THE FUNCTIONAL AUTONOMY MEASUREMENT SYSTEM (SMAF) - DESCRIPTION AND VALIDATION OF AN INSTRUMENT FOR THE MEASUREMENT OF HANDICAPS

THE FUNCTIONAL AUTONOMY MEASUREMENT SYSTEM (SMAF) - DESCRIPTION AND VALIDATION OF AN INSTRUMENT FOR THE MEASUREMENT OF HANDICAPS
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DOI:
10.1093/ageing/17.5.293
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发表时间:
1988-09-01
期刊:
影响因子:
6.7
通讯作者:
BILODEAU, A
BILODEAU, A
中科院分区:
医学1区
文献类型:
--
作者:
HEBERT, R;CARRIER, R;BILODEAU, A

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功能自主测量系统(SMAF)是为测量老年人和残疾人的需要而开发的仪器。它的阐述是基于世界卫生组织对损伤、残疾和残疾的分类。功能自主性评定量表使用四级测量量表,量化了受试者在五个活动领域的29项功能的表现:日常生活活动、行动能力、沟通能力、精神功能和日常生活的工具性活动。对于每个功能,评估者还必须估计可用于补偿任何已确定的残疾的可用资源,以便估计残疾。获得的残疾和残疾情况是开出家庭护理处方或分配长期护理床位的依据。观察者间研究得出结论,该量表对社区和机构中不同专业的评估者是可靠的。该仪器使用迅速(平均42分钟),可靠性不受训练的影响。同时效度的研究表明,SMAF获得的残疾指数与所需护理时间之间存在很强的相关性。该仪器可用于临床以及流行病学和评估性研究。
The Functional Autonomy Measurement System (SMAF) is an instrument developed for the measurement of the needs of the elderly and the handicapped. Its elaboration was based on the World Health Organization's classification of impairments, disabilities and handicaps. A functional autonomy rating scale, using a four-level measurement scale, quantifies a subject's performance on 29 functions in five sectors of activity: activities of daily living, mobility, communication, mental functions and instrumental activities of daily living. For each function, the evaluator must also estimate available resources to compensate for any identified disability in order to estimate the handicap. The disability and handicap profile obtained is the basis for the prescription of home care or the allocation of chronic care beds.An inter-observer study concluded that the scale is reliable for evaluators from different professions in the community as well as in institutional settings. The instrument is rapid to administer (on average 42 min) and the reliability is not influenced by training. A study of concurrent validity has shown a strong correlation between the disability index obtained by the SMAF and the amount of required nursing-care time. This instrument can be used for clinical purposes and in epidemiological and evaluative research.