数字评分法在脊髓损伤患者感觉异常关键点评分中的信度  

Test-retest Reliability and Inter-rater Reliability of Numerical Rating Scale for Abnormal Sensation Points of Patients with Spinal Cord Injury

作　　者：王一吉[1,2,3] 周红俊 袁媛[1,2] 刘根林[1,2] 郑樱[1,2] 郝春霞[1,2] 张缨[1,2] 卫波[1,2] 康海琼[1,2] 逯晓蕾[1,2] 蒙倩茹[1,2] WANG Yi-ji;ZHOU Hong-jun;YUAN Yuan;LIU Gen-lin;ZHENG Ying;HAO Chun-xia;ZHANG Ying;WEI Bo;KANG Hai-qiong;LU Xiao-lei;MENG Qian-ru(Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Fujita Healthy University,Nagoya 4701192,Japan)

机构地区：[1]中国康复研究中心北京博爱医院,北京市100068 [2]首都医科大学康复医学院,北京市100068 [3]日本藤田医科大学,日本名古屋4701192

出　　处：《中国康复理论与实践》2019年第10期1117-1119,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心科研基金项目(No.2015ZX-2)~~

摘　　要：目的检验数字评分法在脊髓损伤感觉异常关键点评分中的重测信度和评测者间信度。方法2016年10月至2018年10月,采用数字评分法对69例脊髓损伤患者的感觉异常关键点进行评分。评测者A对关键点进行第一次评分,次日评测者B对同一关键点进行再次评分。3周后由评测者A再次对同一患者进行评分。结果两侧肢体针刺觉评分和轻触觉评分的重测信度(r>0.88,P<0.001)和评测者间信度(ICC>0.93,P<0.001)均良好。颈段、胸段和腰段针刺觉评分和轻触觉评分的重测信度(r>0.88,P<0.001)和评测者间信度(ICC>0.93,P<0.001)均良好。结论数字评分法在脊髓损伤患者感觉异常关键点评分中具有良好的重测信度和评测者间信度。Objective To investigate the test-retest reliability and inter-rater reliability of Numerical Rating Scale(NRS)for abnormal sensation points of patients with spinal cord injury(SCI).Methods From October,2016 to December,2018,69 patients with SCI were enrolled.Their impaired sensory points were measured with NRS.The score of sensory points was tested by examiner A firstly,and examiner B did the same work next day.Then,the examiner A retested the same patients after three weeks.Results The Pearson correlation coefficients and intraclass correlation coefficient(ICC)of the test-retest reliability and inter-rater reliability for sensory score of both sides were all above 0.88 and 0.93 respectively(P<0.001).The Pearson correlation coefficients and ICC of the sensory score of the different injury levels were all above 0.88 and 0.93 respectively(P<0.001).Conclusion NRS has high test-retest reliability and inter-rater reliability for the assessment at abnormal sensation points of patients with SCI.

关 键 词：脊髓损伤 数字评分法 感觉功能 信度 

分 类 号：R651.2[医药卫生—外科学]