Modified Barthel Index 및 Motor Assessment Scale을 이용한 검사자간의 신뢰도 검사

Interobserver Reliabilities of Modified Barthel Index, and Motor Assessment Scale in Stroke Patients

  • 고성규 (상지대학교 한의과대학 부속병원 순환기내과학교실) ;
  • 김춘배 (연세대학교 원주의과대학 부속병원 예방의학교실)
  • Ko, Seong-Gyu (Department of Circulatory Internal Medicine, College of Oriental Medicine, Sang Ji University) ;
  • Kim, Chun-Bae (Department of Preventive Medicine, Wonju College of Medicine, Yonsei University)
  • 발행 : 1999.03.30

초록

We have conducted a study of the interobserver reliabilities of Modified Barthel Index and Motor Assessment Scale with 30 patients hospitalized with strokes in the department of circulatory internal medicine, Sang Ji University Oriental Hospital. The observations were performed by two staff and residents in the circulatory internal medicine department. Raters were assigned in random pairs to individual patients. Evaluations were performed independently by the two observers. In order to minimize the impact of fluctuations in the patients' clinical status, the second set of observations immediately followed the first. Each patient was used for only one pair of evaluations. The results were as follows. 1. Mean kappa value of 13 items in Modified Barthel Index(MBD was 0.742, which indicated excellent interobserver reliability. The kappa values indicated almost $perfect({\kappa}:\;0.81-1.00)$ for 4, substantial for $9({\kappa}:\;0.61-0.80)$, and moderate for $2({\kappa}:\;0.41-0.60)$ of 13 items. All items. except Grooming item, showed statistically significant interobserver agreement(p<0.01) 2. Mean kappa value of 8 items. except General tonus, in Motor Assessment Scale(MAS) was 0.823, which indicated excellent interobserver reliability. and this value of Motor Assessment Scale was more high than MBI' s value. 0.81. The kappa values indicated almost perfect for 5, substantial for 3 of 8 items. All items showed statistically significant interobserver agreement(P<0.01).

키워드

참고문헌

  1. 대한한의학회지 v.18 뇌졸중환자 290예에 대한 임상적 고찰(III) 강관호;전찬용;박종형
  2. 사망원인통계연보 경제기획원 조사통계국
  3. 대한한의학회지 v.17 뇌졸중환자의 기능평가방법에 대한 연구 고성규;고창남;조기호;김영석;배형섭;이경섭
  4. 대한한의학회지 v.14 중풍환자의 반신마비 회복도에 대한 임상적 관찰 고성규;조기호;김영석;배형섭;이경섭
  5. 대한한의학회지 v.7 no.2 뇌졸중에 대한 임상의학적 고찰 오세붕
  6. 대한한방내과학회지 v.19 뇌졸중환자 96예에 대한 임상적 고찰 용형순;고성규
  7. 대한재활의학회지 v.15 뇌졸중환자의 재활치료 시점에서의 평가와 기능적 회복에 관한 연구 정한영;권희규;오정희
  8. 대한신경과학회지 v.10 interrater reliabilities of barthel Index, Canadian Neurologic Scale, NIH Stroke Scale, and Graded Neurologic Scale 홍승봉;서대원;이일근;나덕렬;윤병우;노재규;김승현
  9. Arch. Phys. Med. Rehabil. v.60 Outcome of comprehensive medical rehabilitation Measurement by PULSES profile and the Barthel Index Granger, C.V.;Albrecht, G.L.;Hamilton, B.B.
  10. Am. J. Phys. Med. Rehabil. v.72 Performance profiles of the Functional Independence Measure Granger, C.V.;Hamilton, B.B.(外2人)
  11. Physical Medicine v.65 Investigation of a new motor assessment scale for stroke patients Carr, Janet H.(et al)
  12. Biometrics. v.33 The measurement of observer agreement for categorical data. Landis, J.R.;Koch, C.G.
  13. Arch. Phys. Med. Rehabil. v.69 Motor Assessment Scale for Stroke Patients concurrent Validity and Interater Reability Poole, J.L.;Whitney, S.L.
  14. Public Health Rap. v.82 Measuring end of results of rehabilitation patients with stroke Wylie, C.M
  15. Arch. Environ. Health v.8 A Measure of disability Wylie, C.M.;White, B.M.