Swinkels Raymond A H M, Bouter Lex M, Oostendorp Rob A B, van den Ende Cornelia H M
Institute for Research in Extramural Medicine, VU University Medical Centre, Amsterdam, The Netherlands.
Rheumatol Int. 2005 Sep;25(7):501-12. doi: 10.1007/s00296-005-0603-0. Epub 2005 Jun 24.
The objective of this study is to provide a critical overview of available instruments to assess impairments in patients with rheumatic disorders, and to recommend reliable and valid instruments for use in allied health care and rehabilitation medicine. A computer-aided literature search (1982-2004) in several databases was performed to identify studies focusing on the clinimetric properties of instruments designed to assess impairments in function in patients with rheumatic disorders. Data on intra-rater reliability, inter-rater reliability and construct validity were extracted in a standardized way. Explicit criteria were applied for reliability and validity.
The search identified a total of 49 instruments to assess impairments in functions in patients with rheumatic disorders; 19 met the criteria for reliability, 22 met the criteria for validity, and 11 out of the 49 appeared to meet the criteria for both reliability and validity. In summary, evidence of both reliability and validity was only found for 11 out of 49 instruments for the assessment of impairments in patients with rheumatic disorders. Only a limited number of the identified instruments for the assessment of impairments is both reliable and valid. Allied health care professionals should be cautious in the selection of measurement instruments to assess their patients.
本研究的目的是对现有的用于评估风湿性疾病患者功能障碍的工具进行批判性综述，并推荐在联合健康护理和康复医学中使用的可靠且有效的工具。在多个数据库中进行了计算机辅助文献检索（1982 - 2004年），以识别专注于评估风湿性疾病患者功能障碍的工具的临床测量特性的研究。以标准化方式提取了关于评分者内信度、评分者间信度和结构效度的数据。对信度和效度应用了明确的标准。
检索共识别出49种用于评估风湿性疾病患者功能障碍的工具；19种符合信度标准，22种符合效度标准，49种中的11种似乎同时符合信度和效度标准。总之，在49种用于评估风湿性疾病患者功能障碍的工具中，只有11种同时具有信度和效度的证据。所识别的用于评估功能障碍的工具中只有少数是可靠且有效的。联合健康护理专业人员在选择测量工具来评估他们的患者时应谨慎。
