Reliability and validity test of VES-13 and analysis of influencing factors for the vulnerable condition of patients with advanced castration-resistant prostate cancer.

Jia Feng,Ting-Ting Li,Qian Sun,Jing Li

doi:10.12669/pjms.37.1.3095

Abstract

Objectives:To study the relationship between the reliability and validity of VES-13 and the influencing factors of the vulnerable condition of patients with advanced castration-resistant prostate cancer, so as to provide a reference for the health management and nursing of elderly inpatients.Methods:By means of convenience sampling, 150 vulnerable patients with advanced castration-resistant prostate cancer who were admitted to the Department of Oncology of the Affiliated Hospital of Hebei University from April 2019 to March 2020 were selected. General data questionnaire, simple mental state checklist, anxiety self-assessment scale, and the vulnerable elders 13 survey (VES-13) were used in this study. The reliability and validity were tested by SPSS 20.0.Results:For this group of patients, VES-13 Cronbach’s α was 0.832, living function was 0.778, body function was 0.846, and the correlation coefficient between items was between 0.401 and 0.823 (P<0.01); the retest reliability was 0.831 (P<0.05), and the correlation coefficient was0.504 (P<0.05). The average time to fill in each scale was 4.53±1.32 Minutes, and general indicators such as economic status and education level were significantly correlated with vulnerability. The clinical indicators of prostate-specific antigen levels, multiple bone metastases, and bone pain were significantly correlated with vulnerability.Conclusion:VES-13 scale had high level of reliability and operability, and was straight forward to understand and use; it can be used as an effective tool for the assessment of vulnerability in patients with advanced prostate cancer. The vulnerability of patients with castration-resistant prostate cancer showed significant correlation with economic status, education level, prostate-specific antigen level, multiple bone metastases, bone pain and other indicators. Nursing staff should pay close attention to the relevant factors of inpatients and give targeted advance intervention measures to facilitate rapid recovery of elderly inpatients.

Highlights

Vulnerability refers to the decrease in the physiological reserve capacity of multiple systems in the human body, which increases the vulnerability of the human body and reduces their ability to resist stress.[1]
The results indicated that vulnerable elders 13 survey (VES-13) had good reliability and validity, and can be used as an evaluation method for evaluating the vulnerability of patients with castration-resistant prostate cancer
The results suggested that age, education background, marital status, and income are significantly correlated with the vulnerability degree of patients with advanced castration-resistant prostate cancer

Summary

Introduction

Vulnerability refers to the decrease in the physiological reserve capacity of multiple systems in the human body, which increases the vulnerability of the human body and reduces their ability to resist stress.[1] A slight stimulation can reduce the gravitational function and increase the risk of falls and death.[2] With the intensification of population aging in China, vulnerability. The purpose of this study was to investigate the current status of vulnerable patients with castration-resistant prostate cancer, analyze related factors, and to test the reliability and validity of VES-13, with a view to providing a reference for the screening of such vulnerable patients

Objectives

Methods

Results

Discussion

Conclusion