Lati Jamil, Pellow Vanessa, Sproule Jeannine, Brooks Dina, Ellerton Cindy
Department of Rehabilitation Services, The Hospital for Sick Children.
Department of Physical Therapy, University of Toronto, Toronto.
Physiother Can. 2014 Spring;66(2):153-9. doi: 10.3138/ptc.2013-23.
To determine the interrater reliability (IRR) of the individual items in the Paediatric Cardiopulmonary Physiotherapy (CPT) Discharge Tool. This tool identifies six critical items that physiotherapists should consider when determining a paediatric patient's readiness for discharge from CPT after upper-abdominal, cardiac, or thoracic surgery: oxygen saturation, mobility, secretion retention, discharge planning, auscultation, and signs of respiratory distress.
A total of 33 paediatric patients (ages 2 to <19 years) who received at least 1 day of CPT following cardiac, thoracic, or upper-abdominal surgery were independently assessed using the Paediatric CPT Discharge Tool by two designated assessors, who assessed each patient within 4 hours of each other.
Kappa analysis showed the following levels of interrater agreement for the six items of the Paediatric CPT Discharge Tool: Oxygen Saturation, excellent (κ=0.80); Mobility, substantial (κ=0.62); Secretion Clearance, moderate (κ=0.39); Discharge Planning, fair (κ=0.37); and Auscultation and Respiratory Distress, poor (κ=0.24 and κ=-0.08, respectively).
Several of the items in the Paediatric CPT Discharge Tool demonstrate good IRR. The discharge tool is ready for further psychometric testing, specifically validity testing.
确定儿科心肺物理治疗（CPT）出院工具中各个项目的评分者间信度（IRR）。该工具确定了六项关键项目，物理治疗师在确定儿科患者在上腹部、心脏或胸部手术后是否准备好从CPT出院时应考虑这些项目：血氧饱和度、活动能力、分泌物潴留、出院计划、听诊和呼吸窘迫体征。
共有33名儿科患者（年龄2至<19岁）在心脏、胸部或上腹部手术后接受了至少1天的CPT，由两名指定评估者使用儿科CPT出院工具进行独立评估，两名评估者在彼此4小时内对每名患者进行评估。
kappa分析显示，儿科CPT出院工具的六个项目的评分者间一致性水平如下：血氧饱和度，优秀（κ=0.80）；活动能力，良好（κ=0.62）；分泌物清除，中等（κ=0.39）；出院计划，尚可（κ=0.37）；听诊和呼吸窘迫，较差（κ分别为0.24和 -0.08）。
儿科CPT出院工具中的几个项目显示出良好的IRR。该出院工具已准备好进行进一步的心理测量测试，特别是效度测试。
