基于ICF的失能评估工具在临床应用中的信度研究

目的:验证基于国际功能、残疾和健康分类(ICF)的功能评定工具在失能评估中的信度。方法:选取江苏钟山老年康复医院存在功能障碍的住院患者371例参与本研究，以基于ICF的功能评定工具对患者进行失能评估，以数字化评定量表(0～10分)评估条目失能程度。分析失能评定工具的内在一致性、评估者间信度、评估者内信度。结果:基于IC...

The reliability of a functioning assessment tool based on the International Classification of Functioning,Disability and Health

Objective To investigate the reliability of a tool based on the International Classification of Functioning,Disability and Health(ICF)in the assessment of functioning despite disability.Methods A total of 371 patients were assessed using a tool based on the ICF rehabilitation set combined with a numerical rating scale ranging from 0 to 10.The internal consistency,inter-rater reliability and intra-rater reliability were analyzed.Results The scale′s Cronbach′s alpha coefficient was 0.89.The inter-rater correlation coefficient was 0.85,and the correlations among the items ranged from 0.78 to 0.94.The intra-rater correlation coefficient with the scale was 0.95,with the item correlations ranging from 0.72 to 0.97.Only item b230 Hearing function did not correlate well.Conclusions The functioning assessment tool based on the ICF rehabilitation set when combined with a numerical rating scale has internal consistency,inter-rater reliability and intra-rater reliability sufficient for use in clinical practice.