简易平衡评定系统测试量表的效度与敏感度研究  

The validity and responsiveness of the Chinese version of the mini-Balance Evaluation Systems Test

作　　者：陈长香[1] 王云龙[1] 马素慧[1] 窦娜[1] 李丹[1] 

机构地区：[1]河北联合大学护理与康复学院,唐山063000

出　　处：《中华物理医学与康复杂志》2015年第1期16-19,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：河北省科技厅科技支撑课题（13277748D）

摘　　要：目的 探讨简易平衡评定系统测试（mini-BESTest）量表的效度及敏感度.方法 由2名专业人员对符合入选标准的208例脑卒中患者进行mini-BESTest及Berg平衡量表（BBS）测试,采用Pearson相关分析、配对t检验和描述性统计方法对数据进行处理.结果 mini-BESTest每项条目与其所在维度相关系数范围为0.782 ～0.934（P ＜0.05）,mini-BESTest与BBS总分及各维度得分的相关系数范围为0.682～0.873（P＜0.05）;康复训练2周后,mini-BESTest总分、4个维度得分和BBS总分均显著提高（P＜0.05）;miniBESTest总分无天花板效应和地板效应,预订姿势调整、方位觉维度有轻微天花板效应,姿势反应维度有轻微地板效应,但优于BBS.结论 mini-BESTest量表具有较好的内容效度、效标效度及敏感度,可在脑卒中患者的康复评价中应用、推广.Objective To evaluate the validity and responsiveness of the Chinese version of the miniBalance Evaluation Systems Test（mini-BESTest）.Methods A total of 208 stroke patients were evaluated by 2 professionals using both mini-BESTest and Berg balance scale （BBS）.All data were analyzed using Pearson correlation,t-test and descriptive statistical analysis.Results Significant correlation was observed between each entry of the mini-BESTest and its domain,with correlation coefficients ranging from 0.78 to 0.93 （P 〈 0.05）.The scores of whole assessment and the three related domains were significantly correlated between mini-BESTest and BBS results,the correlation coefficients ranging from 0.68 to 0.87 （P 〈 0.05）.After 2 weeks of treatment,there was significant improvement in each domain and in the total assessment score （P 〈 0.05）.No floor or ceiling effects were observed in the total mini-BESTest scores,but there was a slight ceiling effect in the anticipatory and sensory orientation domains,and a slight floor effect in the reactive postural control domain.Conclusion The mini-BESTest has good validity and responsiveness,and can be applied to evaluate patients after stroke.

关 键 词：mini-BESTest平衡量表 效度 敏感度 脑卒中 

分 类 号：R473.74[医药卫生—护理学]