膝关节置换术围手术期国际功能、残疾和健康分类核心分类组合的信效度评价  

Validity and reliability of the Comprehensive International Classification of Functioning,Disability and Health Core Set for Knee Arthroplasty Perioperative Period

作　　者：刘芷忻 王翠 王宁华[1,2] LIU Zhixin;WANG Cui;WANG Ninghua(Institute of Medical Technology,Peking University Health Science Center,Bejing 100191,China;Department of Rehabilitation Medicine,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学医学部医学技术研究院,北京100191 [2]北京大学第一医院康复医学科,北京100034

出　　处：《中国心理卫生杂志》2024年第9期787-795,共9页Chinese Mental Health Journal

基　　金：北京市科技计划“膝骨关节炎康复评定及治疗技术的规范化研究——下肢康复机器人技术在膝关节置换围手术期康复中的规范化应用研究”(D181100000318002);北京市科技计划“膝骨关节炎康复评定及治疗技术的规范化研究——基于ICF的膝关节置换围手术期的康复评定技术规范研究”(D181100000318005);国家重点研发计划“主动健康和老龄化科技应对”专项“日常生活及认知康复辅具的智能适配及示范应用”(2020YFC2005700)。

摘　　要：目的:初步评价综合版膝关节置换术围手术期国际功能、残疾和健康分类(ICF)核心分类组合的效度和信度。方法:招募诊断为膝骨关节炎并接受膝关节置换术的患者41名,进行效标效度、内部一致性、组间信度和组内信度研究。以西大略和麦克马斯特大学骨关节炎指数评分(WOMAC)、SF-36健康调查量表(SF-36)、焦虑自评量表(SAS)和抑郁自评量表(SDS)为效标工具。结果:身体结构与功能、活动和参与维度与WOMAC总分及疼痛、困难程度得分正相关(ICC=0.59~0.92),与SF-36多项得分正相关(ICC=0.46~0.89)。条目b130、b134、b152、d230、d240得分与SAS得分正相关(ICC=0.41~0.73),条目b530得分与SDS得分正相关(ICC=0.47),均P<0.05。身体结构与功能、活动和参与、环境因素维度的Cronbachα分别为0.93、0.93、0.53。所有条目的组间信度(ICC)为0.44~0.99;组内信度(ICC)为0.66~0.97。结论:综合版膝关节置换术围手术期ICF核心分类组合具有较好的效度和信度。Objective:To preliminary evaluate the validity and reliability of the Comprehensive International Classification of Functioning,Disability and Health(ICF)CoreSet for KneeArthroplasty Perioperative Period.Methods:Patients diagnosed with knee osteoarthritis and undergoing knee arthroplasty(n=41)were recrui-ted for study of criterion validity,internal consistency,interclass reliability and intraclass reliability.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Mos 36-item Short Form Health Survey(SF-36),Self-rating Anxiety Scale(SAS)and Self-ratingDepression Scale(SDS)wereused to test criterion validity.Results:The scores of body structure and function and activity and participation components were positive-ly correlated with the WOMAC pain,physical function and total scores(ICC=0.59-0.92),as well as scores of SF-36(ICC=0.46-0.89).The scores of b130,b134,b152,d230 and d240 categories were positively correlated with the SAS scores(ICC=0.41-0.73),and the score of b530 category was positively correlated with the SDS scores(ICC=0.47),Ps<0.05.The Cronbachαof the body structure and function,activity and participation,and environmental factors components were 0.93,0.93 and 0.53 respectively.The ICCs of interclass reliability ranged from 0.44 to 0.99,the ICCs of intraclass reliability ranged from 0.66 to 0.97.Conclusion:The Comprehensive ICF Core Set for Knee Arthroplasty Perioperative Period has a relatively good validity and reliability.

关 键 词：膝关节置换术 围手术期 ICF核心分类组合 效度 信度 

分 类 号：R687.4[医药卫生—骨科学]