适用于膝骨关节炎膝关节置换术围手术期ICF核心分类组合简明版临床评定工具的信度与效度

Reliability and validity of assessment tools of Brief ICF Core Sets for Arthroplasty of Knee Osteoarthritis in Perioperative Period

目的 验证适用于膝骨关节炎膝关节置换术围手术期ICF核心分类组合(ICSAKOPP)简明版临床评定工具的信度与效度。方法 2022年5月至2023年4月,选择北京大学第三医院、中日友好医院、北京大学第一医院、中国人民解放军总医院拟进行膝关节置换的膝骨关节炎患者320例。经过培训的评定者应用ICSAKOPP简明版对所有入组患者在术前、术后3 d (±1 d)、术后3周(±1周)、术后3个月(±1个月)时分别进行ICF评定,记录同期西安大略和麦克马斯特大学骨关节炎指数(WOMAC)得分。邀请5名康复专业人员对ICSAKOPP简明版所有类目进行评分,计算内容效度指数(CVI)。结果64例被剔除。ICSAKOPP简明版各类目CVI均≥0.8,量表平均CVI为0.938。ICSAKOPP简明版Cronbach α系数为0.813。ICSAKOPP简明版整体与WOMAC评分中等相关(r=0.681,P <0.001),身体功能维度(r=0.668,P <0.001)、活动和参与维度(r=0.657,P <0.001)与WOMAC评分中等相关。结论 ICSAKOPP简明版的内容效度良好,内部一致性信度和效标效度良好。

Objective To investigate the reliability and validity of the assessment tools of Brief ICF Core Sets for Arthroplasty of Knee Osteoarthritis in Perioperative Period(ICSAKOPP).Methods From May,2022 to April,2023,320 patients undergoing knee arthroplasty were selected in Peking University Third Hospital,China-Japan Friendship Hospital,Peking University First Hospital and Chinese PLA General Hospital.Trained assessors used Brief ICSAKOPP to evaluate all enrolled patients before arthroplasty,three days(±one day) after arthroplasty,three weeks(±one week) after arthroplasty,and three months(±one month) after arthroplasty.Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) scores were recorded at the same time.Five professionals were asked to score all the items of Brief ICSAKOPP,and the content validity index(CVI) was caculated.Results A total of 64 cases were dropped down.CVI of all the items of the Brief ICSAKOPP were above 0.8,with a average CVI of the scale of 0.938.The Cronbach's α coefficient of the Brief ICSAKOPP was 0.813.There was a moderate correlation(r = 0.681,P < 0.001) between the overall Brief ICSAKOPP and WOMAC scores,as well as body functional dimension score(r = 0.668,P < 0.001) and activities and participation dimension score(r =0.657,P < 0.001).Conclusion Brief ICSAKOPP is good in content validity,internal consistency reliability and criterion validity.