文章摘要
黄宝芸,林岳卿,欧阳亚涛,邓建林,丘开亿,张国兴.运用Delphi法构建基于国际功能残疾和健康分类的手外伤康复疗效评价量表[J].中国康复,2019,34(7):355-359
运用Delphi法构建基于国际功能残疾和健康分类的手外伤康复疗效评价量表
Application of Delphi method in constructing a hand injury rehabilitation effect evaluation scale based on the ICF
  
DOI:
中文关键词: Delphi法  ICF  手外伤  手功能评估  康复疗效
英文关键词: Delphi method  International Classification of Functioning, Disability and Health  hand injury  hand function assessment  rehabilitation effect
基金项目:广东省医学科研基金项目(A2016389);广东省工伤康复医院院级项目(2014C001_B)
作者单位
黄宝芸 广东省工伤康复医院广州 510440 
林岳卿 广东省工伤康复医院广州 510440 
欧阳亚涛 广东省工伤康复医院广州 510440 
邓建林 广东省工伤康复医院广州 510440 
丘开亿 广东省工伤康复医院广州 510440 
张国兴 广东省工伤康复医院广州 510440 
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中文摘要:
      目的:采用Delphi法构建一套适合中国国情文化的手功能康复评估及疗效评价工具。方法:对手部疾病国际功能残疾和健康分类(ICF)核心组合综合版123个条目进行2轮专家意见征询。通过判断各条目与手外伤功能结局的相关性、评价条目重要性,并对条目提出删改建议进行条目筛选,形成《手外伤康复疗效评价量表》。通过分析专家积极系数、权威程度、协调系数、意见集中程度以检验方法可靠性。结果:本研究共有25名专家参与此次专家咨询,所选专家覆盖手外伤领域7个学科。专家积极系数均为100%;专家权威程度系数0.8;专家协调系数0.34~0.44,且项目显著性检验结果P<0.05;专家意见集中程度均数>2.5。经筛选,最终保留48个条目。结论:Delphi法构建基于ICF的手外伤康复疗效评价量表有效、可靠。
英文摘要:
      Objective: To construct a tool of hand function assessment and rehabilitation evaluation suitable for the Chinese population using the Delphi method. Methods: Two rounds of expert consultation were conducted on 123 items of the integrated core sets of International Classification of Functioning, Disability and Health (ICF) for hand conditions. The items were screened by judging the correlation between each item and the functional outcome of hand injury, and assessing the importance of the items. Suggestions for deletion and modification of items were made, and the "hand injury rehabilitation effect evaluation scale" was established. The reliability of the method was determined by analyzing the positivity, authority, harmony, and the expert’s opinions concentration. Results: Twenty five experts participated in this study and covered 7 disciplines in the field of hand injury. The positive coefficient of the experts was 100%. The coefficient of expert authority was 0.8. The harmony coefficient was 0.34 0.44, which was significant (P<0.05). The average score concentration of expert opinions was greater than 2.5. Forty eight of the original 123 items were retained in the final evaluation scale. Conclusion: The Delphi method is effective and reliable to construct a hand injury rehabilitation effect evaluation scale based on the ICF.
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