| 陈善佳,余果,赵嘉培,陈铖,洪志评,何晓阔.ICF康复量表应用于创伤性脊髓损伤恢复期患者的信效度研究[J].中国康复,2021,36(10):604-608 |
| ICF康复量表应用于创伤性脊髓损伤恢复期患者的信效度研究 |
| Reliability and validity of ICF rehabilitation scale about the convalescent patients with traumatic spinal cord injury |
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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 core injury reliability validity |
| 基金项目:厦门市医疗卫生指导性项目（3502Z20199100） |
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| 中文摘要: |
| 目的：检验ICF康复量表在创伤性脊髓损伤（TSCI）人群的信效度情况。方法：采用ICF康复量表、改良Barthel指数、Berg平衡能力、SDS抑郁量表等常用量表对45个TSCI恢复期患者进行综合评估。Cronbachα系数和Spearman相关系数分别检验ICF康复量表的内部一致性信度和与其他量表的校标关联效度。结果：采用ICF康复量表评估TSCI患者最主要障碍表现在：b640性功能、b280G痛觉、b455运动和耐受能力、b710关节活动能力、b620排尿功能，S610泌尿系统的结构、S430呼吸系统的结构，d660帮助别人、d450G步行、d470利用交通工具、d230进行日常事务、d540穿着、d850有报酬的就业，e115个人日常生活用的用品和技术、e580卫生的服务、体制和政策。ICF康复量表及4个子领域Cronbachα系数分别为0.870、0.560、0.368、0.896、0.717，如删除一些条目可提升整体的内部一致性。患者在身体功能（BF）与抑郁量表分数呈高度正相关（P＜0.05），活动与参与（AP）和改良Barthel指数呈高度负相关（P＜0.05）。环境因素（EF）与其他量表的相关性低(P＞0.05)。结论：ICF康复量表可用于评估TSCI恢复期患者的功能状况，具有可靠的内部一致性信度和较好的校标关联效度。 |
| 英文摘要: |
| Objective: To explore the reliability and validity of the ICF rehabilitation scale on the convalescent patients with traumatic spinal cord injury (TSCI). Method: A total of 45 TSCI convalescent patients were evaluated by ICF rehabilitation scale and other clinical scales, such as the Modified Barthel Index, Berg balance scale and self-rate depression scale. Cronbach α coefficient and Spearman correlation coefficient were used to test the internal consistency reliability and calibration correlation validity of ICF rehabilitation scale. Result: The outstanding impairments for TSCI patients were mainly concentrated in b640 sexual function, b280 GSensation of pain, b455 Exercise tolerance functions, b710 Mobility of joint functions, b620 Urination functions, S610 Structure of urinary system, S430 Structure of respiratory system, d660 Assisting others, d450G walking, d470 Using transportation, d230 Carrying out daily routine, d540 Dressing, d850 Remunerative employment, e115 Products and technology for personal use in daily living, e580 Health services, systems and policies. It showed a moderate to high internal consistency reliability for the ICF rehabilitation scale and four components score, Cronbach’s alpha were respectively 0.870, 0.560, 0.368, 0.896, 0.717. If some items were deleted, the total internal consistency reliability could be improved. The body function was closely positively correlated with the total SDS score and moderately negatively with balance ability (P<0.05). There was a moderate negative correlation between body structure and balance ability (P>0.05). The activity and participation were negatively correlated with Modified Barthel index (P<0.05). There was a low correlation between environmental factors and spinal stability and Modifie Barthel index (P>0.05). Conclusion: The psychological characteristic of ICF rehabilitation scale was reasonably stable and reliable among Chinese TSCI patients in rehabilitation practice. |
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