ICF-CY自理项量表应用于脑性瘫痪儿童评定的信度和效度研究  

Reliability and Validity of the ICF-CY Self-Care Sets in Children with Cerebral Palsy

作　　者：张朋[1,2] 李晓捷[1,2] 孙奇峰[1,2] 宋福祥[1,2] 

机构地区：[1]佳木斯大学附属第三医院 [2]佳木斯大学康复医学院,黑龙江佳木斯市154007

出　　处：《中国康复理论与实践》2014年第6期517-521,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的研究《国际功能、健康和残疾分类儿童青少年版》（ICF-CY）自理项量表在脑瘫儿童评定中的信度和效度。方法选择50例脑瘫儿童，采用ICF-CY自理项量表、功能性独立测量量表（WeeFIM）和儿童能力评估量表（PEDI）进行评定。ICF-CY自理项量表信度检验采用kappa一致性分析方法；ICF-CY自理项量表与WeeFIM和PEDI同步效度采用Spearman相关分析。结果ICF-CY自理项8个类目重测信度kappa值为0．806～0．932，信度优；ICF-CY自理项8个类目评定者间信度kappa值为O．690～0．882，信度中到优；ICF-CY自理项评分与WeeFIM和PEDI评分的Spearman相关系数为-0．832和-0．767（P〈0．01）。结论采用ICF-CY自理项量表对脑瘫儿童进行日常生活自理评定可靠、有效。Objective To analyze the reliability and validity of the International Classification of Functioning, Disability and Health-Children and Youth Version （ICF-CY） Self-care Sets for the children with cerebral palsy. Methods 50 children with cerebral palsy were involved in this study. The functional evaluation was assessed by ICF-CY Self-care Sets, Functional Independence Measure （WeeFIM） and Pediatric Evaluation of Disability Inventory （PEDI）. The reliability was analyzed with kappa correlation statistics. The concurrent criteri- on validity was analyzed with Spearman＇s rank correlation coefficients. Results The kappa value of test-retest reliability of 8 categories of ICF-CY Self-care Sets was 0.806-0.932, excellent. The kappa value of interrater reliability of 8 categories of ICF-CY Self-care Sets was 0.690-0.882, from moderate to excellent. The correlation analysis showed that the total score of the ICF-CY Self-care Sets was associated with the scores of WeeFIM （r=-0.832, P〈0.01） and PEDI （r=-0.767, P〈0.01）. Conclusion The ICF-CY Self-care Sets are reliable and valid as a measurement for children with cerebral palsy.

关 键 词：脑性瘫痪 国际功能 残疾和健康分类儿童青少年版 信度 效度 

分 类 号：R49[医药卫生—康复医学]