孙悦,孙莹,施加加.改良版扩展Barthel指数量表的编制及在评定脑卒中患者时的信效度分析[J].中华物理医学与康复杂志,2024,46(9):769-775
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| 改良版扩展Barthel指数量表的编制及在评定脑卒中患者时的信效度分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.09.001 |
| 中文关键词: 脑卒中 日常生活活动 量表 信度 效度 |
| 英文关键词: Stroke Activities of daily living Scale Reliability Validity |
| 基金项目:苏州市科技发展计划项目（SKJYD2021022，SKYD2022018）；昆山市重点研发计划项目（KS2367） |
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| 中文摘要: |
| 目的 简介改良版扩展Barthel指数（MEBI）量表的编制，并探讨该量表评定脑卒中患者日常生活活动（ADL）能力时的信效度。 方法 共招募175例符合入选标准的脑卒中患者，于患者入院后分别采用MEBI、改良Barthel指数(MBI)、Barthel指数（BI）、扩展Barthel指数(EBI)及功能独立性量表(FIM)对其进行评定，分析MEBI得分与功能等级关系、内部信度、外部信度、内容效度、校标效度及结构效度等。 结果 MEBI与MBI、BI、EBI的功能等级对应关系较为清晰。MEBI量表的内部信度Cronbach′s α/Spearman-Brown系数分别为0.937/0.894；重测信度/评价者间信度组内相关系数(ICC值)分别为0.980（0.969，0.986）/0.964（0.946，0.976）。MEBI条目与量表得分的ρ相关系数均大于0.5（P＜0.001）；MEBI量表得分与EBI、MBI、BI、FIM的ρ相关系数均高于0.9（P＜0.001）；经最大方差法旋转后可提取MEBI量表的3个公因子，公因子1/2/3分别代表自理和移动性ADL/认知与情绪/括约肌控制。 结论 MEBI量表结构清晰，其信效度较优异，适用于评定脑卒中后恢复期患者，该量表值得临床进一步研究、推广。 |
| 英文摘要: |
| Objective To explore the reliability and validity of the modified extended Barthel index (MEBI) scale in evaluating the ability in the activities of daily living (ADL) of stroke survivors. Methods A total of 175 stroke patients who met the inclusion criteria were evaluated using the MEBI scale, the Barthel index (BI), the mo-dified Barthel index (MBI), the extended Barthel index (EBI) and functional independence measures (FIM). The MEBI scale scores were related with the other measurements. The MEBI scale′s internal reliability, external reliability, content validity, calibration validity and construct validity were analyzed. Results The functional level correspondence between the MEBI ratings and the other results was relatively clear. The Cronbach′s α of the MEBI scale was 0.937 and its Spearman-Brown correlation was 0.894. The scale′s test-retest ICC was 0.980 and its inter-rater ICC was 0.964. The ρ correlation coefficients between MEBI scale item scores and the total score were all greater than 0.5, and the ρ correlation coefficients between the MEBI scale scores and the EBI, MBI, BI and FIM results were all greater than 0.9. After rotation by the maximum variance method, three common factors could be extracted: self-care and mobility; cognition and emotion; and sphincter control. Conclusions The MEBI scale has a clear structure and excellent reliability and validity. It is well worth further exploration and application in clinical practice. |
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