April to July 2025 were selected for the investigation.The reliability and validity of the scale were tested.

Results

A total of 12 experts were selected for two rounds of expert consultation.The questionnaire recovery rates for the two rounds were 100% and 92% respectively.The expert authority coefficients were 0.850 and 0.807 respectively.The Kendall's W coefficients were 0.326 and 0.412 respectively(all P<0.01).The oral frailty assessment scale for elderly stroke patients included 3 dimensions and 25 items.Exploratory factor analysis extracted 3 common factors,with a cumulative variance contribution rate of 72.397%.Confirmatory factor analysis confirmed that the model had good fit.The scale content validity index(S-CVI) was 0.950,and the item content validity index(I-CVI) ranged from 0.830 to 1.000.The Cronbach's α coefficient of the total scale was 0.928, and the split-half reliability was 0.952.

Conclusions

The oral frailty assessment scale for elderly stroke patients has good reliability and validity.It could be used as an assessment tool for specific symptoms of oral frailty in elderly stroke patients.

the elderly  /  stroke  /  oral frailty  /  reliability  /  validity  /  scale research
赵悦菲, 鄢茵, 何其珍, 钟清玲. 老年脑卒中病人口腔衰弱评估量表的编制及信效度检验. 护理研究, 2026 , 40 (16) : 2846 -2852 . DOI: 10.12102/j.issn.1009-6493.2026.16.011
Yuefei ZHAO, Yin YAN, Qizhen HE, Qingling ZHONG. Development of the oral frailty assessment scale for elderly stroke patients and its reliability and validity test[J]. Chinese Nursing Research, 2026 , 40 (16) : 2846 -2852 . DOI: 10.12102/j.issn.1009-6493.2026.16.011
Year 2026 volume 40 Issue 16
44
18
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.16.011
  • Receive Date:2025-12-31
  • Online Date:2026-10-30
  • Published:2026-08-25
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History
  • Received:2025-12-31
  • Revised:2026-07-26
Affiliations
    1School of Nursing, Jiangxi Medical College, Nanchang University, Jiangxi 330000 China
    2The First Affiliated Hospital of Nanchang University
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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