Streppel Kitty R M, Van Harten W H
Roessingh Research & Development, Enschede, The Netherlands.
Int J Rehabil Res. 2002 Jun;25(2):87-91. doi: 10.1097/00004356-200206000-00002.
In contrast to the United States, the Functional Independence Measure (FIM) is seldom used in Dutch rehabilitation settings. The purpose of this study was to determine if the FIM could be used in a Dutch stroke population to assess progress during rehabilitation. Patients with a recent stroke who received inpatient treatment were included in this longitudinal pilot study, which used the standard error of measurement (SEM) to quantify progress. Mean (SD) age of the subjects (n=48) was 61.3 (10.5) and 25 (56%%) were male. Mean (SD) length of stay (LOS) was 141.3 (75.0) days. For 42 subjects, admission and discharge scores of the FIM were registered. The mean admission (93.0, SD=23.3), as well as the discharge (112.4, SD=11.0) scores were rather high. The mean FIM difference (SD) between admission and discharge was 19.3 (16.9). However, only 55% exceeded a difference score of 13 points, indicating progress. Results of this pilot study confirm the ceiling effect of the FIM in this population. Based on the findings of our pilot study we conclude that the FIM is not suitable to assess progress in a Dutch rehabilitating stroke population.
与美国不同，功能独立性测量（FIM）在荷兰的康复环境中很少使用。本研究的目的是确定FIM是否可用于荷兰中风患者群体，以评估康复过程中的进展情况。本纵向试点研究纳入了近期中风并接受住院治疗的患者，该研究使用测量标准误差（SEM）来量化进展。受试者（n = 48）的平均（标准差）年龄为61.3（10.5）岁，男性25名（56%）。平均（标准差）住院时间（LOS）为141.3（75.0）天。42名受试者的FIM入院和出院评分进行了记录。平均入院评分（93.0，标准差 = 23.3）以及出院评分（112.4，标准差 = 11.0）都相当高。入院和出院之间的平均FIM差异（标准差）为19.3（16.9）。然而，只有55%的患者差异评分超过13分，表明有进展。该试点研究的结果证实了FIM在该群体中的天花板效应。基于我们试点研究的结果，我们得出结论，FIM不适用于评估荷兰中风康复患者群体的进展情况。
