连续性评估记录和评价（CARE）量表用于脑卒中患者评定的效度研究

关键词：连续性评估记录和评价量表  脑卒中  扩展Barthel指数  效度

Keywords:continuity assessment record and evaluation  stroke  extended Barthel index  validity

摘要：

      摘要 目的：连续性评估记录和评价（Continuity Assessment Record and Evaluation,CARE)量表是美国对患者急性期、亚急性期、慢性期进行标准化的连续性评价的综合量表，本文研究目的在于开发中文版的CARE量表，并在脑卒中患者中应用，进行该量表的效度研究。 方法：确定中文版CARE量表的条目，选择30例脑卒中患者进行CARE及Barthel指数(Barthel index,BI)量表、改良Barthel指数（Modified Barthel index,MBI）量表、扩展Barthel指数（Extended Barthel Index , EBI）量表评估，将CARE与BI、MBI、EBI量表进行关联，进行Spearman相关分析以检验中文版CARE的效度。 结果：中文版CARE量表与BI、MBI、EBI总分相关系数（r=0.848、0.864、0.917）呈高度相关，P<0.01。 结论：中文版CARE量表具有良好的效度，是评估中国脑卒中人群功能质量标准的有用工具，可在临床推广应用。

Abstract:

      Abstract Objective: The American developed continuity assessment record and evaluation (CARE) scale is a standardized, integrative scale for evaluation of functional status for acute, subacute and chronic stage patient care providing. The aim of this study is to examine the validity of Chinese Taipei developed Chinese version of the CARE scale for assessing the functional outcomes among stroke patients. Method: Thirty stroke patients were evaluated by Chinese version of CARE and BI，MBI，EBI. The spearman correlation analysis was performed to test the validity of the -Chinese version of CARE. Result: The Chinese version of the CARE scale was highly correlated with BI，MBI，EBI. The correlation coefficient of each item were 0.848，0.864，0.917(P<0.01）,and the validity is good. Conclusion: The Chinese version of the CARE scale has good standard validity and is a useful tool for assessing the functional quality standards of Chinese stroke patients. It is worthy of clinical application.