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心血管重症监护病房中一种新型患者活动度测量方法的初始评分者间信度。

Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit.

作者信息

Nawa Ricardo Kenji, Lettvin Colleen, Winkelman Chris, Evora Paulo Roberto Barbosa, Perme Christiane

机构信息

Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, SP, Brazil.

Houston Methodist Hospital, Department of Rehabilitation Services, Houston, TX, USA.

出版信息

J Crit Care. 2014 Jun;29(3):475.e1-5. doi: 10.1016/j.jcrc.2014.01.019. Epub 2014 Jan 31.

Abstract

PURPOSE

The purpose of this study was to determine the interrater reliability of the Perme Intensive Care Unit Mobility Score.

MATERIALS AND METHODS

This was a prospective observational study. Data were collected from 20 patients admitted in a cardiovascular intensive care unit. The interrater reliability was tested using the intraclass correlation coefficient with 95% confidence interval and the Cohen κ coefficient of 0.9, using a 2-tailed α of .05 to provide a 90% power.

RESULTS

The 15 items of the Perme ICU Mobility Score were individually analyzed. Interrater reliability (Cohen κ coefficient) for items 2, 3, 5, 6, 7, 8, 13, and 15 was 1.0000; for item 1, 0.8276; item 4, 0.8000; item 9, 0.6000; item 10, 0.7297; item 11, 0.7260; item 12, 0.7872; and item 14, 0.9048; the intraclass correlation coefficient (95% confidence interval) was 0.9880 (0.97743-0.99859).

CONCLUSIONS

The Perme ICU Mobility Score is a reliable tool to assess mobility status of patients admitted to the cardiovascular intensive care unit in a specific moment in time, which can be an important tool for research and clinical practice.

摘要

目的

本研究旨在确定Perme重症监护病房活动能力评分的评分者间信度。

材料与方法

这是一项前瞻性观察研究。收集了心血管重症监护病房收治的20例患者的数据。使用组内相关系数及95%置信区间和Cohen κ系数为0.9来测试评分者间信度,采用双侧α为0.05以提供90%的检验效能。

结果

对Perme重症监护病房活动能力评分的15项内容进行了单独分析。第2、3、5、6、7、8、13和15项的评分者间信度(Cohen κ系数)为1.0000;第1项为0.8276;第4项为0.8000;第9项为0.6000;第10项为0.7297;第11项为0.7260;第12项为0.7872;第14项为0.9048;组内相关系数(95%置信区间)为0.9880(0.97743 - 0.99859)。

结论

Perme重症监护病房活动能力评分是评估心血管重症监护病房患者特定时刻活动状态的可靠工具,可为研究和临床实践提供重要帮助。

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