CAJ | 학술논문

目的：研究《国际功能、健康和残疾分类儿童青少年版》(ICF-CY)自理项量表在脑瘫儿童评定中的信度和效度。方法选择50例脑瘫儿童，采用ICF-CY自理项量表、功能性独立测量量表(WeeFIM)和儿童能力评估量表(PEDI)进行评定。ICF-CY自理项量表信度检验采用kappa一致性分析方法；ICF-CY自理项量表与WeeFIM和PEDI同步效度采用Spearman相关分析。结果ICF-CY自理项8个类目重测信度kappa值为0.806~0.932，信度优；ICF-CY自理项8个类目评定者间信度kappa值为0.690~0.882，信度中到优；ICF-CY自理项评分与WeeFIM和PEDI评分的Spearman相关系数为-0.832和-0.767(P<0.01)。结论采用ICF-CY自理项量表对脑瘫儿童进行日常生活自理评定可靠、有效。
목적：연구《국제공능、건강화잔질분류인동청소년판》(ICF-CY)자리항량표재뇌탄인동평정중적신도화효도。방법선택50례뇌탄인동，채용ICF-CY자리항량표、공능성독립측량량표(WeeFIM)화인동능력평고량표(PEDI)진행평정。ICF-CY자리항량표신도검험채용kappa일치성분석방법；ICF-CY자리항량표여WeeFIM화PEDI동보효도채용Spearman상관분석。결과ICF-CY자리항8개류목중측신도kappa치위0.806~0.932，신도우；ICF-CY자리항8개류목평정자간신도kappa치위0.690~0.882，신도중도우；ICF-CY자리항평분여WeeFIM화PEDI평분적Spearman상관계수위-0.832화-0.767(P<0.01)。결론채용ICF-CY자리항량표대뇌탄인동진행일상생활자리평정가고、유효。
Objective To analyze the reliability and validity of the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) Self-care Sets for the children with cerebral palsy. Methods 50 children with cerebral palsy were involved in this study. The functional evaluation was assessed by ICF-CY Self-care Sets, Functional Independence Measure (WeeFIM) and Pediatric Evaluation of Disability Inventory (PEDI). The reliability was analyzed with kappa correlation statistics. The concurrent criteri-on validity was analyzed with Spearman's rank correlation coefficients. Results The kappa value of test-retest reliability of 8 categories of ICF-CY Self-care Sets was 0.806~0.932, excellent. The kappa value of interrater reliability of 8 categories of ICF-CY Self-care Sets was 0.690~0.882, from moderate to excellent. The correlation analysis showed that the total score of the ICF-CY Self-care Sets was associated with the scores of WeeFIM (r=-0.832, P<0.01) and PEDI (r=-0.767, P<0.01). Conclusion The ICF-CY Self-care Sets are reliable and valid as a measurement for children with cerebral palsy.