뇌졸중 환자의 기능수준에 따른 FIM 신체적 기능 항목의 라쉬분석

• 영문명: Rasch Analysis of FIM Physical Items in Patients With Stroke in Korea
• 발행기관: 한국전문물리치료학회
• 저자명: 박소연(So-yeon Park) 원종임(Jong-im Won) 이미영(Mi-young Lee)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제17권 제2호, 51~59쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.05.30

영문 초록

The Functional Independence Measure (FIM) is widely used to determine the dependency of activity of daily living in rehabilitation patients. The purposes of this study were to evaluate the unidimentionality of the FIM physical items and to analyze the validity of cross-functional level in stroke survivors in Korea. Thirteen physical items of FIM were rated according to an ordinal scale of a 7-level classification. Two hundred and seventy-nine patients participated in the study (age range 18~92 years and 57% male). Six items-eating, bladder control, bowel control, transfer to and from the bed/wheelchair, transfer to and from the toilet, and bathing-showed misfits with the Rasch model. The most difficult item was 'bathing', the easiest item was 'bowel control'. Although there were several differences within functional level, the hierarchical order of item measures was rather similar. 'Bathing' was the most difficult in high level patients (above 60), however 'stairs' was most difficult in the middle level (41~60) group. In the low level group (below 40), 'toileting' was the most difficult. In conclusion, the present study has shown several differences of item difficulty among functional levels. This result will be useful in planning interventions, and developing rehabilitation programs for stroke survivors.

목차

I. 서론

II. 연구방법

III. 결과

IV. 고찰

V. 결론

키워드

Functional Independence Measure Rasch analysis Stroke