《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 140-142.

• 临床研究 • 上一篇    下一篇

ASIA2000标准信度初步分析

王方永1,2; 李建军1,2; 洪毅1,2   

  1. 1.北京博爱医院脊柱脊髓外科 北京市 100068;2.首都医科大学康复医学院 北京市 100068
  • 收稿日期:2005-08-01 出版日期:2006-02-25 发布日期:2006-02-25

Test-retest Reliability and Inter-rater Reliability of ASIA2000 Scale

WANG Fang-yong, LI Jian-jun, HONG Yi   

  1. The Department of Spinal Column and Spinal Cord Surgery, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-08-01 Published:2006-02-25 Online:2006-02-25

摘要: 目的测定ASIA2000标准的重测信度和评测者间一致性。方法对我院2004年4月在院的脊髓损伤患者按照入选标准筛选出25例进行信度分析,由同一检查者于第1次记录后1周使用ASIA2000标准进行再次评定,测定重测信度。同一组患者由另一名专科医师于第1次记录后24h进行检查,测定评定者间一致性。结果重测信度为,针刺觉评分、触觉评分、运动评分的Pearson相关系数均>0.90(P<0.05);残损分级和损伤完全性测定的KaPPa值分别为0.787和0.756(P<0.05);评测者间一致性为,针刺觉评分、触觉评分、运动评分的Pearson相关系数均>0.85(P<0.05);残损分级和损伤完全性测定的KaPPa值分别为0.802和0.764(P<0.05)。结论ASIA2000标准各项目具有较高的重测信度和评测者间一致性。

关键词: 脊髓损伤, ASIA2000标准, 信度

Abstract: ObjectiveTo investigate the test-retest reliability and inter-rater reliability of ASIA2000 scale.MethodsTwenty-five hospitalized spinal cord injury volunteers were chosen according to the selective criteria. The items were retested by the same examiner one week later to determine the scale's test-retest reliability. Another doctor did the same work 24 h later to determine the scale's inter-rater reliability.ResultsThe Pearson correlation coefficients of the pin prick score, light touch score and motor score of the test-retest reliability were all above 0.90 (P<0.05), and the Kappa values of the ASIS impairment scale (AIS) and completeness of the injury were 0.787 and 0.756 (P<0.05). The Pearson correlation coefficients of the pin prick score, light touch score and motor score of the inter-rater reliability were all above 0.85 (P<0.05), and the Kappa values of the AIS and completeness of the injury were 0.802 and 0.764 (P<0.05).ConclusionThe ASIA2000 scale has good test-retest reliability and inter-rater reliability.

Key words: spinal cord injury, ASIA2000 scale, reliability