《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (6): 517-521.

• 论文 • 上一篇    下一篇

ICF-CY自理项量表应用于脑性瘫痪儿童评定的信度和效度研究

张朋，李晓捷，孙奇峰，宋福祥   

  1. 佳木斯大学附属第三医院，佳木斯大学康复医学院，黑龙江佳木斯市154007。
  • 收稿日期:2014-01-10 修回日期:2014-05-04 出版日期:2014-06-25 发布日期:2014-06-25
  • 通讯作者: 李晓捷

Reliability and Validity of the ICF-CY Self-Care Sets in Children with Cerebral Palsy

ZHANG Peng, LI Xiao-jie, SUN Qi-feng, et al.   

  1. The Third Affiliated Hospital of Jiamusi University, Rehabilitation College of Jiamusi University, Jiamusi 154007, Heilongjiang, China
  • Received:2014-01-10 Revised:2014-05-04 Published:2014-06-25 Online:2014-06-25

PDF (PC)

摘要： 目的研究《国际功能、健康和残疾分类儿童青少年版》(ICF-CY) 自理项量表在脑瘫儿童评定中的信度和效度。方法选择50 例脑瘫儿童，采用ICF-CY自理项量表、功能性独立测量量表(WeeFIM)和儿童能力评估量表(PEDI)进行评定。ICF-CY自理项量表信度检验采用kappa 一致性分析方法；ICF-CY自理项量表与WeeFIM 和PEDI 同步效度采用Spearman 相关分析。结果ICF-CY自理项8 个类目重测信度kappa 值为0.806~0.932，信度优；ICF-CY自理项8 个类目评定者间信度kappa 值为0.690~0.882，信度中到优；ICF-CY自理项评分与WeeFIM 和PEDI 评分的Spearman 相关系数为-0.832 和-0.767(P<0.01)。结论采用ICF-CY自理项量表对脑瘫儿童进行日常生活自理评定可靠、有效。

关键词: 脑性瘫痪, 国际功能, 残疾和健康分类儿童青少年版, 信度, 效度

Abstract: Objective To analyze the reliability and validity of the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) Self-care Sets for the children with cerebral palsy. Methods 50 children with cerebral palsy were involved in this study. The functional evaluation was assessed by ICF-CY Self-care Sets, Functional Independence Measure (WeeFIM) and Pediatric Evaluation of Disability Inventory (PEDI). The reliability was analyzed with kappa correlation statistics. The concurrent criterion validity was analyzed with Spearman's rank correlation coefficients. Results The kappa value of test-retest reliability of 8 categories of ICF-CY Self-care Sets was 0.806~0.932, excellent. The kappa value of interrater reliability of 8 categories of ICF-CY Self-care Sets was 0.690~0.882, from moderate to excellent. The correlation analysis showed that the total score of the ICF-CY Self-care Sets was associated with the scores of WeeFIM (r=-0.832, P<0.01) and PEDI (r=-0.767, P<0.01). Conclusion The ICF-CY Self-care Sets are reliable and valid as a measurement for children with cerebral palsy.

Key words: cerebral palsy, International Classification of Functioning, Disability and Health-Children and Youth Version, reliability, validity