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为了解《上海市老年人综合健康功能评估表》中多维功能评价问卷的信度，作者以社区老年人为研究对象，以ＩＣＣ值、Ｋａｐｐａ值（Ｋ值）为指标分析了其同一评分者评分的稳定性（ｉｎｔｒａ－ｒａｔｅｒｓｔａｂｉｌｉｔｙ）、不同评分者评分的一致性（ｉｎｔｅｒ－ｒａｔｅｒａｇｒｅｅｍｅｎｔ）及重测信度（ｔｅｓｔ－ｒｅｔｅｓｔｒｅｌｉａｂｉｌｉｔｙ）。结果表明：该问卷具有可以接受的信度。同一评分者、不同评分者和重测评分的ＩＣＣ值分别为：０．６１～０．８３、０．５４～０．８４、０．３２～０．６０，均有统计学意义（Ｐ＜０．０１）。而三者Ｋ值分别为０．４６～０．８０、０．３９～０．６４、０．０２６～０．４８。多维功能评价的五个单项评分中，ＡＤＬ和社会资源的评分一致性、稳定性最好，躯体健康评分的一致性稳定性最低。本文还对影响信度的可能原因作了分析，并提出了进一步改进的几点建议。
In order to understand the reliability of multi-dimensional functional assessment questionnaire in Shanghai Comprehensive Elderly Health Functional Assessment Questionnaire, the author took the elderly community in the community as the research object, and analyzed the ICC value and Kappa value (K value) Intra-raterstability, inter-rateragreement and test-retest reliability of different scorers. The results show that the questionnaire has an acceptable reliability. The ICC values of the same scorer, different scorers and retest scores were 0.61-0.83,0.54-0.84,0.32-0.60, respectively, with statistical significance (P <0 .01). The three K values were 0.46 ~ 0.80,0.39 ~ 0.64,0.026 ~ 0.48. Among the five individual scores of multidimensional function evaluation, ADL and social resources had the best consistency and stability, and the lowest consistency and stability of the physical health score. The paper also analyzes the possible reasons for the reliability, and puts forward some suggestions for further improvement.