Department of Rehabilitation, National Center for Global Health and Medicine, Tokyo, Japan.
Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Disabil Rehabil. 2019 Nov;41(23):2826-2831. doi: 10.1080/09638288.2018.1479455. Epub 2018 Jun 29.
The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. In this study, 214 stroke patients were enrolled. Cronbach's , Spearman's rank correlations ( values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Cronbach's was ≥0.90. The values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitationToileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke.Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke.As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.
本研究旨在开发一种排便功能评估测试，以测量中风后早期患者的排便功能能力。本研究纳入了 214 名中风患者。评估了排便功能评估测试与功能独立性测量和巴氏指数中与排便相关项目的克朗巴赫α系数、斯皮尔曼秩相关系数（ 值）、评定者间信度（加权 ）和反应度（标准化反应均数）。使用受试者工作特征曲线和曲线下面积来确定与功能独立性测量和巴氏指数的独立排便能力的临界值分数。克朗巴赫α系数≥0.90。排便功能评估测试与巴氏指数和功能独立性测量之间的 值分别为 0.88 和 0.86。每个项目的加权 值均≥0.61。标准化反应均数分别为 0.81、0.70 和 0.93。排便功能评估测试的临界值分数为 18 分。排便功能评估测试具有可接受的心理测量学特性，可用于评估中风后早期患者的排便功能能力。康复意义排便功能评估测试具有可接受的心理测量学特性，可用于评估中风后早期患者的排便能力。排便功能评估测试应提供有关降低排便时跌倒风险的信息，收集的信息可以帮助患者在中风后尽早实现独立排便。由于排便功能评估测试的开发排除了认知障碍患者，因此应开发认知功能项目。
