The Northwick Park Dependency Score (NPDS): a measure of nursing dependency in rehabilitation
The Northwick Park Dependency Score (NPDS): a measure of nursing dependency in rehabilitation
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DOI：
10.1191/026921598669173600
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发表时间：
1998-08-01
影响因子：
3
通讯作者：
Robinson, I
中科院分区：
文献类型：
--
作者：
Turner-Stokes, L;Tonge, P;Robinson, I
背景资料：残疾评分，例如功能独立性衡量标准（FIM）和巴特尔指数，已被证明与护理需求相关，但不能用于直接评估它们，因为它们并不表明帮助完成任务所需的人数，也不表明需要的时间。Northwick Park Dependency Score（NPDS）是一种顺序量表，可用于评估对护理时间的影响。它需要3-5分钟才能完成。与一组简短的附加问题一起，它可以直接用于评估社区的护理需求，并促进出院计划。目的：开发和评估NPDS用于康复环境。方法：（1）开发：在对现有文书进行调查之后，根据任务对护理时间的影响，将任务分为基本护理需求（BCN）和特殊护理需求（SNN）。此外，我们亦订定了分界点，以反映所需的佣工人数和所需的时间。在对NPDS第5版进行评价后，对第6版进行了微小变更，并在较小规模上进行了重新评价。(2)评价：使用5名高级护士对23名住院患者进行了评价者间和评价者内可靠性测试。分析包括评估关联度、显著差异、绝对一致性和一致性+/-1水平。虽然没有金标准，但BCN部分应与独立评估的Barthel评分呈负相关。结果：在初始评估中，评估者间信度检验显示每对护士之间的总综合评分具有良好的相关性（rho = 0.73-0.92，p
Background: Disability scores, such as the Functional Independence Measure (FIM) and Barthel Index, have been shown to correlate with care needs but cannot be used to assess them directly, as they do not indicate the number of people required to help with a task, nor the time taken. The Northwick Park Dependency Score (NPDS) is an ordinal scale that can be used to assess impact on nursing time. It takes 3-5 minutes to complete. Together with a short set of additional questions, it may be used directly to assess care needs in the community and to facilitate discharge planning.Aims: To develop and evaluate the NPDS for use in a rehabilitation setting.Methods: (1) Development: Following a survey of existing instruments, tasks were selected on the basis of their impact on nursing time and divided into Basic Care Needs (BCN) and Special Nursing Needs (SNN). Cut-off points were devised to reflect the number of helpers needed and time taken. Following evaluation of the NPDS version 5, minor changes were made to produce version 6 which was re-evaluated on a smaller scale. (2) Evaluation: Inter-rater and intra-rater reliability were tested in a cohort of 23 inpatients using five senior nurses. Analysis included assessment of degree of association, significant differences, absolute agreement, and agreement +/-1 level. Although there is no gold standard, the BCN section should correlate inversely with independently assessed Barthel scores. Re-evaluation of version 6 was undertaken using the same method of analysis in a cohort of 21 patients using three senior nurses.Results: On initial evaluation inter-rater reliability testing showed an excellent level of association in total composite score between each pair of nurses (rho = 0.73-0.92, p