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使用一种新的评分者间信度方法来测试家庭医疗保健中改良的奥卢患者分类工具。

Using a new interrater reliability method to test the modified Oulu Patient Classification instrument in home health care.

作者信息

Flo Jill, Landmark Bjørg, Hatlevik Ove Edward, Fagerström Lisbeth

机构信息

Faculty of Health and Social Sciences Department of Nursing and Health Sciences University College of Southeast Norway Drammen Norway.

Institute for Research and Development for Nursing and Care Services Drammen Norway.

出版信息

Nurs Open. 2018 Feb 4;5(2):167-175. doi: 10.1002/nop2.126. eCollection 2018 Apr.

Abstract

AIM

To test the interrater reliability of the modified Oulu Patient Classification instrument, using a multiple parallel classification method based on oral case presentations in home health care in Norway.

DESIGN

Reliability study.

METHODS

Data were collected at two municipal home healthcare units during 2013-2014. The reliability of the modified OPCq instrument was tested using a new multiple parallel classification method. The data material consisted of 2 010 parallel classifications, analysed using consensus in per cent and Cohen's kappa. Cronbach's alpha was used to measure internal consistency.

RESULTS

For parallel classifications, consensus varied between 64.78-77.61%. Interrater reliability varied between 0.49-0.69 (Cohen's kappa), the internal consistency between 0.81-0.94 (Cronbach's alpha). Analysis of the raw scores showed 27.2% classifications had the same points, 39.1% differed one point, 17.9% differed two points and 16.5% differed ≥3 points.

摘要

目的

采用基于挪威家庭医疗中口腔病例报告的多重平行分类方法,测试改良版奥卢患者分类工具的评分者间信度。

设计

信度研究。

方法

2013年至2014年期间在两个市政家庭医疗单位收集数据。使用一种新的多重平行分类方法测试改良版OPCq工具的信度。数据材料包括2010次平行分类,采用百分比一致性和科恩kappa系数进行分析。使用克朗巴哈系数测量内部一致性。

结果

对于平行分类,一致性在64.78%至77.61%之间。评分者间信度在0.49至0.69之间(科恩kappa系数),内部一致性在0.81至0.94之间(克朗巴哈系数)。原始分数分析显示,27.2%的分类得分相同,39.1%相差1分,17.9%相差2分,16.5%相差≥3分。

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