Slieker-ten Hove M C P, Pool-Goudzwaard A L, Eijkemans M J C, Steegers-Theunissen R P M, Burger C W, Vierhout M E
Department of Obstetrics and Gynecology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Neurourol Urodyn. 2009;28(4):295-300. doi: 10.1002/nau.20659.
To test the face validity and reliability of a new digital pelvic floor muscle function (PFMF) assessment scheme that was designed on the basis of the recently standardized terminology of the International Continence Society.
Study participants comprised 41 women, age 18-85 years. Data on age and parity were obtained. Face validity of the new assessment scheme was tested by three senior and one junior pelvic physiotherapists, using the Delphi technique. PFMF of each woman was assessed four times by three specially trained pelvic physiotherapists. Examiners were blinded to parity and other findings. To test reliability, Kappa (K) was used for the dichotomous variables and Weighted Kappa (K(w)) for the items with more than two categories.
Mean age of the women was 41 years (SD 10.5); 14 were nulliparous (34.1%), 6 primiparous (14.6%), and 21 multiparous (51.2%). The new assessment scheme showed satisfactory face validity and intra-observer reliability but low inter-observer reliability.
The new assessment scheme based on the terminology of the ICS showed satisfactory face validity and intra-observer reliability. It can therefore be considered suitable for use in clinical practice. More detailed redefinition of the described outcome measures is necessary to improve the inter-observer reliability.
基于国际尿失禁学会最近标准化的术语设计一种新的数字盆底肌肉功能（PFMF）评估方案，并测试其表面效度和信度。
研究参与者包括41名年龄在18 - 85岁之间的女性。收集了年龄和产次的数据。由三名资深和一名初级盆底物理治疗师采用德尔菲技术测试新评估方案的表面效度。由三名经过专门培训的盆底物理治疗师对每位女性的PFMF进行四次评估。检查人员对产次和其他检查结果不知情。为测试信度，二分变量使用Kappa（K），类别超过两个的项目使用加权Kappa（K(w)）。
女性的平均年龄为41岁（标准差10.5）；14人未生育（34.1%），6人初产（14.6%），21人经产（51.2%）。新的评估方案显示出令人满意的表面效度和观察者内信度，但观察者间信度较低。
基于ICS术语的新评估方案显示出令人满意的表面效度和观察者内信度。因此，可认为其适用于临床实践。有必要对所描述的结果指标进行更详细的重新定义，以提高观察者间信度。
