To develop the oral frailty assessment scale for elderly stroke patients,and to test its reliability and validity.
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.
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.
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.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 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 |