| 李琨,燕铁斌,尤黎明,谢粟梅,李云,唐洁,王颖敏.脊髓损伤护理相关ICF组合的信度与效度研究[J].中国康复,2016,31(3):201-204 |
| 脊髓损伤护理相关ICF组合的信度与效度研究 |
| Reliability and validity of International Classification of Functioning, Disability and Health set for spinal cord injury nursing |
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| DOI： |
| 中文关键词: 国际功能、残疾和健康分类 脊髓损伤 信度 效度 |
| 英文关键词: International Classification of Functioning,Disability and Health spinal cord injury reliability validity |
| 基金项目:美国中华医学基金会项目(10-021);广东省科技计划项目(2011B031800298) |
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| 中文摘要: |
| 目的：检验《脊髓损伤护理相关ICF组合》的信度和效度。 方法：2013年12月~2014年3月，4个研究中心的140例脊髓损伤患者参与研究，采用《脊髓损伤护理相关ICF组合》和《脊髓独立测量量表》第3版（SCIM Ⅲ）评定患者，以检验《脊髓损伤护理相关ICF组合》的内在一致性信度、评定者间信度、重测信度和校标关联效度。结果：《脊髓损伤护理相关ICF组合》的身体功能、身体结构、活动和参与以及背景性因素这四个成份的Cronbach's α系数分别为0.85、0.54、0.97和0.85；两个评定者之间平均kappa系数为0.51；重测信度检验显示两次评定之间平均kappa系数为0.78；身体功能、活动和参与成份与SCIM Ⅲ的各分量表和总分呈中度至高度负相关（r=-0.528~-0.896，P＜0.01），身体结构成份和背景性因素成份与其呈低度负相关（r=-0.204~-0.396，P＜0.05）。结论：《脊髓损伤护理相关ICF组合》作为脊髓损伤患者的临床护理评估工具是稳定和可靠的。 |
| 英文摘要: |
| Objective: To examine the reliability and validity of International Classification of Functioning, Disability and Health set for Spinal Cord Injury Nursing (ICF-SCIN). Methods: 140 cases of SCI were recruited from December 2013 to March 2014 in four research centers in China and were assessed by nurses using ICF-SCIN and Spinal Cord Independence Measure Ⅲ (SCIM Ⅲ). The psychometric properties of ICF-SCIN, including internal consistency reliability, inter-rater reliability, test-retest reliability and criterion-related validity were tested. Results: Cronbach's α coefficients of the four components of ICF-SCIN were 0.85, 0.54, 0.97 and 0.85 respectively. The mean agreement between two raters was moderate (kappa=0.51). The mean agreement between two rating times was good (kappa=0.78). Scores of Body Functions, Activities and Participation showed moderate to high negative correlations with SCIM Ⅲ (r=-0.528 to -0.896, P<0.01). Body Structures and Contextual Factors had significant but weak negative correlations with SCIM Ⅲ (r=-0.204 to -0.396, P<0.05). Conclusion: The ICF-SCIN is reliable and stable as a clinical nursing assessment tool for SCI patients in China. |
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