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題名 | The Interrater Reliability of Functional Assessment of Activities of Daily Living for Stroke Patients--A Preliminary Report=中風病人日常生活活動功能評估不同施測者間信度之初步研究 |
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作者 | 王瑞瑤; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 24:5 1999.09[民88.09] |
頁次 | 頁17-23 |
分類號 | 418.996 |
關鍵詞 | 不同施測者間信度; 日常生活活動; 中風; Interrater reliability; Activities of daily living; Stroke; |
語文 | 英文(English) |
中文摘要 | 日常生活功能可代表病人生活獨立之情況,亦可提供預後之參考。本研究以臨床 上經常評估之四項功能,包括:輪椅活動、床上活動、轉位及平地行走,以 1 至 7 級之給 分標準,評估功能,來測試各項之信度。 計有 7 位物理治療師及 20 位中風病人自願參與 本研究, 7 位治療師中每一位均與其他 6 位分別配對(共有 42 組可能配對組),治療師 並不熟悉此 1 至 7 級之評估標準。結果顯示,配對之物理治療師完全同意之比例由 33.3% (平地行走)至 88.7% (輪椅活動), 而輪椅活動、床上活動、轉位及平地行走之 Kappa 值分別為 0.85,0.69,0.33 及 0.08。 表示治療師間之信度以評估平地行走項目最差,而 評估輪椅活動則最佳。 |
英文摘要 | The activity of daily living scale addresses the dependency status of the patient during treatment and as a postdischarge predictor. The purpose of this study was to test the interrater reliabillity of the physical therapy staff in assessing 4 physical activities-w/c mobility, bed mobility, transfer, and ambulation, by use of a 1 to 7 scoring criteria in 20 patients with stroke. Seven physical therapists employed at a rehabilitation department volunteered to participate as raters. Each of the 7 raters was randomly paired with each of the other 6 raters. The therapists were not familiar with the scoring criteria. Our results indicate that high percentages of exact agreement between raters and high Kappa values are found in w/c mobility and bed mobility. Clinicians who have not had experience with the assessment criteria demonstrated a low level of interrater reliability in transfer and ambulation evaluation. It is recommended that specific training is needed for assessing transter and ambulation function in stroke patients. |
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