脑卒中国际功能残疾和健康分类简要核心组合的信度与效度研究

目的:分析研究脑卒中国际功能、残疾和健康分类(ICF)简要核心组合的信度和效度。方法:选择50例脑卒中患者,采用国际脑卒中ICF简要核心组合、美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能量表(FM)、Barthel指数(BI)进行评定。评定者间信度采用Kappa一致性分析方法;同步效度采用Spearman相关分析。结果:身体功能中的四个类目意识功能、定向功能、语言精神功能和肌肉力量功能的kappa值为0.664—1.000,信度中度到优;身体结构的类目脑的结构kappa值为0.976,信度优;活动和参与的四个类目的kappa值为0.696—0.846,信度中度到优;环境因素的类目直系亲属家庭kappa值为0.450,信度中度。ICF除"e310直系亲属家庭"外的其他项目的总分与NIHSS、Fugl-Meyer、BI评分的Spearman相关系数分别为0.795、-0.866、-0.795(P<0.01)。结论:采用国际脑卒中ICF简要核心组合对脑卒中患者进行综合评定可靠有效。

Study on the reliability and validity of international classification of function, disability and health brief core sets for stroke

Objective:To analyze and study the inter-rater reliability and validity of international classification of functioning,disability and health(ICF) brief core sets for stroke.Method:Fifty stroke patients were involved in this study.The functional evaluation were assessed by ICF brief core sets for stroke,National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer motor scale(FM) and Barthel index(BI).The inter-rater reliability was analyzed using Kappa correlation statistics.The concurrent criterion validity...