Disability assessment by a single rater or a team: A comparative study with the Catz-Itzkovich spinal cord independence measure

被引:14
作者
Catz, A
Itzkovich, M
Steinberg, F
Philo, O
Ring, H
Ronen, J
Spasser, R
Gepstein, R
Tamir, A
机构
[1] Loewenstein Hosp & Rehabil Ctr, Dept 4, IL-43100 Raanana, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
[3] Meir Hosp, Kefar Sava, Israel
[4] Technion Israel Inst Technol, Fac Med, Dept Community Med, Haifa, Israel
关键词
Catz-Itzkovich SCIM; spinal cord; functional assessment; multidisciplinary team;
D O I
10.1080/165019702760279224
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
The Catz-Itzkovich Spinal Cord Independence Measure was found to be reliable and more sensitive than the FIM to functional changes, when used by a multidisciplinary team. This study was performed to find out whether assessment may be similar when done by a single rater. Twenty-eight patients with spinal cord lesions participated in the study, in which examinations performed within a week by a single nurse or a team were compared for correlation, differences and agreement. The team members scored their relevant fields. A significant correlation was found between the nurse's scoring and that of physiotherapists and occupational therapists (r = 0.82-0.94; p < 0.0001), and the differences between the mean scores were small. The agreement between raters was modest, however (total agreement 38-90%, Kappa 0.17-0.73). It was concluded that although disability assessment performed by a single nurse may not be as accurate as by a multidisciplinary team, it could be reliable and valid.
引用
收藏
页码:226 / 230
页数:5
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