住院精神病患者日常生活能力评定量表的信度及效度检验

Detection of reliability and validity of the activities of daily living scale for psychiatric inpatients

目的:寻找评定长期住院的慢性精神患者日常生活能力的工具。方法:用自制的住院精神患者日常生活能力评定量表(activityofdailylivingscaleforpsychiatricinpatients,ADLPI)对658例长期住院的具有日常生活能力下降的慢性精神患者进行信度和效度的检验。结果:ADLPI具有较高的一致性,Kappa值在0.65以上,较易掌握,内部结构一致性较好。与住院精神患者社会功能评定量表(SSPI)、阴性症状评定量表(SANS)、临床分类相对照,均具有较高的相关性(r=0.845,0.794,0.758),与日常生活能力量表对照,后者不适合长期住院精神病患者的运用。结论:ADLPI有望成为评定长期住院的精神病患者日常生活能力、康复训练疗效的工具。

AIM:To explore the method of the evaluation on the activities of daily living(ADL) of long term hospitalized inpatients with chronic psychosis. MEHTODS:Totally 658 long term chronic psychiatric inpatients with decline of ADL were evaluated with the activities of daily living scale for psychiatric inpatients(ADLPI) for detection of its reliability and validity. RESULTS:ADLPI had a better consistancy.The value of Kappa above 0.65 was easy to grasp,and its internal structure was well concordant.Compared with Scale of Social skills for Psychiatric Inpatients(SSPI),Scale for Assessment of Negative Symptoms(SANS) and clinical classification,the ADLPI had a better correlation(r=0.845,0.794,0.758);and the scale of ADL was not fit for the long term hospitalized patients with psychosis.ADLPI is possible to be used as the method to evaluate the ADL and efficacy of rehabilitative training for long term hospitalized patients with psychosis.