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Critical Care Functional Rehabilitation Outcome Measure: developing a validated measure

机译：重症监护室功能康复成果评估：制定经过验证的评估

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Introduction: In 2009, the National Institute for Health and Clinical Excellence (NICE) developed guidelines, which recognized that rehabilitation plays a vital role in recovery from illness and in returning patients to their previous activity levels. NICE recommended the use of valid and reliable outcome measures as an evaluation tool. Aim: To develop and evaluate the validity and reliability of a new Critical Care Functional Rehabilitation Outcome Measure (CcFROM). Method: The CcFROM was developed by physiotherapists working within the authors' institution and was based on an evaluation of current measures. Face and content validity were investigated using a questionnaire posted to 21 physiotherapists. Same-day and between-day intra-rater reliability and inter-rater reliability were investigated by three physiotherapists viewing 20 physiotherapy rehabilitation sessions and completing the CcFROM. Data were analysed for relative and absolute reliability. Results: The questionnaire demonstrated very high face validity and moderate content validity. 43% of the physiotherapists also suggested including an upper limb activity. Clinically acceptable same-day and between-day intra-rater reliability was demonstrated with ICCs of 0.985 (CI, 0.968-0.993) and 0.985 (CI, 0.871-0.972), respectively. Inter-rater reliability was recorded with an ICC of 0.906 (CI: 0.816-0.959). Conclusion: This study has shown that the CcFROM is a valid and reliable outcome measure for use in Critical Care.
机译：简介：2009年，美国国家卫生与临床卓越研究所（NICE）制定了指南，该指南认识到康复在疾病康复和使患者恢复以前的活动水平方面起着至关重要的作用。 NICE建议使用有效和可靠的结果指标作为评估工具。目的：开发和评估一项新的重症监护功能康复成果测度（CcFROM）的有效性和可靠性。方法：CcFROM由作者所在机构的物理治疗师开发，并基于对当前措施的评估。使用发布给21位物理治疗师的问卷调查了面部和内容的有效性。由三位理疗师调查了当天和一天之中的评分者内部可靠性和评分者之间的可靠性，查看了20次理疗康复课程并完成了CcFROM。分析数据的相对和绝对可靠性。结果：问卷显示脸部有效性很高，内容效度中等。 43％的物理治疗师还建议包括上肢活动。 ICC分别为0.985（CI，0.968-0.993）和0.985（CI，0.871-0.972）证明了临床上可接受的当日和日间评分者可靠性。评分者间可靠性的ICC为0.906（CI：0.816-0.959）。结论：这项研究表明，CcFROM是一种用于重症监护的有效且可靠的结果指标。

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