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罗宾逊·巴沙尔关节炎患者功能评估:信度与效度

Robinson Bashall Functional Assessment for arthritis patients: reliability and validity.

作者信息

McCloy L, Jongbloed L

出版信息

Arch Phys Med Rehabil. 1987 Aug;68(8):486-9.

PMID:3619610
Abstract

The Robinson Bashall Functional Assessment (RBFA) for arthritis patients has four scales: self-care, ambulation, transportation, and activity tolerance. Criticism has been directed at the Assessment because it is relatively time consuming and requires a trained professional to conduct it. Tests of reliability revealed that the internal consistency of the total Assessment was moderate, interrater reliability was high, and test-retest reliability ranged from moderate to high. Analysis of scale validity (content, clinical, concurrent, and discriminant validity) showed content validity to be low to moderate. Therapists found the scales more useful in identifying patient problems than in assessing improvement in function over time. There were low positive correlations between dressing, undressing, and ambulation scores and ROM scores on admission. Correlations between the American Rheumatism Association Functional Classification and scales of the RBFA were significant, while the Assessment as a whole and all four scales discriminated significantly between the functional abilities of patients on admission and discharge.

摘要

针对关节炎患者的罗宾逊·巴沙尔功能评估(RBFA)有四个量表:自我护理、行走、交通和活动耐力。该评估受到了批评,因为它相对耗时,且需要训练有素的专业人员来进行。可靠性测试表明,整个评估的内部一致性中等,评分者间信度高,重测信度从中等到高。量表效度分析(内容效度、临床效度、同时效度和区分效度)显示内容效度低到中等。治疗师发现这些量表在识别患者问题方面比评估功能随时间的改善更有用。入院时穿衣、脱衣和行走得分与关节活动度得分之间的正相关性较低。美国风湿病协会功能分类与RBFA量表之间的相关性显著,而整个评估以及所有四个量表在患者入院和出院时的功能能力之间有显著差异。

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