国标ICF-RS在脑卒中恢复期患者功能评价中的信效度研究  

Reliability and validity of the national standard ICF-RS in the evaluation of function rehabilitation in patients with stroke in recovery period

作　　者：孙倩倩 雷德宝 常虎 李勇 李俊龙 赵素晨 Sun Qianqian;Lei Debao;Chang Hu(Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院,广州510120 [2]湖北文理学院附属医院,襄阳市中心医院,湖北襄阳441138 [3]康复医学与康复工程技术襄阳市重点实验室,湖北襄阳441138

出　　处：《中国康复》2025年第3期135-139,共5页Chinese Journal of Rehabilitation

基　　金：国家自然科学基金(82272614);襄阳市科技研究与开发项目(2022BBS005186)。

摘　　要：目的:检验国际功能、残疾和健康分类康复组合(ICF-RS)在脑卒中恢复期患者功能评价中的信度与效度。方法:选取70例脑卒中恢复期患者,采用国标ICF-RS、Fugl-Meyer运动功能评估量表(FMA)、偏瘫手功能分级、Holden步行功能分级、简易三级平衡功能评定、改良Barthel指数(MBI)对患者功能进行评估,并于首次评估后3d内,由同一评估者对患者再次进行ICF-RS评估。以Cronbach′s α系数分析ICF-RS的内部一致性信度;组内相关系数(ICC)分析重测信度;Spearman相关系数检验校标关联效度。结果:①内部一致性分析:ICF-RS类目的Cronbach′s α系数为0.937,整体功能与身体功能、日常活动及社会参与3个维度的Cronbach′s α系数分别为0.750,0.780,0.686,0.705;②重测信度分析:ICF-RS的ICC为0.976,整体功能及各维度的ICC分别为0.871,0.807,0.872,0.931(P<0.05);③校标效度Spearman相关分析:ICF-RS整体功能及各维度与脑卒中功能行为学量表(FMA、偏瘫手功能分级、Holden步行功能分级、简易三级平衡功能评定)及日常生活活动评估量表MBI均存在中等及强相关性(P<0.05)。结论:ICF-RS应用于脑卒中恢复期患者功能评价中具有较好的信度与校标关联效度。Objective:To investigate the reliability and validity of International Classification of Functioning,Disability and Health Rehabilitation Set(ICF-RS)in the evaluation of function rehabilitation in patients with stroke in recovery period.Method:A total of 70 patients with dysfunction post-stroke admitted to the Rehabilitation Department,and their functions were evaluated using the national standard ICF-RS,Fugl-Meyer Motor Function Assessment Scale(FMA),hemiplegic hand function scale,Holden walking function classification,Simple tertiary balance function assessment,and modified Barthel index(MBI).Once more ICF-RS assessment was performed by the same evaluator.All the results were analyzed by SPSS 26.0 version of statistical software,and bilateral test was used.P<0.05 was considered statistically significant.Cronbach’s α coefficient was used to analyze the internal consistency reliability of ICF-RS,intra-group correlation coefficient ICC was used to analyze retest reliability,Spearman correlation coefficient was used to test calibration correlation validity.Results:①Internal consistency analysis:the Cronbach’s α coefficient of ICF-RS was 0.937,and the Cronbach’s α coefficient of overall function and physical function,daily activity and social participation were 0.750,0.780,0.686,0.705,respectively.②Retest reliability analysis:ICC in ICF-RS group was 0.976,ICC in overall function and each dimension was 0.871,0.807,0.872,0.931,respectively(P<0.05).③Spearman correlation analysis of calibration validity:The overall function and dimensions of ICF-RS were moderately to highly negatively correlated with the stroke motor function behavioral scale(FMA,hemiplegic hand function scale,Holden walking hand function scale,and simple three-level balance function assessment),and were moderate to strong correlated with the activities of daily living assessment scale(MBI)(P<0.05).Conclusion:ICF-RS showed good reliability and validity in the evaluation of function rehabilitation in patients with stroke in recovery period

关 键 词：国际功能、残疾和健康分类康复组合 脑卒中 功能评价 信度与效度 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]