| 张淑琴,唐华,王珊珊,殷喜悦,余钦,李瑞,孙倩倩,詹燕.国标ICF-RS评估肿瘤患者功能状态的信效度研究[J].中国康复,2025,40(3):150-155 |
| 国标ICF-RS评估肿瘤患者功能状态的信效度研究 |
| Reliability and validity of ICF-RS in patients with cancer |
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| DOI：10.3870/zgkf.2025.03.005 |
| 中文关键词: 国际功能、残疾和健康分类康复组合 肿瘤患者 功能状态 信效度 |
| 英文关键词: International Classification of Functioning, Disability and Health Rehabilitation Set Cancer Functional state Reliability and validity |
| 基金项目:国家自然科学基金（82272614）；襄阳市科技研究与开发项目（2022BBS005186） |
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| 中文摘要: |
| 目的：检验国际功能、残疾和健康分类康复组合（ICF-RS）用于肿瘤患者功能状态评估的信度及效度情况。方法：纳入63例肿瘤患者，①使用国标ICF-RS及美国东部肿瘤协作组（ECOG）制定的ECOG评分法、医用抑郁焦虑量表（HADS）、改良Barthel指数（MBI）量表进行肿瘤患者功能情况及体力状况、情绪及日常生活能力等情况的评估；②信度分析：采用加权Kappa系数检验ICF-RS评估者间一致性；③校标效度分析：采用Spearman相关系数检验ICF-RS整体维度及身体、活动、参与3个维度与ECOG、HADS及MBI评分等级的相关性分析。结果：①信度分析：2名治疗师评定的身体、活动及参与维度，共28条类目加权Kappa相关系数为中度到极强相关，且均存在统计学意义（P<0.001）。②效标效度分析：ICF-RS整体维度及活动、参与2个维度与ECOG的相关系数在0.2~0.4之间，且存在统计学意义（P<0.05）；ICF-RS整体功能及参与维度与HADS的相关系数在0.2~0.4之间，且存在统计学意义（P<0.05）；ICF-RS身体功能及活动功能2个维度与MBI评分等级的相关系数在-0.2~-0.4之间（P<0.05）。结论：ICF-RS量化标准用于评估肿瘤患者的功能状况时具有良好的信度；部分维度及条目与其他临床常用量表之间存在不同程度的相关性，提示ICF-RS量化标准可以作为评估肿瘤患者功能情况的筛查工具。 |
| 英文摘要: |
| Objective: To explore the reliability and validity of the International Classification of Functioning, Disability and Health-Rehabilitation Set (ICF-RS) in tumor patients. Methods: A total of 63 tumor patients were enrolled in this study. ICF-RS, Eastern Cooperative Oncology Group (ECOG), hospital anxiety and depression scale (HADS) and modified Barthel index (MBI) were used to evaluate the functional status, physical status, mood and daily living ability of the tumor patients. For reliability analysis, the weighted Kappa coefficient was used to test the consistency among ICF-RS evaluators. Fro calibration validity analysis, Spearman correlation coefficient was used to test the correlation analysis between ICF-RS overall function, body function, activity function, participation function and other clinical scales including ECOG, HADS and MBI scores. Results: For reliability analysis, the weighted Kappa correlation coefficients for 28 categories (physical function, activity function and participation function) assessed between the two therapists were moderate to strong, and all were statistically significant (P<0.001). For calibration validity analysis, the correlation coefficients of ICF-RS overall function, activity and participation with ECOG ranged from 0.2 to 0.4, and there was statistical significance (P<0.05). The correlation coefficient between ICF-RS overall function and participation dimension and HADS was between 0.2 and 0.4, and there was statistical significance (P<0.05). The correlation coefficients between the two dimensions of ICF-RS body function and mobility function and MBI rating were between -0.2 and -0.4, and there was statistical significance (P<0.05). Conclusion: The quantitative criteria of ICF-RS have good reliability in evaluating the functional status of tumor patients. There are different degrees of correlation between some dimensions and items and other commonly used clinical scales, suggesting that ICF-RS quantitative criteria can be used as a screening tool to evaluate the functional status of tumor patients. |
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