Chau N, Daler S, Andre J M, Patris A
INSERM U115, Faculté de Médecine, Vandoeuvre-lès-Nancy, France.
Disabil Rehabil. 1994 Apr-Jun;16(2):63-71. doi: 10.3109/09638289409166014.
The needs and clinical decisions of care centres are related to patients' ability to carry out daily living activities. Most of the functional scales are not easy to use. This study examined the inter-rater agreement of the Functional Independence Measure (FIM) and a subjective uniform continuous scale (UCS) (the rating varied between 0 = complete dependence and 9 = complete independence) between 'educators', physiotherapists and occupational therapists. Two hundred and fifty-four patients aged below 20 in a rehabilitation centre were rated by professionals who were most familiar with them. For the two scales, inter-rater agreement was very good for all activities except for locomotion outside the centre for the UCS. The rating differences were slightly smaller for the FIM than for the UCS. Physiotherapists rated similarly to occupational therapists. The educators rated slightly though significantly lower than the other raters. The differences could be explained by their professional activities.
护理中心的需求和临床决策与患者进行日常生活活动的能力相关。大多数功能量表使用起来并不容易。本研究考察了“教育工作者”、物理治疗师和职业治疗师之间在功能独立性测量（FIM）和主观统一连续量表（UCS）（评分范围为0 = 完全依赖至9 = 完全独立）上的评分者间一致性。一家康复中心的254名20岁以下患者由最熟悉他们的专业人员进行评分。对于这两种量表，除了UCS在中心外移动方面，所有活动的评分者间一致性都非常好。FIM的评分差异比UCS略小。物理治疗师的评分与职业治疗师相似。教育工作者的评分略低于其他评分者，但差异显著。这些差异可以通过他们的专业活动来解释。
