COMPARATIVE VALIDITY OF THE SICKNESS IMPACT PROFILE AND SHORTER SCALES FOR FUNCTIONAL ASSESSMENT IN LOW-BACK-PAIN

COMPARATIVE VALIDITY OF THE SICKNESS IMPACT PROFILE AND SHORTER SCALES FOR FUNCTIONAL ASSESSMENT IN LOW-BACK-PAIN
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DOI:
10.1097/00007632-198611000-00017
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发表时间:
1986-01-01
期刊:
影响因子:
3
通讯作者:
DEYO, RA
DEYO, RA
中科院分区:
医学2区
文献类型:
--
作者:
DEYO, RA

文献摘要

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有几种测量腰背痛(LBP)患者功能状态的量表。然而,很少有比较数据表明哪些规模可能表现最好。我们比较了疾病影响概况(SIP)及其主要分量表,以及从SIP(罗兰提出的一个指数的轻微修改)衍生出来的短指数在信度、效度和对变化的敏感性方面的差异。随机入院的机械性LBP患者(n=136)在一次指数访问时完成了整个SIP检查,并在3周后再次完成。对个别项目的检查允许对派生量表进行评分。修改后的罗兰德量表的信度、效度和灵敏度至少与整个社会支持计划量表或其主要分量表一样好。尽管罗兰量表没有很好地衡量心理社会功能,但随着时间的推移,这一功能方面的变化小于身体功能。
Several scales exist for measuring functional status in patients with low-back pain (LBP). There are few comparative data, however, to suggest which scales may perform best. We compared the Sickness Impact Profile (SIP), its major subscales, and a short index derived from the SIP (a slight modification of an index proposed by Roland) with regard to reliability, validity, and sensitivity to change. Walk-in-patients with mechanical LBP (n = 136) completed the entire SIP at an index visit and again 3 weeks later. The examination of individual items allowed scoring for the derivative scales. The modified Roland Scale appeared to have reliability, validity, and sensitivity that were at least as good as the overall SIP or its major subscales. Although the Roland Scale did not measure psychosocial function well, this aspect of functioning changed less over time than physical function.