| 林馨,余果,王妍铃,宋海燕,颜培宇.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[J].中国康复,2025,40(3):172-176 |
| 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 |
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| DOI：10.3870/zgkf.2025.03.009 |
| 中文关键词: 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 |
| 英文关键词: ICF-RS quantification standard rehabilitation therapy inter rater reliability |
| 基金项目:国家自然科学基金（82272614） |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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