ICF功能障碍组合在康复住院患者功能评估中的信度研究  

Reliability of ICF dysfunction combination in rehabilitated inpatients

作　　者：徐伟文 陈洋 唐潮 陈坤 马腾 李丹 项洁 XU Weiwen;CHEN Yang;TANG Chao;CHEN Kun;MA Teng;LI Dan;XIANG Jie(Department of Rehabilitation Medicine,the First People’s Hospital of Suqian,Suqian 223800,Jiangsu,China;Emergency Medicine Center,the First People’s Hospital of Suqian,Suqian 223800,Jiangsu,China;Department of Rehabilitation Medicine,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,Jiangsu,China)

机构地区：[1]宿迁市第一人民医院康复医学科,江苏宿迁223800 [2]宿迁市第一人民医院急诊医学中心,江苏宿迁223800 [3]徐州医科大学附属医院康复医学科,江苏徐州2210001

出　　处：《中国现代医生》2024年第8期45-50,共6页China Modern Doctor

基　　金：数字健康家庭服务模式研究及规范化应用示范(2020YFC2006604)。

摘　　要：目的探讨国际功能、残疾和健康分类(International Classification of Functioning,Disability,and Health,ICF)功能障碍组合(ICF generic-30 set)30个类目在康复科住院患者功能评估中的评估者间和评估者内信度,为其临床应用提供依据。方法选取宿迁市第一人民医院神经康复科的90例患者纳入本研究。所有患者在入院及出院2个时间点接受同一功能评估者的ICF功能障碍组合的评估,以进行评估者内信度分析。随机抽取30例患者同时接受2名ICF功能评估者的评估,以进行评估者间重测信度分析。以Cronbach’sα系数检验量表的内部一致性,以组内相关系数(intra-group correlation coefficient,ICC)检验评估者间信度和评估者内信度。结果ICF功能障碍组合及身体功能和活动与参与两个分量表的Cronbach’sα系数分别为0.941、0.717、0.942。评估者间信度分析显示量表总分及身体功能和活动与参与两个分量表总分的ICC分别为0.998、0.971、0.999(P<0.01),评估者间信度佳;评估者内信度分析显示量表总分及身体功能和活动与参与两个分量表总分的ICC分别为0.988、0.917、0.991(P<0.01),除b640性功能不适用,b130精力和驱力功能ICC为0.558、b280痛觉ICC为0.409,其他组合条目的ICC在0.838~0.986(P<0.01),评估者内信度佳;90例患者的ICF功能障碍组合量表30个类目入、出院比较除b640性功能不适用,其余差异均有统计学意义(P<0.05)。结论ICF功能障碍组合在神经康复科患者功能评估应用中具有良好的内部一致性及评估者间和评估者内信度。Objective To explore the inter-rater and within-rater reliability of the 30 categories of the International Classification of Functioning Disability,and Health(ICF)dysfunction set(ICF generic-30 set)in clinical function assessment,to provide a basis for its clinical application.Methods Ninety patients from the Neurorehabilitation Department of the First People’s Hospital of Suqian City were enrolled in this study.All patients were evaluated by the same functional evaluator's ICF dysfunction combination at the two time points of admission and discharge for the internal reliability analysis of the evaluator.Thirty patients in the neurorehabilitation department were randomly selected to be evaluated by two ICF function evaluators at the same time to conduct test-retest reliability analysis among evaluators.The internal consistency of the Cronbach’s α coefficient test scale,and the intra-group correlation coefficient(ICC)test inter-rater reliability and within-rater reliability.Results The Cronbach´sαcoefficients of the combination of ICF dysfunction,physical function and activity,and participation in the two subscales were 0.941,0.717,and 0.942,respectively.The inter-rater reliability analysis showed that the ICC of the total score of the scale and the total scores of physical function and activity and participation in the two subscales were 0.998,0.971,0.999(P<0.01),and the inter-rater reliability good;the internal reliability analysis of the evaluator showed that the total score of the scale and the total scores of physical function and activity and participation in the two subscales were 0.988,0.917,0.991(P<0.01),except that b640 sexual function is not applicable,and b130 energy Harmony drive function ICC is 0.558,b280 pain ICC is 0.409,ICC of other combination items is 0.838-0.986(P<0.01),the evaluator’s internal reliability is good;90 patients’ICF dysfunction combination scale has 30 categories.The comparison between admission and discharge was statistically significant except that b640 was not appli

关 键 词：国际功能、残疾和健康分类 功能障碍组合 信度 

分 类 号：R473[医药卫生—护理学]