Cumulative Illness Rating Scale was a reliable and valid index in a family practice context
Cumulative Illness Rating Scale was a reliable and valid index in a family practice context
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DOI：
10.1016/j.jclinepi.2004.10.017
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发表时间：
2005-06-01
影响因子：
7.2
通讯作者：
Vanasse, A
中科院分区：
文献类型：
--
作者：
Hudon, C;Fortin, A;Vanasse, A
背景和目标：这项研究的目的是验证一种在家庭练习背景下测量同一患者（多种多发病）的临床负担的仪器，更具体地说，是验证训练有素的护士是否可以评分累积疾病图表审查的评分量表（CIRS）。研究和设置：选择了40名患者的便利样本。主治医生在临床访谈（CIRS-MD/I）中得分CIR，然后三名护士在临床访谈（CIRS-NUR/I）中得分CIR，其他三名护士从图表审查中得分（CIRS-NUR/C）。 （互可靠性）。这些护士中的两名在2个月后再次对CIRS-NUR/C进行了评分（内部可靠性）。注重：对于互相关性，CIRS-NUR/I和0.78（0.66-0.87）的类内相关系数为0.81（0.70-0.89）（0.70-0.89） ）用于cirs-nur/c。一名护士之一的CIRS-NUR/C的内部可靠性为0.89（0.80-0.94），另一个护士为0.80（0.65-0.89）。这两种形式的CIR与CIRS-NID/I范围的Frorn 0.73至0.84的有效性伴随：判断：CIRS在初级保健环境中似乎是一种可靠且有效的工具，受过训练的护士可以从图表审查中评分CIR。 （c）2005 Elsevier Inc.保留所有权利。
Background and Objective: The goal of this study was to validate an instrument measuring the clinical burden of several medical problems in the same patient (multimorbidity), in a family practice context and, more specifically, to verify if trained nurses can score the Cumulative Illness Rating Scale (CIRS) from chart review.Study Design and Setting: A convenience sample of 40 patients was selected. The attending physicians scored the CIRS during clinical interview (CIRS-MD/I), then three nurses scored the CIRS during clinical interview (CIRS-NUR/I) and three other nurses scored the CIRS from chart review (CIRS-NUR/C) (interrater reliability). Two of these nurses scored the CIRS-NUR/C again 2 months later (intrarater reliability).Results: For interrater reliability, the intraclass correlation coefficients were 0.81 (0.70-0.89) for the CIRS-NUR/I and 0.78 (0.66-0.87) for the CIRS-NUR/C. The intrarater reliability of the CIRS-NUR/C was 0.89 (0.80-0.94) for one of the nurses and 0.80 (0.65-0.89) for the other. Concomitant validity of these two forms of CIRS with the CIRS-NID/I ranged frorn 0.73 to 0.84.Conclusion: The CIRS appears to be a reliable and valid instrument in a primary care context and trained nurses can score the CIRS from chart review. (c) 2005 Elsevier Inc. All rights reserved.