Granger C V, Cotter A C, Hamilton B B, Fiedler R C
Center for Functional Assessment Research, School of Medicine and Biomedical Sciences, State University of New York, Buffalo.
Arch Phys Med Rehabil. 1993 Feb;74(2):133-8.
The purpose of this study was to investigate disability in persons after stroke by using combinations of functional assessment item, subscale, domain, and full-scale scores, to predict (1) the burden of care measured in minutes of assistance provided per day by another person in the home, and (2) the subject's level of satisfaction with life in general. The Functional Independence Measure (FIM) and the Sickness Impact Profile (SIP) each contributed to prediction of the subject's physical care needs. A change in total FIM score of one point (range, 61 to 126) was equivalent to an average of 2.19 minutes of help from another person per day and a change in one point in the SIP physical dysfunction (SIPPHYS) score (range, 4.0% to 57.4%) was equivalent to an average of 3.32 minutes. Along with the Brief Symptom Inventory and a measure of visual ability, the FIM contributed to predicting the patient's general satisfaction as well. The burden of care and subjective satisfaction with life in general are important standards by which functional assessment instruments may be compared to reflect, in pragmatic terms, the impact of disability on the lives of individuals and on the human and economic resources of the community.
本研究的目的是通过使用功能评估项目、分量表、领域和全量表分数的组合来调查中风患者的残疾情况，以预测：（1）以家中他人每天提供的协助分钟数衡量的护理负担；（2）受试者总体生活满意度。功能独立性测量（FIM）和疾病影响概况（SIP）均有助于预测受试者的身体护理需求。FIM总分变化1分（范围为61至126）相当于他人每天平均提供2.19分钟的帮助，SIP身体功能障碍（SIPPHYS）分数变化1分（范围为4.0%至57.4%）相当于平均3.32分钟。除了简明症状量表和视觉能力测量外，FIM也有助于预测患者的总体满意度。护理负担和总体生活主观满意度是重要的标准，通过这些标准可以比较功能评估工具，以便从实际角度反映残疾对个人生活以及社区人力和经济资源的影响。
