| Objective: To analyze the consistency level of the application of the International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) by nursing interns. Methods: A total of 42 elderly people living in our Nursing Home were selected, and 6 nursing interns simultaneously collected the demographic data and ICF-RS functional status of the elderly. Kendall harmony coefficient and Kappa coefficient were used to analyze the interrater reliability. Results: In the ICF-RS evaluated by 6 nursing interns, the Kendall harmony coefficient of 28 physical functions, activities and participation categories was between 0.7 to 1.0, and the average value of Kappa coefficient was between 0.6 to 1.0. The Kendall harmony coefficient of 93.3% (28 items) was above 0.70, and the Kappa coefficients of 0.81 to 1.0 categories accounted for 40% (12 items). The consistency was moderate to strong. The Kappa coefficients of activity function, participation function and overall function level evaluated by nursing interns and machine model ranged from 0.41 to 0.80, and the consistency was moderate to strong, with statistical significance (P<0.001). Conclusion: The use of ICF-RS by nursing interns in nursing homes to evaluate the functional status of the elderly has a good consistency, which provides a theoretical basis for promoting the application of ICF-RS in clinical practice. |
