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이지윤 ( Lee Ji-Yun ) - 건강보험심사평가원 심사평가연구센터
장사랑 ( Jang Sa-Rang ) - 서울대학교 보건대학원
윤주영 ( Yun Ju-Young ) - 건강보험심사평가원 심사평가연구센터
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Abstract
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Purpose: The purpose of this study was to evaluate the validity and reliability of a patient assessment instrument for patients in long-term care hospitals.
Method: The participants in this study were 90 patients admitted to 3 long-term care hospitals. The data were collected in May and June 2007. Criterion related validity of the K-ADL (Korean Activities of Daily Living) was tested using Spearman correlation with the K-MBI (Korean Modified Barthel Index). Inter-rater reliability between two nurses was tested using weighted kappa and agreement percentage.
Results: Criterion- related validity of the K-ADL with the K-MBI was good with average Spearman correlation coefficient=0.96. Correlation coefficients of items were between 0.63 and 0.96. Inter-rater reliability was satisfactory with the average weighted kappa equal to 0.76. Items with weighted kappa of more than 0.4 numbered 122 (86.5%) and of more than 0.75, 74 (52.5%).
Conclusion: The patient assessment instrument for patients in long-term care hospitals is reliable and K-ADL is valid for classifying these patients based on resource utilization, and for quality monitoring indicators.
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KeyWords
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장기요양, 평가, 도구, 타당도, 신뢰도
Long-Term Care, Assessment, Instrument, Validity, Reliability
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원문 및 링크아웃 정보
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등재저널 정보
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