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目的本研究在急性期医院背景下,就上下肢的移动性为例,目的是检验ICF类目的临床评定等级是否能够整合成一种多参数的等级评定量表,并且该量表能够根据特定患者的临床问题和康复目标提供有效可靠的临床评估。方法对急性期医院患有肌肉骨骼系统疾病的患者采用多中心前瞻性队列心理测量方法对数据进行统计分析。结果 234例肌肉骨骼状况患者(平均年龄56岁,50%女性。44%患者诊断涉及下肢,18%患者诊断涉及髋关节,18%患者诊断涉及上肢,16%患者诊断涉及脊柱)。调整不同测量功能项目之后,建立针对上肢或下肢功能的两个独立量表。建立的量表中有10个(上肢)和8个(下肢)测试项目有很好的拟合度。结论本研究的结果表明可基于ICF的核心分类集类目来开发等级评定量表。这可能是一个有希望的方法,因为在现有的领域里从心理测量方面来讲还没有可靠的测量方法。
Objectives This study examined the mobility of upper limbs and lower limbs in the context of an acute hospital for the purpose of examining whether the ICF class clinical rating scales can be integrated into a multiparametric rating scale that can be tailored to specific patient The clinical issues and rehabilitation goals provide an effective and reliable clinical assessment. Methods The data of patients with musculoskeletal diseases in acute stage hospital were analyzed by multi-center prospective cohort psychometric method. RESULTS: A total of 234 patients with musculoskeletal condition (mean age 56 years, 50% of females, 44% of patients diagnosed with lower extremity, 18% of patients diagnosed with hip joint, 18% of patients diagnosed with upper extremity, and 16% of patients diagnosed with spine). After adjusting different measurement function items, establish two independent scales for upper or lower limb function. There were 10 good (upper extremities) and 8 (lower extremity) test items in the established scale with good fit. Conclusions The results of this study show that rating scales can be developed based on the core set of ICF categories. This may be a promising method, as there is no reliable measurement of psychometrics in the current field.