使用ICF-RS进行康复评估的护理实习生和护士的一致性评估
Shufen Pan1, Yan Han1, Jinling Zhu2
1Guangzhou Nursing Home, Guangzhou, Guangdong, 510000, China.
BMC nursing
|April 15, 2025
概括
护理实习生在使用国际功能分类,残疾和健康康复套件 (ICF-RS) 中表现出良好的评估一致性. 然而,为了在老年护理中更好地评估功能水平,它们与经验丰富的护士的一致性需要改进.
科学领域:
- 老年人护理医院 老年人护理
- 康复医学是康复的医学.
- 护理教育的教育.
背景情况:
- 功能,残疾和健康康复集国际分类 (ICF-RS) 是评估功能水平的工具.
- 标准化的功能评估对于有效的老年护理至关重要.
研究的目的:
- 评估由护理实习生和经验丰富的护士使用ICF-RS进行的功能水平评估的一致性.
- 确定评估一致性强或弱的领域.
主要方法:
- 41名老年居民参与了这项研究.
- 六名护理实习生和一名经验丰富的护士使用ICF-RS进行了功能评估.
- 用肯德尔和卡帕系数来衡量评估的一致性.
主要成果:
- 在大多数ICF-RS类别的护理实习生中观察到良好的一致性 (肯达尔系数>0.6).
- 在实习生和经验丰富的护士之间,在特定领域 (如能量,睡眠,情绪功能,疼痛,性功能和排尿功能) 发现的一致性较低 (卡帕<0.3).
- 在实习生和经验丰富的护士之间,在其他类别中注意到可接受的一致性 (Kappa> 0.3).
结论:
- 对ICF-RS的护士实习生培训需要加强,以提高评估的一致性.
- 标准化培训对于老年患者可靠的功能水平评估至关重要.
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