康复教学中应用ICF-RS量化标准评估慢性功能障碍患者的一致性研究  

Analysis of the consistency between rehabilitation therapy interns and instructors in applying the ICF-RS quantitative criteria for assessing chronically dysfunctional patients

作　　者：林馨 余果 王妍铃 宋海燕 颜培宇 Lin Xin;Yu Guo;Wang Yanlin(Faculty of Chinese Medicine,Macao University of Science and Technology,Macao 999078,China)

机构地区：[1]澳门科技大学中医药学院,中国澳门999078 [2]厦门市第五医院,福建厦门361101

出　　处：《中国康复》2025年第3期172-176,共5页Chinese Journal of Rehabilitation

基　　金：国家自然科学基金(82272614)。

摘　　要：目的:评估康复治疗实习生与带教老师在使用《国际功能、残疾和健康分类》的康复组合评定(ICF-RS)量化标准对慢性功能障碍性患者进行评估时的一致性。方法:本研究纳入了39例慢性功能障碍患者,男23例,女16例;平均年龄47.26±14.83岁。通过培训,4名实习生与2名带教老师分别对患者的身体功能、活动功能、参与功能及整体功能进行独立评估。结果:带教老师之间的Kappa系数在0.673~1之间,表明其评估具有高度一致性;实习生之间的Kendall和谐系数为0.871~0.976,6名评定者的Kendall和谐系数在0.916~0.96之间。结论:经过培训的实习生能够达到与带教老师相近的评估一致性。ICF-RS量化标准在临床实习中应用具有可靠性和一致性。研究结果支持ICF-RS量化标准在康复治疗教育和临床实践中的广泛应用,经过系统培训提高评估一致性是必要的。Objective:To evaluate the consistency between rehabilitation therapy interns and instructors in using ICF-RS quantitative standards to assess patients with chronic functional impairment.Methods:The study included 39 patients(23 males and 16 females)with an average age of 47.26±14.83 years,covering neurological,musculoskeletal,and other types of disorders.Through training,4 interns and 2 supervising teachers independently evaluated the patient’s physical function,activity function,participation function,and overall function.Results:The Kappa coefficient among the teaching staff ranged from 0.673 to 1,indicating a high degree of consistency in their evaluations.The Kendall harmony coefficient among interns ranged from 0.871 to 0.976,while the Kendall harmony coefficient among the 6 assessors ranged from 0.916 to 0.96.Conclusion:Trained interns can achieve evaluation consistency similar to that of their supervising teachers.The ICF-RS quantitative standard has reliability and consistency in clinical practice.The research results support the widespread application of ICF-RS quantitative standards in rehabilitation therapy education and clinical practice,and it is necessary to improve evaluation consistency through systematic training.

关 键 词：国际功能、残疾和健康分类康复组合量化标准 康复治疗 评定者间信度 

分 类 号：R49[医药卫生—康复医学] R494[医药卫生—临床医学]