康复护理日常生活活动评定量表的信度和效度研究(英文)

Reliability and validity of rating scale on rehabilitative nursing in activiti es of daily living

背景:在康复医学中有许多种日常生活活动(ADL)能力评定量表,但符合康复护理程序的评定量表甚少。为此,浙江省康复中心从2000年开始研究设计了康复护理ADL(rehabilitativenursingADL,RNADL)评定量表,并制定了评定内容和评定标准。目的:探讨康复护理ADL评定量表在患者日常生活活动功能评测中的重测信度、内部一致性及量表的有效信度。设计:重复测量设计。单位:浙江省望江山疗养院,浙江省康复中心。对象:2001-04/2003-04浙江省望江山疗养院康复医学科进行康复治疗的ADL功能障碍的40例患者。方法:对40例住院康复患者用RNADL量表进行评测者内部、评测者之间的信度分析;内部一致性用Cronbachα计算;并分别用RNADL和改良的Barthel指数MBI)进行出、入院各项目评定,用Pearson分析入院、出(院及出入院之间的相关性。主要观察指标:RNADL评定量表的信度和效度检测结果。结果:RNADL评测者内部和评测者之间的信度良好,各项组内相关系数(ICC)范围为0.966～0.998,r=0.996～0.997;内部一致性信度系数α=0.822,各项之间α=0.925,RNADL内部一致性较好。RNADL和MBI的比较研究得出:出、入院RNADL与MBI改变值间相关性良好(r=0.89,P<0.001)。结论:RNADL具有很高的重测信度,内部一致性较好,与MBI有良好的关联效度。

BACKGROUND:There were many evaluation scales on activities of daily living(ADL ) in rehabilitation medicine,but scale according with rehabilitative nursing pro grams was less.Therefore,a rehabilitative nursing ADL(RNADL) evaluation scale wa s studied and designed by the Rehabilitation Center of Zhejiang Province from 20 00,and the evaluation content and standard were instituted as well. OBJECTIVE:To make an exploratory discussion of the re measurement reliability ,internal concordance,and reliability of rehabilitative nursing ADL evaluation s cales in the assessment of patients' ADL. DESIGN:Design of repeated measurement. SETTING:Wangjiangshan Convalescent Hospital,Zhejiang Province. Rehabilitation Center, Zhejiang Province. PARTICIPANTS:Forty disordered ADL patients,received rehabilitation care in the Rehabilitation Medical Department of Wangjiangshan Convalescent Hospital,Zhejia ng Province from April 2001 to April 2003. METHODS:Intra rater agreement and inter rater reliability were undertaken by nurses in 40 residential rehabilitative patients with RNADL scale.Internal conc ordance was calculated with Cronbach α;evaluation of each item of discharge and admission was performed with RNADL and modified Barthel index(MBI),and then the correlation of admission, discharge and their relationship were analyzed with P earson. MAIN OUTCOME MEARSURES:Results of reliability and validity detected with the R NADL scale. RESULTS:Reliability of RNADL,intra rater and inter rater,was good; each inte rclass coefficient correlation(ICC) was within 0.966-0.998,r =0.996-0.997;The index of intra rater agreement α=0.822;and that of inter rater reliability α =0.925,RNADL internal concordance was good. Comparative study on RNADL and MBI s howed that RNADL and MBI changes in discharge and admission had a good dependabi lity(r=0.89,P< 0.001). CONCLUSION:RNADL has a high re measurement reliability,and its internal conco rdance is good.It has a good correlative validity with MBI, and is a confident a nd valid scale for the evaluation of rehabilitative nursing ADL.