A-test – pouzdanost procene funkcionalnog oporavka bolesnika tokom rane rehabilitacije na ortopedskom odeljenju

  • Aleksandra Vukomanović Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Aleksandar Djurović Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Zoran Popović Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Orthopedic Surgery and Traumatology, Military Medical Academy, Belgrade, Serbia
  • Dejan Ilić Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/3246
Ključne reči: hip fractures||, ||kuk, prelomi, osteoarthritis, hip||, ||osteoartritis, kuk, hip prosthesis||, proteza, orthopedic procedures||, ||ortopedske procedure, postoperative period||, ||postoperativni period, physical therapy||, ||fizikalna terapija, recovery of function||, ||funkcija, povratak, predictive value of the tests||, ||testovi, prognostička vrednost,

Sažetak


Uvod/Cilj. Postoji malo testova za procenu funkcionalne osposobljenosti bolesnika hirurški lečenih zbog frakture kuka ili osteoartritisa tokom ranog rehabilitacionog perioda. Cilj ove studije bio je ispitavanje pouzdanosti (interopservacione reproducibilnosti i interne konzistentnosti)  A-testa, originalnog testa za procenu funkcionalnog oporavka bolesnika tokom rane rehabilitacije na ortopedskom odeljenju. Metode. Istraživanje je obuhvatilo 105 bolesnika (55 sa osteoartritisom kuka kojima je učinjena artroplastika i 50 sa prelomom kuka koji su lečeni operativno) i sprovedeno je na ortopedskom odeljenju tokom rane rehabilitacije (od 1. do 5. dana). Kao merni instrument korišćen je A-test (performance based test) sa 10 stavki kojima se procenjuju osnovne aktivnosti uz pomoć šestostepene ordinalne skale (0–5). Za procenu njegove interne konzistentnosti izračunat je Cronbach-ov koeficijent alfa za rezultate prikupljene tokom rane rehabilitacije za sve bolesnike (105 bolesnika × 5 dana = 525 merenja) i posebno za rezultate bolesnika sa operativno lečenom osteoartritisom kuka (275 merenja) i prelomom kuka (250 merenja). Vrednost ovog koeficijenta veća od 0,7 ukazuje na dobru konzistentnost. Interopservaciona reproducibilnost procenjivana je na sledeći način: dva terapeuta zajedno su sprovodili fizikalnu terapiju sa bolesnikom, a zatim su odvojeno ocenjivali izvođenje svake aktivnosti iz testa (78 merenja). Slaganje njihove procene bilo je izraženo kappa koeficijentom (za veoma dobru interopservacionu reproducibilnost vrednosti kappa koeficijenta treba da se nalaze u  rasponu 0,81-1). Rezultati. Izračunata vrednost Cronbach-ovog koeficijenta alfa za rezultate svih bolesnika, kao i za rezultate bolesnika sa osteoartritisom kuka iznosila je 0,98, a za rezultate bolesnika sa prelomom kuka 0,97. Vrednosti kappa koeficijenta za sve stavke bile su u rasponu 0,81–0,92. Zaključak. A-test jeste pouzdan test za svakodnevno praćenje funkcionalnog oporavka bolesnika koji su operativno lečeni na ortopedskom odeljenju, tokom ranog perioda rehabilitacije.

Biografije autora

Aleksandra Vukomanović, Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Asistent na Medicinskom fakultetu Univerziteta odbrane u Beogradu, specijalista fizikalne medicine i rehabilitacije u Klinici za fizikalnu medicinu i rehabilitaciju VMA
Aleksandar Djurović, Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Profesor Medicinskog fakulteta Univerziteta odbrane u Beogradu, Načelnik Klinike za fizikalnu medicinu i rehabilitaciju VMA
Zoran Popović, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Orthopedic Surgery and Traumatology, Military Medical Academy, Belgrade, Serbia
Profesor Medicinskog fakulteta Univerziteta odbrane u Beogradu, ortoped
Dejan Ilić, Clinic for Physical Medicine and Rehabilitation, Military Medical Academy, Belgrade, Serbia
specijalista fizikalne medicine i rehabilitacije u Klinici za fizikalnu medicinu i rehabilitaciju VMA

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Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 7 (2014)
Rubrika
Originalni članak