ICF通用组合用于临床功能评估的效度

Validity of ICF generic set in clinical function evaluation

目的探讨国际功能、残疾和健康分类(ICF)通用组合评估工具在临床功能评估中的效度。方法对50例患者采用ICF通用组合与生活质量调查量表12(SF-12)进行评估,分析两者的的相关性以及有无并发症、第二诊断、手术和不同诊断及教育程度患者间ICF通用组合评分差异。结果除编码d850外,其他ICF通用组合各类目均与SF-12类目相关,ICF通用组合总分与SF-12躯体功能总分相关(P<0.01)。有无并发症、有无手术、有无第二诊断ICF通用组合得分组间比较均存在统计学差异(P<0.01);骨骼肌肉系统疾病、神经系统疾病、心血管系统疾病、呼吸系统疾病、肿瘤和其他不同诊断患者间ICF通用组合得分存在统计学差异(P<0.01);文盲、小学/初中、高中/大专、本科或更高等教育程度患者ICF通用组合得分存在统计学差异(P<0.01)。结论 ICF通用组合有很好的并行效度和区分效度,在临床应用中能够用于不同患者群的功能评估。

Objective To explore the validity of international classification of functional,disability and health（ICF）generic set as a tool of evaluation of clinical function.Methods Fifty patients were evaluated with ICF generic set and quality of life questionnaire[12-item Short Form Health Survey（SF-12）].The correlation between ICF and SF-12 was analyzed.The differences of ICF generic set in complications,second diagnosis,surgery and education status were analyzed as well.Results Except for category d850,the other items of ICF generic set were all closely correlated with the items of SF-12 and the sum score of ICF generic set was correlated with the physical function sum score of SF-12（P〈0.01）.There were significant differences in the scores of ICF generic set among the subgroups of complications,second diagnosis,surgery and education status（P〈0.01）.Conclusion ICF generic set has good concurrent validity and discriminate validity and is recommended to be used as a tool of clinical functioning assessment for different groups with illness.