A patient-specific measure of change in maximal function.
A patient-specific measure of change in maximal function.
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最大功能变化的患者特异性测量。
DOI：
10.1001/archinte.1986.00360190097013
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发表时间：
1986
影响因子：
--
通讯作者：
K. Kelley
中科院分区：
文献类型：
--
作者：
C. Mackenzie;M. Charlson;D. DiGioia;K. Kelley
我们设计了一个简短的、针对特定患者的指数，用于测量最大身体、心理和情绪功能的变化。初次访谈时给出的基线部分记录了患者需要最多体力消耗和脑力劳动的日常活动，以及患者应对压力的能力。过渡组件评估这些患者特定规范的后续变化。该指数在两项涉及内科和外科患者的独立研究中进行了评估。在第一项研究中，该指数对 40 名患者进行了两次注射。所有三个功能方面的可靠性都非常出色。转变指标具有高度的内部一致性。在对 43 名住院患者进行的第二项研究中，通过将其表现与疾病影响概况进行比较来评估该指数的有效性；发现了高度相关性。此外，内科和外科组的总体变化模式的预期方向也有所不同。该指数的独特之处在于能够直接测量变化，可以在个体患者中进行解释，并且可以轻松应用于临床实践和研究。
We designed a short, patient-specific index that measures changes in maximal physical, mental, and emotional function. A baseline component, given at the initial interview, documents the patients' usual activities that require the most physical exertion and mental effort, as well as the patients' ability to cope with stress. A transition component assesses the subsequent change from these patient-specific norms. The index was evaluated in two separate studies involving medical and surgical patients. In the first study, the index was administered twice to 40 patients. Reliability was excellent for all three aspects of function. The transition index had a high degree of internal consistency. In a second study of 43 hospitalized patients, the validity of the index was assessed by comparing its performance with the Sickness Impact Profile; high correlations were found. In addition, the overall patterns of change differed in the expected directions in the medical and surgical groups. This index is unique in its ability to measure change directly, is interpretable in individual patients, and could be easily applied in clinical practice and research.