中文版下背痛简明ICF核心要素及其效度与信度的初步研究

A preliminary study of the brief Chinese version of the ICF core sets for low back pain and their validity and reliability

目的探讨中文版下背痛简明“国际功能、残疾和健康分类”（ICF）核心要素的组成，并检验其应用于下背痛患者的信度和效度。方法参照国外ICF核心要素量表制定中文版下背痛简明ICF核心要素量表并应用于下背痛患者，确定该量表所包括的条目。同时采用中文版Oswestry功能障碍指数（ODI）和Roland-Morris功能障碍调查表（RMDQ），并结合患者自我报告、临床记录、医学检查等方法，对60例下背痛患者进行综合测评。将下背痛患者的简明ICF核心要素与中文版Oswestry功能障碍指数以及Roland-Morris功能障碍调查表评分进行相关性分析，2d后重复测评ICF核心要素，评估其重测信度。结果简明ICF核心要素量表的有效性测评结果显示其与ODI、RMDQ有显著相关性；ICF核心要素量表具有良好的可重复性。结论下背痛简明ICF核心要素量表具有良好的信度和效度，且其评定指标较ODI和RMDQ更全面。

Objective To develop a brief Chinese version of the International Classification of Functioning, Disability, and Health （ICF） core sets for low back pain and to test their validity and reliability. Methods The Chinese brief ICF core sets for low back pain were developed based on those developed by Munchen University through clinical investigation. Sixty patients with low back pain were then recruited and evaluated using the Chinese sets, the Oswestry disability index （ODI） and the Roland-Morris Disability Questionnaire （RMDQ）. Thirty patients were selected randomly and examined again with the Chinese ICF core sets 2 days after the 1 st evaluation to test their repeatability. Pearson correlation analysis between the ICF core sets and the other scales was conducted to test the validity of the brief ICF core sets for Chinese patients with low back pain. ResuIts The Pearson correlation analysis revealed a significant relationship between the results with the Chinese ICF core sets and ODI and RMDQ results. The Chinese ICF core sets were also found to have good repeatability. Conclusion The brief Chinese version of the ICF core sets is reliable and valid in the evaluation of Chinese patients with low back pain.