Bentsen B G, Natvig B, Winnem M
Institutt for allmennmedisin og samfunnsmedisinske fag, Universitetet i Oslo.
Tidsskr Nor Laegeforen. 1997 May 10;117(12):1790-3.
Primary health care has needed an instrument that can be used to assess patients functional health status. Since 1988 the Classification Committee of WONCA, the World Organisation of Family Doctors, has been working on a revised edition of the Dartmouth COOP Functional Status Assessment Charts. The six COOP-WONCA Charts are described: physical fitness, feelings, daily activities, social activities, change in health and overall health. The charts have been tested against many other instruments and the validity has been found to be good. A Norwegian test-retest reliability study, the first on the revised COOP-WONCA Charts, showed good reliability. For 35 out of 40 of the office patients included in the study, either the answers were the same at test-retest, or "change of health" was consistent with changes in other variables. A study in a group of 171 asthma patients showed unchanged mean scores after six months. The results from a population study in the municipality of Ullensaker, comprising 2,864 persons, are presented as a basis for comparison. The COOP-WONCA instrument is simple and easy to use and understand. It meets the requirements for a useful tool in clinical practice and research and seems to provide valuable, additional information in daily practice. The COOP-WONCA Charts represent a simple and good method for assessing functional status.
初级卫生保健需要一种可用于评估患者功能健康状况的工具。自1988年以来，世界家庭医生组织（WONCA）分类委员会一直在致力于修订版的达特茅斯COOP功能状态评估图表。介绍了六张COOP-WONCA图表：身体健康、感受、日常活动、社交活动、健康变化和总体健康。这些图表已与许多其他工具进行了对比测试，发现其效度良好。一项挪威的重测信度研究是对修订后的COOP-WONCA图表进行的首次此类研究，结果显示信度良好。在该研究纳入的40名门诊患者中，有35名患者在重测时答案相同，或者“健康变化”与其他变量的变化一致。一项对171名哮喘患者的研究显示，六个月后平均得分没有变化。展示了乌伦萨克市一项涵盖2864人的人群研究结果作为比较依据。COOP-WONCA工具简单易用且易于理解。它满足临床实践和研究中有用工具的要求，并且似乎在日常实践中能提供有价值的额外信息。COOP-WONCA图表是评估功能状态的一种简单且良好的方法。
