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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
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摘要:
      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
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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