Corrigan J D, Smith-Knapp K, Granger C V
Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, USA.
Arch Phys Med Rehabil. 1997 Aug;78(8):828-34. doi: 10.1016/s0003-9993(97)90195-7.
Replicate and extend studies of the construct validity of the Functional Independence Measure (FIM) for persons with traumatic brain injury (TBI).
A cross-sectional study of admissions to acute rehabilitation evaluated 6 months to 5 years after discharge.
An inpatient brain injury rehabilitation unit in a large, academic medical center.
Ninety-five patients with primary diagnosis of TBI stratified by time postdischarge.
Prediction of (1) average daily minutes of assistance and (2) supervision required in comparison to the Sickness Impact Profile (SIP) and SF-36.
The FIM was highly predictive of minutes of assistance (83% accuracy), supervision (82% accuracy), and the need for either type of assistance (78% accuracy). Prediction was only minimally improved by measures of neurobehavioral impairment. The accuracy of the FIM was superior to the SIP and SF-36.
Results provided substantial support for the validity of the FIM as a measure of functional independence for persons with TBI. The importance of supervision as a type of assistance required after TBI was evident, with the FIM highly predictive of this need, as well.
复制并扩展关于创伤性脑损伤（TBI）患者功能独立性测量（FIM）结构效度的研究。
一项针对出院后6个月至5年入院患者的横断面研究。
一家大型学术医疗中心的住院脑损伤康复科。
95例原发性TBI患者，按出院后时间分层。
与疾病影响量表（SIP）和SF-36相比，预测（1）平均每日所需协助分钟数和（2）所需监督情况。
FIM对协助分钟数（准确率83%）、监督情况（准确率82%）以及两种协助类型需求（准确率78%）具有高度预测性。神经行为损伤测量仅略微提高了预测效果。FIM的准确率优于SIP和SF-36。
结果为FIM作为TBI患者功能独立性测量方法的效度提供了有力支持。TBI后监督作为一种协助类型的重要性很明显，FIM对这种需求也具有高度预测性。
