Journal of Korean Gerontological Nursing 2008;10(1):7-19.

요양병원 입원환자 평가도구의 타당도와 신뢰도

이지윤, 윤주영, 장사랑

Abstract

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.

Key words: 장기요양, 평가, 도구, 타당도, 신뢰도