功能独立性评测的信度与效度的初步研究

Preliminary Study on Reliability and Efficacy of Functional Independence Measure

目的在本国的文化背景下，研究功能独立性评测（ｆｕｎｃｔｉｏｎａｌｉｎｄｅｐｅｎｄｅｎｃｅｍｅａｓｕｒｅ，ＦＩＭ）的重测信度与构想效度。方法使用ＦＩＭ、Ｂａｒｔｈｅｌｉｎｄｅｘ（ＢＩ）、ＰＵＬＳＥＳＡＤＬ功能评定量表（ＰＵＬＳＥＳ）、运动评估量表（ｍｏｔｏｒａｓｅｓｍｅｎｔｓｃａｌｅ，ＭＡＳ）、残疾分级量表（ｄｉｓａｂｉｌｉｔｙｒａｔｉｎｇｓｃａｌｅ，ＤＲＳ），对６８例患者（脑卒中３３例、脑外伤３０例、脊髓损伤５例）的残疾进行评定，对１８例患者（脑卒中６例、脑外伤７例、脊髓损伤５例）使用ＦＩＭ作了重复测定，同时收集相关资料如年龄、合并症、性别等。结果ＦＩＭ的重测信度高（ｒ＞０．９６，Ｐ＜０．０５）。ＦＩＭ与ＢＩ、ＭＡＳ、ＰＵＬＳＥＳ高度相关（Ｐ＜０．０５），与ＤＲＳ无关（Ｐ＞０．０５）。结论在我国的文化背景下ＦＩＭ的重测信度与构想效度高，可以在我国推广使用。

Objective To study the test retest reliability and construct efficacy under the country's background.Methods 68 disable patients (33 cases of strokes,30 cases of traumatic brain injury,5 cases of spinal cord injury) were investigated using the FIM,barthel index(BI),PULSES,motor assessment scale(MAS) and disability rating scale(DRS).18 patients (6 cases of stroke,7 cases of traumatic brain injury,5 cases of spinal cord injury) were reassessed by FIM after a short period (3 days interval).Age,sex,comorbidity of the patients and so on were also collected.Results The test retest reliability of the FIM was high(r> 0.96 ,P< 0.05 ).The relationship between FIM and BI,PULSES was significant(P< 0.05 ),the relationship between FIM and DRS was of no significance(P> 0.05 ).Conclusion FIM has high test retest reliability and construct validity and can be widely used in China.