功能综合评定量表的信度与效度的初步研究

A preliminary study of reliability and validity of the Functional Comprehensive Assessment Scale

目的 应用功能综合评定量表 (FCA)和功能独立性测定量表 (FIM )对脑卒中患者的功能测定结果进行比较研究 ,以测定FCA的信度和效度。方法 随机对 2 0例脑卒中后遗症期患者进行FCA和FIM评定 ,主要内容包括运动功能和认知功能二大项 ,对 10例脑卒中患者进行FCA的组内相关系数的研究。结果FCA和FIM的比较研究得出 :t =0 .0 45 1,P >0 .0 5 ,显示 :FCA与FIM评定结果无显著差别 ,相关系数r= 0 .997,P <0 .0 0 1,呈极显著相关 ,表明FCA量表的效度较好 ,FCA的组内相关系数各单项平均为 0 .92 9(P<0 .0 0 1) ,显示有很好的可重复性。结论 FCA与FIM相比 ,同样有较好的效度 ,FCA也有较好的信度 。

Objective To compare the Functional Comprehensive Assessment Scale (FCA) with the Functional Independence Measure (FIM) and to study the validity and reliability of FCA. Methods Assessment of function using FCA and FIM are performed in 20 cases of stroke patients. The main content of assessment includes two parts: cognition function and motor function. The intraclass correlation coefficient (ICC) was calculated in 10 stroke patients. Results There is no significant difference between the results obtained by using FIM and FCA ( t =0.0451, P >0.05). The correlation coefficient is 0.997, P <0.001, indicating good validity of FCA scale. The average ICC of FCA is 0.929 ( P <0.001), suggesting a good reproducibility. Conclusion FCA is a valid and reliable instrument as compared against FIM.