Hanspal R S, Fisher Keren, Nieveen Richard
Stanmore Disability Services Centre, RNOHT, Middlesex, UK.
Disabil Rehabil. 2003 Nov 18;25(22):1278-80. doi: 10.1080/09638280310001603983.
To validate a simple numerical scale to record the socket comfort of an artificial limb.
This study has adapted the numerical rating scale for pain (Downie et al.(1)) to form a 11 point scale to record the socket comfort score (SCS). Patients were asked to rate the comfort of their socket on a 0 - 10 scale where 0 and 10 represented the most uncomfortable and the most comfortable socket imaginable. Ratings of clinical evidence of poor fit were recorded independently by the physician and the prosthetist. Patients gave new numerical ratings of comfort after any necessary intervention to the socket. Repeatability, criterion related validity, sensitivity to change and use in clinical practice was studied on 44 consecutive patients in the prosthetic rehabilitation clinic.
The study showed the reported SCS was consistent and reliable, high correlations being found between three scores obtained from patients by independent recorders. A strong relationship existed between the reported SCS and clinical evidence of poor fit judged by the physician and by the prosthetists' ratings. Significant positive changes in SCS were found after intervention to improve the fit.
SCS has shown repeatability, criterion related validity and sensitivity to change. It has clinical utility and wider use is recommended.
验证一种用于记录假肢接受腔舒适度的简单数字评分量表。
本研究采用疼痛数字评分量表（唐尼等人[1]），形成一个11分制量表来记录接受腔舒适度评分（SCS）。要求患者在0至10分的量表上对其接受腔的舒适度进行评分，其中0分和10分分别代表所能想象到的最不舒服和最舒适的接受腔。医生和假肢矫形师分别独立记录不合适的临床证据评分。在对接受腔进行任何必要的干预后，患者给出新的舒适度数字评分。对假肢康复诊所的44例连续患者研究了该量表的重复性、与标准相关的效度、对变化的敏感性以及在临床实践中的应用情况。
研究表明，报告的SCS具有一致性和可靠性，独立记录者从患者获得的三个评分之间存在高度相关性。报告的SCS与医生和假肢矫形师评定的不合适临床证据之间存在密切关系。在进行改善适配的干预后，SCS有显著的正向变化。
SCS已显示出重复性、与标准相关的效度和对变化的敏感性。它具有临床实用性，建议更广泛地使用。
