ICF通用组合在临床应用中的评估者间和评估者内信度研究
发布时间：2018-12-07 17:11
【摘要】：目的:探讨ICF通用组合在临床功能评估中的评估者间和评估者内信度,为其临床应用提供依据。方法:来自21个省份、50家医院康复医学科、神经内科、心内科、呼吸科和骨科的4784例患者参与了本研究,其中康复科患者776例。患者在入院时、住院中期、出院3个时间点接受同一名评估者的ICF通用组合功能评估,以进行评估者内信度分析。康复科患者同时接受2名评估者的评估,以进行评估者间信度分析。组内相关系数(ICC)检验评估者间信度和评估者内信度。结果:ICF通用组合的7个条目中除了d850有报酬的就业的ICC为0.40外,其他类目及总分的ICC都在0.70—0.95之间,评估者间信度佳。ICF通用组合的7个类目在入院和住院中期两个时间点之间的ICC要高于入院和出院两个时间点之间的ICC,评估者内信度佳。结论:除了d850有报酬的就业,ICF通用组合的其他条目及总分评估者间信度良好。ICF通用组合的评估者内信度良好。
[Abstract]:Objective: to explore the reliability of ICF combination in the evaluation of clinical function between and within the evaluators, and to provide the basis for its clinical application. Methods: 4784 patients from 50 hospitals, including neurology department, cardiology department, respiratory department and orthopedic department, were involved in the study, including 776 patients in rehabilitation department. At the time of admission, midhospital and 3 hours after discharge, the patients were evaluated with the same ICF general combination function to evaluate the intra-person reliability. Patients in rehabilitation department were evaluated by two evaluators to analyze their reliability. Intra-group correlation coefficient (ICC) was used to test inter-and intra-group reliability. Results: in the 7 items of the ICF general combination, the ICC of the other categories and the total score were between 0.70-0.95, except that the ICC of the d850 gainful employment was 0.40. The ICC of the 7 categories of the ICF general combination was higher than that of the ICC, in the two time points of admission and middle hospitalization. The reliability of the 7 categories in the general combination of ICF was better than that in the two time points of admission and discharge. Conclusion: except for the gainful employment of d850, the reliability of other items and total score evaluators in the ICF general portfolio is good. The intra-person reliability of the ICF general combination is good.
【作者单位】： 南京医科大学第一附属医院康复医学科;Institute
【分类号】：R493
[Abstract]:Objective: to explore the reliability of ICF combination in the evaluation of clinical function between and within the evaluators, and to provide the basis for its clinical application. Methods: 4784 patients from 50 hospitals, including neurology department, cardiology department, respiratory department and orthopedic department, were involved in the study, including 776 patients in rehabilitation department. At the time of admission, midhospital and 3 hours after discharge, the patients were evaluated with the same ICF general combination function to evaluate the intra-person reliability. Patients in rehabilitation department were evaluated by two evaluators to analyze their reliability. Intra-group correlation coefficient (ICC) was used to test inter-and intra-group reliability. Results: in the 7 items of the ICF general combination, the ICC of the other categories and the total score were between 0.70-0.95, except that the ICC of the d850 gainful employment was 0.40. The ICC of the 7 categories of the ICF general combination was higher than that of the ICC, in the two time points of admission and middle hospitalization. The reliability of the 7 categories in the general combination of ICF was better than that in the two time points of admission and discharge. Conclusion: except for the gainful employment of d850, the reliability of other items and total score evaluators in the ICF general portfolio is good. The intra-person reliability of the ICF general combination is good.
【作者单位】： 南京医科大学第一附属医院康复医学科;Institute
【分类号】：R493
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