摘要目的 评估国际功能、残疾和健康分类(ICF)核心要素在器官移植患者术后早期应用中的效度.方法 采用ICF核心要素问卷、功能独立性评测(FIM)以及Barthel指数(BI)评估肾、肝、肺和心脏移植患者,用ICF核心要素的每个目录报告问题的频率评估其内容效度,而用ICF核心要素的目录与FIM和BI的相关性评估其结构效度.结果 共102例器官移植术后早期患者完成研究.在身体功能方面,ICF核心要素中有10个目录作为一个问题被30%以上的患者报告,22个目录与FIM或BI相关.在身体结构中,仅s810(皮肤结构)作为一个问题被30%的患者报告,3个目录与FIM或BI相关.在活动与参与方面,3个目录被30%的患者报告存在问题,15个目录与FIM和BI相关.在环境因素方面,8个目录作为促进因素被30%的患者报告,8个目录与FIM或BI相关.结论 ICF核心要素用于器官移植术后早期患者显示良好的内容效度和结构效度.

abstractsObjective To evaluate content validity and construct validity of International Classification of Functioning,Disability and Health(ICF)Core Set for patients with organ transplantation.Methods Patients with kidney,liver,heart,or lung transplantation were assessed with ICF Core Set questionnaire,Functional Independence Measure(FIM)and Barthel Index(BI).Content validity was evaluated with frequency and percentage of patients with a problem for each ICF category,while construct validity was evaluated with Spearman correlation between ICF categories with FIM and BI.Results A consecutive sample of 102 patients completed this study.In body functions,10 categories were reported as a problem by more than 30% of the patients,of which 22 categories correlated significantly with FIM or BI.In body structures,structure areas of skin(s810)were reported as a problem by 30% of the patients,of which 3 categories correlated significantly with FIM or BI.In activities and participation,3 categories were reported as a problem by 30% of the patients,of which 15 categories correlated significantly with FIM and BI.In environmental factors,8 categories were reported as a facilitator by 30% of the patients,of which 8 categories correlated significantly with FIM or BI.Conclusion The content validity and construct validity of ICF Core Set for patients early after organ transplantation were good.