体弱老年人平衡与活动能力分级评估的可靠性
Reliability of the hierarchical assessment of balance and mobility in frail older adults.
作者信息
Rockwood Kenneth, Rockwood Michael R H, Andrew Melissa K, Mitnitski Arnold
机构信息
Department of Medicine, Division of Geriatric Medicine, Geriatric Medicine Research Unit, Dalhousie University, Halifax, Nova Scotia, Canada.
出版信息
J Am Geriatr Soc. 2008 Jul;56(7):1213-7. doi: 10.1111/j.1532-5415.2008.01773.x. Epub 2008 May 22.
OBJECTIVES
To study the test-retest and interrater reliability of the Hierarchical Assessment of Balance and Mobility (HABAM) in frail older adults.
DESIGN
Convenience sample of 167 frail older adults seen as part of routine care by an academic geriatrician at a tertiary care teaching hospital.
SETTING
Inpatient medical and geriatric wards, geriatric ambulatory care clinic, emergency department, home visits.
PARTICIPANTS
The interrater reliability sample consisted of 98 inpatients and 69 outpatients. The test-retest reliability sample tracked 63 of the inpatients over the first 2 days of their hospital stay.
MEASUREMENTS
Mobility and balance were assessed using the HABAM. Frailty was assessed using a frailty index based on a standardized Comprehensive Geriatric Assessment. Reliability was assessed using Pearson correlations and the intraclass correlation coefficients.
RESULTS
The interrater reliability of the HABAM was 0.92 and ranged from 0.88 to 0.96 across settings for the various components (balance, transfers, mobility). Test-retest reliability was 0.91 (range 0.85-0.92).
CONCLUSION
The HABAM appears to be a reliable means of assessing mobility and balance in frail older adults.
目的
研究平衡与活动能力分级评估（HABAM）在体弱老年人中的重测信度和评分者间信度。
设计
便利样本，选取了167名体弱老年人，他们是一家三级护理教学医院的老年病专科医生在日常护理中接触到的。
地点
住院内科和老年病房、老年门诊护理诊所、急诊科、家访。
参与者
评分者间信度样本包括98名住院患者和69名门诊患者。重测信度样本在63名住院患者住院的头两天对其进行跟踪。
测量方法
使用HABAM评估活动能力和平衡能力。使用基于标准化综合老年评估的衰弱指数评估衰弱情况。使用Pearson相关性和组内相关系数评估信度。
结果
HABAM的评分者间信度为0.92，各组成部分（平衡、转移、活动能力）在不同环境中的信度范围为0.88至0.96。重测信度为0.91（范围0.85 - 0.92）。
结论
HABAM似乎是评估体弱老年人活动能力和平衡能力的可靠方法。
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