| 刘 珊,张 霞,方蘅英,Jan D. Reinhardt,刘守国,励建安,蔡文智.ICF通用组合在中国人群临床应用中的效度研究[J].中国康复医学杂志,2017,(9):994~999 |
| ICF通用组合在中国人群临床应用中的效度研究 点此下载全文 |
| 刘 珊 张 霞 方蘅英 Jan D. Reinhardt 刘守国 励建安 蔡文智 |
| 南方医科大学深圳医院，深圳，518000 |
| 基金项目： |
| DOI： |
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| 摘要
目的：探讨ICF通用组合在中国人群临床功能评估中的结构效度，为其临床应用提供依据。
方法：采用ICF通用组合功能评估量表，于入院和出院时两个时间点对来自全国21个省份和自治区50家医院康复医学科、神经内科或脑外科、心血管科、呼吸科和骨科4510名患者进行评估。所得数据用于评价ICF通用组合在临床功能评估中的结构效度。
结果：“d850 有报酬的就业”不适用于NRS评分，缺失值较大。除去此项，患者出院时ICF通用组合评分（15.25±13.48）分，低于入院时（23.76±15.15）分，差异有显著性意义( P＜0.001)。探索性因子分析结果表明，抽取特征根＞1的公因子共有2个，累积贡献率为78.018%。采用结构方程模型方法，拟合了“b130能量和驱力功能”、“b152情感功能”、“b280痛感”、“d230执行日常事务”、“d450步行”、“d455到处移动”关系模型，结构方程模型调整的拟合优度指数RMSEA=0.026, NFI=0.999, CFI=0.999, AGFI=0.994，模型较好的拟合了数据。
结论：ICF通用组合能反映出、入院时患者的不同功能状态且其结构效度良好，是一种临床上有效的测量患者功能状态的工具。 |
| 关键词：ICF通用组合 结构效度 效度 |
| The construct validity of ICF generic set as a measure of functioning in clinical practice of China Download Fulltext |
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| Shenzhen Hospital of Southern Medical University, Shenzhen, China，518000 |
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| Abstract: |
| Abstract
Objective: To explore the construct validity of ICF generic set as a functioning measure tool in routine clinical practice of China.
Method: Totally 4510 patients covering departments of rehabilitation,neurology or cerebral surgery, cardiology, pneumology and orthopedics from 50 hospitals in 21 provinces of mainland China were enrolled in this multi-center study.Each patient was assessed by the same rater with ICF generic set at the time of baseline and discharge.
Result: At the time of discharge, with exception of the scores of item d850,the scores of ICF generic set is （15.25±13.48）,which is lower than that of the baseline （23.76±15.15）.Two common factors which come from factor analysis are almost consisted with theoretic structure，and the contributing rate of cumulative sums was 78.018%.Confirmatory factor analysis indicated that the model was consistent with the theoretical assumption,and the fitness indexes were RMSEA=0.026,NFI=0.999,CFI=0.999,AGFI=0.994.
Conclusion: The construct validity of ICF generic set is good, The ICF generic is a useful functioning measure tool in routine clinical practice. |
| Keywords:ICF generic set construct validity validity |
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