McPherson K M, Pentland B, Cudmore S F, Prescott R J
Rehabilitation Studies Unit, University of Edinburgh, Astley Ainslie Hospital, UK.
Disabil Rehabil. 1996 Jul;18(7):341-7. doi: 10.3109/09638289609165892.
There is an increasing demand for measures of outcome to evaluate the effects of rehabilitation interventions for brain injury from clinicians, research workers and healthcare providers and purchasers. The Functional Assessment Measure (FIM+FAM), an expanded derivative of the Functional Independence Measure (FIM), is designed specifically for this purpose for this patient group. This study examined the interrater reliability of the FIM+FAM between two independent raters, a physician and a nurse, the subjects being 30 in-patients in a neurological rehabilitation unit. The results show that the inter-rater reliability was good (kappa values 0.50 to 0.95) for all but one of the 30 items rated on the FIM+FAM. The exception (with a kappa value of 0.35) was "adjustment to limits'. Higher agreement was found for rating of physical activities than for cognitive, communication and behavioural items.
临床医生、研究人员以及医疗服务提供者和购买者对于评估脑损伤康复干预效果的结局指标的需求日益增加。功能评估量表（FIM+FAM）是功能独立性测量量表（FIM）的扩展衍生版本，专门为此类患者群体设计。本研究考察了两名独立评估者（一名医生和一名护士）之间FIM+FAM的评分者间信度，研究对象为神经康复科的30名住院患者。结果显示，在FIM+FAM所评定的30项内容中，除一项外，其余各项的评分者间信度均良好（kappa值为0.50至0.95）。例外的一项（kappa值为0.35）是“适应限制”。在对身体活动的评分上，一致性高于对认知、沟通和行为项目的评分。
