目的:初步评价综合版膝关节置换术围手术期国际功能、残疾和健康分类(ICF)核心分类组合的效度和信度.方法:招募诊断为膝骨关节炎并接受膝关节置换术的患者41名,进行效标效度、内部一致性、组间信度和组内信度研究.以西大略和麦克马斯特大学骨关节炎指数评分(WOMAC)、SF-36健康调查量表(SF-36)、焦虑自评量表(SAS)和抑郁自评量表(SDS)为效标工具.结果:身体结构与功能、活动和参与维度与WOMAC总分及疼痛、困难程度得分正相关(ICC=0.59～0.92),与SF-36多项得分正相关(ICC=0.46～0.89).条目b130、b134、b152、d230、d240 得分与 SAS 得分正相关(ICC=0.41～0.73),条目b530得分与SDS得分正相关(ICC=0.47),均P＜0.05.身体结构与功能、活动和参与、环境因素维度的Cronbach α分别为0.93、0.93、0.53.所有条目的组间信度(ICC)为0.44～0.99;组内信度(ICC)为0.66～0.97.结论:综合版膝关节置换术围手术期ICF核心分类组合具有较好的效度和信度.
Validity and reliability of the Comprehensive International Classification of Functioning,Disability and Health Core Set for Knee Arthroplasty Perioperative Period
Objective:To preliminary evaluate the validity and reliability of the Comprehensive International Classification of Functioning,Disability and Health(ICF)Core Set for Knee Arthroplasty Perioperative Period.Methods:Patients diagnosed with knee osteoarthritis and undergoing knee arthroplasty(n=41)were recrui-ted for study of criterion validity,internal consistency,interclass reliability and intraclass reliability.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Mos 36-item Short Form Health Survey(SF-36),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to test criterion validity.Results:The scores of body structure and function and activity and participation components were positive-ly correlated with the WOMAC pain,physical function and total scores(ICC=0.59-0.92),as well as scores of SF-36(ICC=0.46-0.89).The scores of b130,b134,b152,d230 and d240 categories were positively correlated with the SAS scores(ICC=0.41-0.73),and the score of b530 category was positively correlated with the SDS scores(ICC=0.47),Ps＜0.05.The Cronbach α of the body structure and function,activity and participation,and environmental factors components were 0.93,0.93 and 0.53 respectively.The ICCs of interclass reliability ranged from 0.44 to 0.99,the ICCs of intraclass reliability ranged from 0.66 to 0.97.Conclusion:The Comprehensive ICF Core Set for Knee Arthroplasty Perioperative Period has a relatively good validity and reliability.
万方数据
维普
