Use of standardized activities of daily living rating scales in spinal cord injury and disease services.
Use of standardized activities of daily living rating scales in spinal cord injury and disease services.
复制标题
在脊髓损伤和疾病服务中使用标准化日常生活活动评定量表。
DOI：
10.5014/ajot.49.3.229
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
D. Anson
中科院分区：
文献类型：
--
作者：
A. H. Watson;E. Kanny;D. M. White;D. Anson
目的
虽然标准化的日常生活活动（ADL）评定量表的报告的可靠性和一致性提供了优势，文献显示，大多数职业治疗师倾向于使用非正式的评估和报告方法。本研究调查了职业治疗师治疗脊髓损伤和疾病（SCI/D）患者时使用标准化ADL评定量表的情况。
方法
通过分层随机抽样选择了52个SCI/D康复站点，并由每个站点中与SCI/D患者工作最广泛的职业治疗师完成调查：49个站点的职业治疗师完成了调查。
结果
调查结果显示，68%的受访者倾向于不使用标准化的ADL评分量表在他们的工作与SCI/D患者。在那些使用标准化ADL评定量表的人中，功能独立性测量（Functional Independence Measure，简称ADL）的使用比任何其他量表都要广泛。大多数受访者在工作中了解到这一措施。许多受访者表示，脊髓损伤评分的局限性在于无法检测SCI/D患者的进展：
讨论
结果表明，虽然被广泛使用，但为了使治疗师客观地记录SCI/D患者所取得的进展，可能需要补充其他标准化ADL评定量表：为了能够选择最合适的评估工具，学生和执业治疗师需要接受各种标准化ADL评定量表的教育。
OBJECTIVE
Although standardized activities of daily living (ADL) rating scales offer advantages in reliability and consistency of reporting, the literature has revealed that most occupational therapists tend to use informal assessments and reporting methods. This study investigated the use of standardized ADL rating scales by occupational therapists who treat patients with spinal cord injury and disease (SCI/D).
METHOD
Fifty-two SCI/D rehabilitation sites were selected by stratified random sampling, and surveys were completed by the occupational therapist in each site who worked most extensively with patients with SCI/D: Occupational therapists at 49 of the sites completed the survey.
RESULTS
Survey results indicated that 68% of the respondents tend not to use standardized ADL rating scales in their work with SCI/D patients. Of those who used standardized ADL rating scales, the Functional Independence Measure (FIM) was more widely used than any other. Most respondents learned about this measure on the job. Many of the respondents indicated that a limitation of the FIM was its inability to detect progress in their patients with SCI/D:
DISCUSSION
The results indicate that although widely used, the FIM may need to be supplemented by other standardized ADL rating scales in order for a therapist to objectively document the progress made by patients with SCI/D: To be able to choose the most appropriate assessment tools, students and practicing therapists need to be educated in a variety of standardized ADL rating scales.