[功能独立性的测量：SINGER和FIM评估的一致性及其对使用者的影响]
[Measurement of functional independence: concordance of the assessments SINGER and FIM and consequences for the user].
作者信息
Freidel K, Leisse M
机构信息
Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Alzey.
MEDIAN Reha-Zentrum Bernkastel-Kues, MEDIAN Klinik Burg Landshut.
出版信息
Rehabilitation (Stuttg). 2014 Feb;53(1):43-8. doi: 10.1055/s-0033-1341456. Epub 2013 Nov 11.
OBJECTIVE
The aim of this study was to evaluate the concordance between the assessments SINGER and FIM, both measurements for detecting functional disabilities in activities of daily living (ADL).
METHODS
301 rehabilitants were assessed with FIM and SINGER in the beginning and at the end of an inpatient rehabilitation program. Correlation coefficient, regression analysis, and Kappa statistics were applied to examine the relationship and the concordance between the 2 ADL scales.
RESULTS
The assessments were highly correlated (rPearson=0.94). The regression analysis lead to the formula SINGERpred=− 0.004FIM2+1.363FIM – 15.871 with a model fit of R2=0.896. After fixing the limits for a classification due to the functional status, Inter-Rater Reliability (Kappa) was κ=0.69.
CONCLUSION
Both measurements can be used for quality assurance, therapy monitoring, and to classify patients considering their functional disability. Criteria are presented to decide which assessment should be selected.
目的
本研究旨在评估SINGER和FIM评估之间的一致性，这两种测量方法均用于检测日常生活活动（ADL）中的功能障碍。
方法
301名康复患者在住院康复计划开始时和结束时接受了FIM和SINGER评估。应用相关系数、回归分析和Kappa统计量来检验这两种ADL量表之间的关系和一致性。
结果
评估结果高度相关（Pearson相关系数r = 0.94）。回归分析得出公式SINGERpred = -0.004FIM² + 1.363FIM - 15.871，模型拟合度R² = 0.896。在根据功能状态确定分类界限后，评定者间信度（Kappa）为κ = 0.69。
结论
这两种测量方法均可用于质量保证、治疗监测以及根据患者的功能障碍对其进行分类。文中给出了决定应选择哪种评估的标准。
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