Skinner Aneetha, Turner-Stokes Lynne
Sussex Rehabilitation Centre, Brighton, UK.
Clin Rehabil. 2006 Jul;20(7):609-15. doi: 10.1191/0269215506cr981oa.
To identify the standardized outcome measures currently used in routine clinical practice in rehabilitation centres in the UK.
Cross-sectional survey by postal questionnaire.
All UK consultant members of the British Society of Rehabilitation Medicine (BSRM) (n = 180).
A total of 108 (60%) responses were received, representing 83 different rehabilitation services. Of these, 71 (86%) collected at least one standardized measure. The Barthel Index and the UK Functional Independence Measure and/or Functional Assessment Measure (FIM +/- FAM) were the most popular global outcome measures: 83% of units measured one or other of these. The Northwick Park Dependency Scale (NPDS) and Care Needs Assessment (NPCNA) (n = 21, 28%) were used for the more dependent patients. Depression and pain scores were more commonly used than general health measures. Sixty (72%) units routinely assessed outcome through the achievement of set goals, but only four transformed data to a goal attainment scale. Outcome measure scores were routinely reported in discharge summaries by 72% of units.
The survey demonstrated quite widespread use of outcome assessments in routine clinical rehabilitation within the UK, with an encouraging level of common measurement in some areas of practice. The results have been used to update the BSRM 'basket of recommended measures'.
确定英国康复中心常规临床实践中目前使用的标准化结局指标。
通过邮寄问卷进行横断面调查。
英国康复医学学会（BSRM）的所有顾问成员（n = 180）。
共收到108份（60%）回复，代表83种不同的康复服务。其中，71份（86%）收集了至少一项标准化指标。巴氏指数、英国功能独立性测量和/或功能评估测量（FIM+/-FAM）是最常用的整体结局指标：83%的机构测量了其中一项或另一项。诺斯威克公园依赖量表（NPDS）和护理需求评估（NPCNA）（n = 21，28%）用于更依赖他人的患者。抑郁和疼痛评分比一般健康指标更常用。60个（72%）机构通过设定目标的达成情况常规评估结局，但只有4个将数据转换为目标达成量表。72%的机构在出院小结中常规报告结局指标得分。
该调查表明，结局评估在英国常规临床康复中得到了相当广泛的应用，在某些实践领域的共同测量水平令人鼓舞。研究结果已用于更新BSRM的“推荐指标清单”。
