Endo Arisa, Suzuki Makoto, Akagi Atsumi, Chiba Naoyuki, Ishizaka Ikuyo, Matsunaga Atsuhiko, Fukuda Michinari
Department of Rehabilitation Medicine, Espoir Kita Hiroshima, Sapporo, Japan.
Occup Ther Int. 2015 Mar;22(1):10-8. doi: 10.1002/oti.1378. Epub 2014 Oct 22.
The purpose of this study was to examine the reliability and validity of the Upper-body Dressing Scale (UBDS) for buttoned shirt dressing, which evaluates the learning process of new component actions of upper-body dressing in patients diagnosed with dementia and hemiparesis. This was a preliminary correlational study of concurrent validity and reliability in which 10 vascular dementia patients with hemiparesis were enrolled and assessed repeatedly by six occupational therapists by means of the UBDS and the dressing item of the Functional Independence Measure (FIM). Intraclass correlation coefficient was 0.97 for intra-rater reliability and 0.99 for inter-rater reliability. The level of correlation between UBDS score and FIM dressing item scores was -0.93. UBDS scores for paralytic hand passed into the sleeve and sleeve pulled up beyond the shoulder joint were worse than the scores for the other components of the task. The UBDS has good reliability and validity for vascular dementia patients with hemiparesis. Further research is needed to investigate the relation between UBDS score and the effect of intervention and to clarify sensitivity or responsiveness of the scale to clinical change.
本研究旨在检验用于扣钮衬衫着装的上身着装量表（UBDS）的信度和效度，该量表评估被诊断患有痴呆症和偏瘫的患者上身着装新组成动作的学习过程。这是一项关于同时效度和信度的初步相关性研究，纳入了10名患有偏瘫的血管性痴呆患者，并由6名职业治疗师通过UBDS和功能独立性测量（FIM）的着装项目对其进行反复评估。组内相关系数，评定者内信度为0.97，评定者间信度为0.99。UBDS得分与FIM着装项目得分之间的相关水平为-0.93。瘫痪手穿入袖子以及袖子拉到超过肩关节的UBDS得分比任务其他组成部分的得分差。UBDS对患有偏瘫的血管性痴呆患者具有良好的信度和效度。需要进一步研究来调查UBDS得分与干预效果之间的关系，并阐明该量表对临床变化的敏感性或反应性。
