扩展Barthel指数量表评定脑卒中ADL能力的效度研究

目的:初步研究扩展巴氏指数量表(EBI)评定脑卒中日常生活活动能力(ADL)的效度,为其临床应用提供依据。方法:对30例脑卒中患者进行EBI、巴氏指数(BI)量表、改良巴氏指数(MBI)量表、简易精神状态量表(MMSE)的评估,将EBI运动功能部分、认知功能部分分别与BI、MBI和MMSE进行Spearman相关分析以检验EBI的效度。结果:EBI的运动功能部分与BI、MBI总分及各项之间,认知部分与MMSE总分具有高度相关性,EBI与BI、MBI、 MMSE总分相关系数分别为:0.915,0.949,0.879(P0.01),具有高度相关性。结论:EBI具有良好的效度,从某种程度上体现了脑卒中运动功能、认知功能状态,可以更全面评定脑卒中的ADL能力。

Validity of Extended Barthel Index for Assessing Stroke ADL Ability

Objective: To study the validity of the Extended Barthel Index (EBI) to evaluate the activity of daily living activity (ADL) of stroke, and to provide a basis for its clinical application. Methods: Thirty stroke patients were evaluated by EBI, the Barthel index (BI), the modified Barthel index (MBI), and the Mini Mental State Examination (MMSE). Spearman correlation analysis between EBI and BI, MBI or MMSE was done to test the validity of EBI. Results: The motor function part of EBI was highly correlated with BI and MBI in item and total scores. The cognitive function part of EBI was highly correlated with the total scores of MMSE, and the correlation coefficient of the total score of BI and MBI, MMSE was 0.915, 0.949, 0.879 respectively (P<0.01). Conclusion: EBI has good standard validity, which reflects the motor function and cognitive function of stroke to some extent, and can evaluate the ADL ability of stroke more comprehensively.