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

王瑞瑤(Ray-Yau Wang)

《中華民國物理治療學會雜誌》 24卷5期 (1999/09) Pp. 349-355

https://doi.org/10.29616/JPTAROC.199909.0003

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。

關鍵字

不同施測者間信度 ； 日常生活活動 ； 中風

並列摘要

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 reliability 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.

並列關鍵字

Interrater reliability ； Activities of daily living ； Stroke