摘要
目的:探讨功能独立性测量(FIM)在残疾评测中的信度与效度。方法:检测29例住院康复患者,中风9例,脊髓损伤13例,外伤性脑损伤7例。其中16例作了评测者内部、评测者间的信度分析;FIM内部一致性用Cronbachα计算。对FIM总分、FIM运动分、FIM认知分及Barthel指数、简易智力状态速测法(MMSE)得分作相关分析。结果:FIM评测者内部及评测者间信度佳(Pearsonr=0.9998,P<0.001,r=0.9933,P<0001),FIM内部一致性良好(入院FIMα=0.83,出院FIMα=082);FIM总分与Barthel指数及MMSE得分显著相关(r=0.9174,P<0.001,r=0.3162,P<005),FIM运动分与Barthel指数显著相关(r=0.9546,P<0.001),FIM认知分与MMSE得分显著相关(r=0.8567,P<0.001)。结论:FIM具有很高的重测信度,内部一致性良好,与Barthel指数及MMSE有良好的平行效度,是整体功能残疾一项可信、有效的评测工具。
Objective:To investigate the reliability and validity of the Functional Independence Measure(FIM) among rehabilitation inpatients.Methods:29 patients(stroke:9 cases;spinal cord injury:13 cases;traumatic brain injury:7 cases) were measured.19 male,10 female.For reliability purposes,intrarater and interrater agreement were analyzed using Pearson correlation in 16 of 29 patients. Internal consistency of the FIM was calculated using Cronbach α in all patients.Differences between admission and discharge FIM scores for analysis of FIM temporal responsiveness were examined.Interrelationships among FIM,Barthel index(BI),Minimental State Examination(MMSE),FIM moter subscale and FIM cognitive subscale were investigated.Results: FIM has a good intrarater and interrater reliability ( r>0 99,P <0.01) and good overall internal consistency (admission FIMα=0.83, discharge FIMα=0.82).As to FIM validity FIM demonstrated some responsiveness(45%FIM score improvement, P <0.05);FIM had positive relationships with BI and MMSE( r=0.9174,P<0 001;r=0.3162,P<0.05) .FIM motor subscore was positively correlated to BI( r=0 9546,P<0 001) FIM cognitive subscore was also positively correlated to MMSE( r=0.8567,P<0.001 ) Conclusion:FIM has good retest reliability,good internal consistency and good validity in functional evaluation among inpatients with commonly encountered disabilities. Author′s address Dept. of Rehabilitation Medicine,Zhejiang Provincial People′s Hospital,Hangzhou,310014
出处
《中国康复医学杂志》
CAS
CSCD
1998年第2期54-57,共4页
Chinese Journal of Rehabilitation Medicine
关键词
功能独立性测量
信度
效度
残疾
Functional Independence Measure
Reliability
Validity