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Rehabilitation Practice and Science

Translated Title

醫師與護理師對巴氏量表評分一致性的研究

Abstract

The Barthel Index is not only used to assess the status of activities of daily living and the planning of rehabilitation program but also to hire foreign health aids as a qualification standard for patients in Taiwan. However, studies on the inter-rater reliability of the Barthel Index are lacking between nurses and doctors, who are common specialties in evaluating the Barthel Index in Taiwan. The present study evaluates the inter-rater reliability of the Barthel Index and related influential factors of assessment. This study was conducted in a rehabilitation ward of a medical center in the northern part of Taiwan from August 1, 2014 to September 30, 2014. Sixty-seven patients and their caregivers were included in this study, and the demographic information of patients, including age, diagnoses, gender, education level, and Mini-Mental State Examination (MMSE) scores and age, duration of care, gender, and education level of their caregivers were collected. Thirsty-five medical personnel, the so-called 'assessors' in this study, which, comprised of 15 doctors and 20 nurses, were included. They participated in the care of the patients. Basic information of the assessors, including age, gender, length of service at the hospital, seniority, and whether or not they have received in-service education on the Barthel Index and the number of times of receiving education were recorded. Data were analyzed using descriptive and inferential statistics. The results showed that the total scores for the Barthel Index evaluated by doctors and nurses have good consistency (intraclass correlation coefficient (ICC= 0.95). The four sub-items of the Barthel Index, namely, 'grooming,' 'toilet,' 'bathing,' and 'ambulation,' had moderate consistency (ICC =0.50~0.70). The other six sub-items, namely, 'feeding,' 'transfer,' 'up and down the stairs,' 'dressing,' 'bowel,' and 'bladder,' had good consistency (ICC =0.80~0.95). No influential factors such as MMSE, education level, seniority, and the number of times of receiving education were significantly associated with the Barthel Index scores. This study confirmed that the Barthel Index has a good inter-rater reliability between doctors and nurses. No influential factors affected the scores of evaluation.

Language

Traditional Chinese

First Page

123

Last Page

132

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