| Objective: To examine the reliability and validity of International Classification of Functioning, Disability and Health set for Spinal Cord Injury Nursing (ICF-SCIN). Methods: 140 cases of SCI were recruited from December 2013 to March 2014 in four research centers in China and were assessed by nurses using ICF-SCIN and Spinal Cord Independence Measure Ⅲ (SCIM Ⅲ). The psychometric properties of ICF-SCIN, including internal consistency reliability, inter-rater reliability, test-retest reliability and criterion-related validity were tested. Results: Cronbach's α coefficients of the four components of ICF-SCIN were 0.85, 0.54, 0.97 and 0.85 respectively. The mean agreement between two raters was moderate (kappa=0.51). The mean agreement between two rating times was good (kappa=0.78). Scores of Body Functions, Activities and Participation showed moderate to high negative correlations with SCIM Ⅲ (r=-0.528 to -0.896, P<0.01). Body Structures and Contextual Factors had significant but weak negative correlations with SCIM Ⅲ (r=-0.204 to -0.396, P<0.05). Conclusion: The ICF-SCIN is reliable and stable as a clinical nursing assessment tool for SCI patients in China. |
