脊髓损伤护理相关ICF组合的信度与效度研究

Reliability and validity of International Classification of Functioning,Disability and Health set for spinal cord injury nursing

目的:检验《脊髓损伤护理相关ICF组合》的信度和效度。方法:2013年12月~2014年3月,4个研究中心的140例脊髓损伤患者参与研究,采用《脊髓损伤护理相关ICF组合》和《脊髓独立测量量表》第3版(SCIMⅢ)评定患者,以检验《脊髓损伤护理相关ICF组合》的内在一致性信度、评定者间信度、重测信度和校标关联效度。结果:《脊髓损伤护理相关ICF组合》的身体功能、身体结构、活动和参与以及背景性因素这四个成份的Cronbach'sα系数分别为0.85、0.54、0.97和0.85;两个评定者之间平均kappa系数为0.51;重测信度检验显示两次评定之间平均kappa系数为0.78;身体功能、活动和参与成份与SCIMⅢ的各分量表和总分呈中度至高度负相关(r=-0.528^-0.896,P<0.01),身体结构成份和背景性因素成份与其呈低度负相关(r=-0.204^-0.396,P<0.05)。结论:《脊髓损伤护理相关ICF组合》作为脊髓损伤患者的临床护理评估工具是稳定和可靠的。

Objective：To examine the reliability and validity of International Classification of Functioning,Disability and Health set for Spinal Cord Injury Nursing（ICF-SCIN）.Methods：140cases of SCI were recruited from December 2013 to March 2014 in four research centers in China and were assessed by nurses using ICF-SCIN and Spinal Cord Independence MeasureⅢ（SCIM Ⅲ）.The psychometric properties of ICF-SCIN,including internal consistency reliability,inter-rater reliability,test-retest reliability and criterion-related validity were tested.Results：Cronbach＇sαcoefficients of the four components of ICF-SCIN were 0.85,0.54,0.97 and 0.85 respectively.The mean agreement between two raters was moderate（kappa=0.51）.The mean agreement between two rating times was good（kappa=0.78）.Scores of Body Functions,Activities and Participation showed moderate to high negative correlations with SCIM Ⅲ（r=-0.528to-0.896,P〈0.01）.Body Structures and Contextual Factors had significant but weak negative correlations with SCIM Ⅲ（r=-0.204to-0.396,P〈0.05）.Conclusion：The ICF-SCIN is reliable and stable as a clinical nursing assessment tool for SCI patients in China.