摘要
目的:确定构建针对中国成年人的简易上肢功能检查(STEF)本土化评分标准的必要性,并初步构建评分标准。方法:2021年7月~2022年5月对北京市652例健康成年人进行STEF测试,利用其中74例24岁以下的成年人的数据与日本样本比较,并依该研究数据初步构建北京市健康成年人的STEF评分标准;再利用该标准和日本评分标准对剩余578例研究对象评分,评估2种评分标准在本研究样本中的适用性。结果:除右侧的大圆片和左侧的大立方、布和金属圆片4项以外,本研究24岁及以下的样本各项目操作时间与日本样本均有统计学差异(P<0.05)。利用24岁及以下样本的数据初步构建了评分标准。在45~49岁(Z=2.13,P=0.03),50~54岁(Z=3.36,P<0.01)和55~59岁(Z=2.71,P<0.01)3组的左侧操作得分,以及在50~54岁(Z=2.67,P<0.01)和55~59岁(Z=2.61,P<0.01)两组的总得分中,利用日本评分标准得到的分数显著更高。结论:利用STEF日本评分标准评估本土人群可能不够敏感,有必要依据我国样本的数据构建适用于我国人群的STEF本土化评分标准。本研究得到的评分标准对我国应用STEF对患者进行临床评估有一定参考价值。
Objective:To determine the necessity of constructing the Simple Test for Evaluating Hand Function(STEF)scoring standards for Chinese,and preliminarily construct the scoring standards based on a sample from Beijing,China.Methods:From July 2021 to May 2022,652 healthy adults in Beijing were tested.The operating time of every STEF project in 74 participants aged 24 years and below were compared with that of Japanese sample,and the STEF scoring standards in Beijing were established according to the data of these 74 participants.The remaining 578 subjects were scored by this scoring standards and the Japanese standards respectively to evaluate the applicability of the two criteria to the sample.Results:Except the 4 items of the large disc on the right and the large cube,cloth and metal disc on the left,the operation time of the samples aged 24 and below in this study was statistically different from that of the Japanese samples(P<0.05).Using the data of the samples aged 24 and below,the scoring criteria were initially constructed.In the groups aged 45~49 years(Z=2.13,P=0.03),50~54 years(Z=3.36,P<0.01)and 55~59 years(Z=2.71,P<0.01),and the total scores in the groups aged 50~54 years(Z=2.67,P<0.01)and 55~59 years(Z=2.61,P<0.01),the scores of left-sides measured by the Japanese standards were significantly higher.Conclusion:STEF Japanese scoring standard may not be sensitive enough to evaluate the local people,so it is necessary to construct STEF scoring standards for Chinese population based on Chinese samples.The scoring criteria obtained in this study have some reference value for the application of STEF in the clinical evaluation of patients.
作者
徐筱婧媛
陈蕊
张健
吕改玲
曹丽辉
Xu Xiaojingyuan;Chen Rui;Zhang Jian(School of Social Development and Public Policy,Beijing Normal University,Beijing 100875,China)
出处
《中国康复》
2023年第3期172-177,共6页
Chinese Journal of Rehabilitation
基金
中国康复研究中心科研课题(2021ZX-22)。
关键词
简易上肢功能检查
评分标准
本土化
Simple Test for Evaluating Hand Function
scoring standards
localization
