Supervision rating scale: A measure of functional outcome from brain injury
Supervision rating scale: A measure of functional outcome from brain injury
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DOI：
10.1016/s0003-9993(96)90254-3
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发表时间：
1996-08-01
影响因子：
4.3
通讯作者：
Boake, C
中科院分区：
文献类型：
--
作者：
Boake, C
目的：引入一种新的结局评定量表，即监督评定量表（SRS），该量表测量患者从护理人员处接受的监督水平。SRS在13点顺序量表上对监督水平进行评级，可以选择将其分为五个等级类别（独立、通宵监督、兼职监督、全职间接监督和全职直接监督）。设计：量表的评分者间信度和标准相关效度的描述性相关研究。设置：一家独立康复医院的脑损伤项目。患者：114例中重度颅脑损伤患者的参考病例系列（平均伤后时间= 3.8年）居住在社区或非医院机构。干预：无。主要结果测量：通过残疾评定量表（DRS）、格拉斯哥结局量表（GOS）、生活安排类型，结果：SRS评分与生活安排类型、自理能力和工具性日常生活能力的独立性之间存在一致性关系。SRS评分也与DRS和GOS评分密切相关。在19例患者的子样本中评估了SRS的评分者间可靠性，发现其结果令人满意（组内相关性= 0.86，加权Kappa = 0.64）。结论：结果表明，SRS应具有足够的可靠性和有效性，作为衡量脑损伤的功能结果。由于SRS评级基于观察到的行为，因此与DRS和GOS相比，SRS可能具有较小的主观成分。(C)1996年由美国康复医学大会和美国物理医学和康复学会。
Objective: To introduce a new outcome rating scale, the Supervision Rating Scale (SRS), which measures the level of supervision that a patient receives from caregivers. The SRS rates level of supervision on a 13-point ordinal scale that can optionally be grouped into five ranked categories (Independent, Overnight Supervision, Part-Time Supervision, Full-Time Indirect Supervision, and Full-Time Direct Supervision).Design: Descriptive correlational study of the scale's interrater reliability and criterion-related validity.Setting: Brain injury program of a freestanding rehabilitation hospital.Patients: Referred case series of 114 patients with moderate to severe traumatic brain injury (mean time postinjury = 3.8 years) who resided in the community or a nonhospital facility.Intervention: None.Main Outcome Measures: Functional outcome as measured by the Disability Rating Scale (DRS), Glasgow Outcome Scale (GOS), type of living arrangement, and independence in self-care and instrumental activities of daily living (ADL).Results: SRS ratings showed consistent relationships with type of living arrangement and with independence in self-care and instrumental ADL. SRS ratings were also strongly associated with ratings on the DRS and GOS. Interrater reliability of the SRS was evaluated in a subsample of 19 patients and found to be satisfactory (intraclass correlation = .86, weighted kappa = .64).Conclusions: The results suggest that the SRS should have sufficient reliability and validity to serve as a measure of functional outcome from brain injury. Because SRS ratings are based on observed behaviors, the SRS may have a smaller subjective component as compared to the DRS and GOS. (C) 1996 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.