Karamehmetoğlu S S, Karacan I, Elbaşi N, Demirel G, Koyuncu H, Döşoğlu M
Medical Faculty, Physical Medicine & Rehabilitation Department, Istanbul, Turkey.
Spinal Cord. 1997 Jan;35(1):22-5. doi: 10.1038/sj.sc.3100341.
Functional independence measure (FIM) is becoming widely used for all aspects of disabling diseases including spinal cord injury (SCI). It is recommended that it is rated by trained clinicians familiar with the patients. We aimed to compare the ratings of those patients who were questioned with those who were observed in a simulated environment. Fifty patients with SCI were included in the study. They were all FIM rated by the same clinician, first by questioning and then by observation. Although observational rating took much more time than questioning there was a very strong correlation between these two different rating methods. We can conclude that questioning SCI patients could be used as a valuable and quick way to assess the functional level of such patients. Although this does not exclude observational scoring that was generally higher and more motivational for the patient.
功能独立性测量（FIM）在包括脊髓损伤（SCI）在内的致残性疾病的各个方面正得到广泛应用。建议由熟悉患者情况的经过培训的临床医生进行评分。我们旨在比较通过询问对患者进行的评分与在模拟环境中观察患者所得到的评分。50例脊髓损伤患者被纳入研究。他们均由同一位临床医生进行FIM评分，首先通过询问，然后通过观察。尽管观察评分比询问花费的时间多得多，但这两种不同的评分方法之间存在非常强的相关性。我们可以得出结论，询问脊髓损伤患者可作为评估此类患者功能水平的一种有价值且快速的方法。尽管这并不排除观察评分，观察评分通常更高，且对患者更有激励作用。
