| 邓娇,王玉龙,李晗,侯为林.龙氏ADL量表在骨科康复应用中的临床价值[J].中国康复,2021,36(1):26-30 |
| 龙氏ADL量表在骨科康复应用中的临床价值 |
| Clinical value of Long's activity of daily living scale in orthopedic rehabilitation |
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| DOI： |
| 中文关键词: 龙氏ADL量表 骨科康复 Barthel指数 ADL受限患者 |
| 英文关键词: Long's ADL scale Orthopedic rehabilitation Barthel index ADL dysfunction |
| 基金项目:深圳市政府“医疗卫生三名工程”（SZSM201512011) |
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| 中文摘要: |
| 目的：探索龙氏日常生活活动能力（ADL)量表在骨科康复患者中的实用价值，以判断其自身的科学性和简便性，以及与Bathel指数的临床相关性。方法：以我院康复科及骨科住院的200例ADL受限患者为主要研究对象，采用龙氏ADL量表及Barthel指数进行评定。龙氏ADL量表将患者分为床上人、家庭人和社会人三个类别，每个类别包含3个要素。结合Cronbach's α系数、Kaiser-Meyer-Olkin（KMO)检验及Barlett检验测定龙氏ADL量表的信度和效度，以判断其科学性；对龙氏ADL量表和Barthel指数结果进行Spearman相关分析，以测定其临床相关性；对于专业人士和非专业人士使用龙氏ADL量表所取得数据的一致性及耗时进行分析，以判断龙氏ADL量表的简便性和实用性。结果：床上人、家庭人和社会人的Cronbach's α 系数均高于0.7，通过KMO指数和Barlett指数分析验证龙氏ADL具有较高效度（P<0.05)；龙氏ADL量表和Barthel指数存在较高的相关性（P<0.05)；专业人士和非专业人士实用龙氏ADL量表所采集数据无统计学差异；与Barthel指数评估相比，龙氏量表显著缩短了评估时间（P<0.05)，与非专业人士相比，专业人士评估的耗时减少（P<0.05)。结论：龙氏ADL量表具有较好的效度和信度，且与Barthel指数的相关性较高，专业人士和非专业人士使用具有较高一致性，说明其临床实用价值较大。 |
| 英文摘要: |
| Objective: To investigate the clinical value of Long's activity of daily living (ADL) scale, and analyze its scientificity as well as convenience, and its clinical substitutability for barthel indexes. Methods: The patients with ADL dysfunction from the rehabilitation and orthopaedic department were enrolled in this study. The patients were assessed by the Long's ADL scale and Barthel index. The Long's ADL scale was used to classify the patients into bed people, family people and social people. The Scientificity of Long's ADL scale was analyzed by Cronbach's α, the Kaiser-Meyer-Olkin (KMO) test and Barlett test. Spearman correlation analysis was carried out on the results of Long's ADL scale and Barthel index to determine their correlation. The convenience and practicality of Long's ADL scale were tested by the consistency of the results from professionals and non professionals. Result: The Cronbach's α of bed people, family people and social people was higher than 0.7, suggesting high reliability, and the KMO and Barthel tests verified the high validity of three features of Long's ADL scale (P<0.05). The Long's ADL scale and Barthel index showed a close linear correlation. The results of professionals and non-professionals showed no significant difference in collecting the data using Long's ADL scale. Compared with the Barthel index, the Long's scale significantly shortened the evaluation time (P<0.05). Compared with non-professionals, the professional evaluation took less time (P<0.05). Conclusion: The Long's ADL scale had higher reliability and validity as well as a close relationship with Barthel index, and had more consistency between professionals and non professionals, suggesting that the Long's ADL scale had an important clinical value. |
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