摘要
目的:对慢性缺血性心脏病(CIHD)的国际功能、残疾与健康分类(ICF)核心要素表进行信度、效度评价,为中国冠心病患者的全面的功能评价提供特异性测量工具。方法:100例经冠状动脉造影检查证实为冠心病的患者,按照中国CIHD简明ICF核心要素量表、MacNew心脏病特异性问卷和医学结局研究简明调查表(SF-36)的评分规则进行评定。结果:中国CIHD简明ICF核心要素量表的4个成份中,Cronbachα系数在身体功能和活动与参与两方面的结果为0.834~0.839,具有较高的内部一致性;Kendall’sW值达到0.818,且P=0.000,评测者间结果具有很好的一致性。CIHD简明ICF核心要素表与SF-36和MacNew表之间的spearson系数为0.567与0.552(P<0.01);表示有较好相关性。结论:采用中国CIHD简明ICF核心要素量表评定CIHD患者的功能是可靠和有效的,建议进一步推广使用。
Objective:To investigate the reliability and validity of the brief ICF Core Sets for Chinese patients with chronic ischemic heart disease (CIHD). Methods: One hundred patients with CIHD confirmed by coronary angiography were assessed by brief ICF Core Sets for Chinese patients with CIHD, the MacNew Heart Disease Health-related Quality of Life Questionnaire (MacNew), and the MOS item short from health survey (SF-36). Results:The brief ICF Core Sets for Chinese patients with CIHD were highly accepted. The brief ICF Core Sets for Chinese patients with CIHD had perfect substantial interater reliability (kendall's W=0. 818). Body function and activity and participation had good internal consistency (Cronbacha 0. 834-0. 839). There was concurrent validity for the brief ICF Core Sets with MacNew and SF- 36. Conclusion: The brief ICF Core Sets for Chinese patients with CIHD has good reliability and validity, and it is a good comprehensive functional measurement scale for patients with CIHD.
出处
《中国康复》
2009年第1期26-27,共2页
Chinese Journal of Rehabilitation