Sato Ryo, Sawaya Yohei, Ishizaka Masahiro, Yin Lu, Shiba Takahiro, Hirose Tamaki, Urano Tomohiko
Department of Day Rehabilitation, Care Facility for the Elderly "Maronie-en", Nishinasuno General Home Care Center, Nasushiobara, Tochigi, Japan.
Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Otawara, Tochigi, Japan.
PeerJ. 2024 Jan 31;12:e16816. doi: 10.7717/peerj.16816. eCollection 2024.
The reliability of neck circumference measurement as an assessment tool for older adults requiring long-term care remains unknown. This study aimed to evaluate the reliability of neck circumference measurement in older adults requiring long-term care, and the effect of edema on measurement error. Two physical therapists measured the neck circumference. Intraclass correlation coefficient (ICC) and Bland-Altman analyses were performed to examine the reliability of neck circumference measurement. Correlation analysis was used to evaluate the relationship between edema values (extracellular water/total body water) and neck circumference measurement difference. For inter-rater reliability of neck circumference measurement, the overall ICC (2,1) was 0.98. The upper and lower limits of the difference between examiners ranged from -0.9 to 1.2 cm. There was no association between edema values and neck circumference measurement error. Thus, measurement of the neck circumference in older adults requiring long-term care is a reliable assessment tool, with a low error rate, even in older adults with edema.
对于需要长期护理的老年人而言，颈围测量作为一种评估工具的可靠性尚不清楚。本研究旨在评估需要长期护理的老年人颈围测量的可靠性，以及水肿对测量误差的影响。两名物理治疗师测量了颈围。采用组内相关系数（ICC）和Bland-Altman分析来检验颈围测量的可靠性。使用相关性分析来评估水肿值（细胞外液/总体液）与颈围测量差异之间的关系。对于颈围测量的评分者间信度，总体ICC（2,1）为0.98。检查者之间差异的上限和下限范围为-0.9至1.2厘米。水肿值与颈围测量误差之间没有关联。因此，对于需要长期护理的老年人，颈围测量是一种可靠的评估工具，即使在患有水肿的老年人中，误差率也很低。
