周青青,施加加,倪波业.扩展Barthel指数与功能独立性量表在评定脑卒中患者日常生活活动功能等级中的对比分析[J].中华物理医学与康复杂志,2021,43(7):602-606
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| 扩展Barthel指数与功能独立性量表在评定脑卒中患者日常生活活动功能等级中的对比分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.07.005 |
| 中文关键词: 扩展Barthel指数 脑卒中 日常生活活动 对应分析 |
| 英文关键词: Extended Barthel index Stroke Activities of daily living Correspondence analysis |
| 基金项目:苏州市科技发展计划（民生科技）项目（SYS2019010）；昆山市社发科项目（KS18099）；昆山市康复医院院级项目（KF2101） |
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| 中文摘要: |
| 目的 探讨扩展Barthel指数(EBI)与功能独立性量表（FIM）在评定脑卒中患者日常生活活动(ADL)功能等级中的对应关系。 方法 于2020年3月至2020年6月期间在苏州大学附属第一医院、昆山市康复医院招募脑卒中康复期患者86例，采集患者一般资料信息，并分别采用FIM和EBI量表评定入选患者ADL功能等级，将两量表的ADL功能等级结果进行统计学对应分析。 结果 EBI评价者间信度组内相关系数ICC为0.866，EBI以FIM量表为校标评估脑卒中患者ADL功能等级的Spearman相关系数r为0.972（P＜0.001）。对应分析结果提示EBI的4个ADL功能等级与FIM量表的8个ADL功能等级间具有较强的相关性（χ2=187.029，P＜0.001），FIM的完全依赖和极重度依赖（18~35分）对应EBI的ADL完全需要帮助，FIM的重度依赖和中度依赖（36~71分）对应EBI的ADL需要很大帮助，FIM的轻度依赖、有条件独立或极轻度依赖（72~107分）对应EBI的ADL需要部分帮助，FIM的基本独立和完全独立（108~126分）对应EBI的ADL基本自理。 结论 EBI具有较高的信效度，其ADL功能等级与FIM量表ADL功能等级间具有较好的对应关系，故EBI具有广阔的临床应用前景。 |
| 英文摘要: |
| Objective To observe the relationship between extended Barthel index (EBI) values and functional independence measures (FIMs) in quantifying the ability in the activities of daily living (ADL) of stroke survivors. Methods Eighty-six stroke survivors′ ADL ability was assessed using the FIM and the EBI and the results were compared. Results The inter-rater reliability (ICC) of the EBI was 0.866 and the Spearman correlation coefficient relating the EBI and FIM results was 0.972. The 4 ADL functional levels of the EBI were strongly correlated with the 8 ADL functional levels of the FIMs (χ2=187, P≤0.001). The complete dependence and extreme dependence ratings of the FIMs (18-35 points) corresponded to the EBI′s "completely needed". Severe and moderate dependence (36-71 points) corresponded to a lot of help needed. Mild dependence, conditional independence or very mild dependence (72-107 points) corresponded to some help needed. Basic independence and complete independence (108-126 points) corresponded to self-care. Conclusions The EBI has high reliability and good validity, and its 4 ADL functional levels correspond well with the FIMs′ 8 ADL function levels. The EBI has good clinical applicability. |
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